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临床试验/NL-OMON44193
NL-OMON44193招募中2 期

A Phase II study of Selinexor (KPT-330) combined with bortezomib and dexamethasone (SVd) for induction and consolidation for patients with progressive or refractory Multiple Myeloma. - The Selvedex trial

Erasmus MC, Universitair Medisch Centrum Rotterdam0 个研究点目标入组 49 人开始时间: 待定最近更新:
适应症

试验速览

阶段
2 期
状态
招募中
入组人数
49

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 99(—)

入选标准

  • The subject must understand and voluntarily sign an informed consent document prior to any study related assessments/procedures are conducted.
  • Age >= 18 years at the time of signing the informed consent form.
  • Able to adhere to the study visit schedule and other protocol requirements.
  • Documented diagnosis of multiple myeloma and measurable disease (serum M-protein >= 5 g/L or urine M-protein >= 200 mg/24 hours or abnormal FLC ratio with involved free light chain (FLC) > 100 mg/L);
  • Documented progression as per the IMWG uniform response criteria (Durie, 2006) during or after the anti-myeloma regimen; or never achieved a response better than PD after at least 2 cycles of their previous anti-myeloma regimen.
  • At lease one prior anti-myeloma regimen. Induction therapy followed by autologous stem cell transplant (ASCT) and consolidation/ maintenance will be considered as one regimen.
  • Normal renal function with a Creatinine Clearance > 30mL/min according to the Modification of Diet in Renal Disease (MDRD) equation for estimation of Glomerular Filtration Rate (GFR)
  • WHO performance status score of 0, 1 or 2
  • Female patients of child-bearing potential must agree to use dual methods of contraception and have a negative serum pregnancy test at screening, and male patients must use an effective barrier method of contraception if sexually active with a female of child-bearing potential. Acceptable methods of contraception are condoms with contraceptive foam, oral, implantable or injectable contraceptives, contraceptive patch, intrauterine device, diaphragm with spermicidal gel, or a sexual partner who is surgically sterilized or post-menopausal. For both male and female patients, effective methods of contraception must be used throughout the study and for three months following the last dose.
  • All subjects must agree to refrain from donating blood while on study drug and for 28 days after discontinuation from this study treatment.
  • All subjects must agree not to share medication.

排除标准

  • Prior resistance/refractory disease to bortezomib, defined as progression during or within 60 days of completing bortezomib therapy.
  • Systemic AL amyloidosis
  • Non secretory myeloma
  • Known CNS involvement
  • Absolute neutrophil count (ANC) <1.0 x 109/L, unless related to MM.
  • Platelet count < 50 x 109/L.
  • Corrected serum calcium > 14 mg/dL (> 3.5 mmol/L).
  • Hemoglobin < 8 g/dL (< 4.9 mmol/L; prior RBC transfusion or recombinant human erythropoietin use is permitted).
  • Significant hepatic dysfunction (Serum SGOT/AST or SGPT/ALT > 3.0 x upper limit of normal (ULN) or serum total bilirubin > 2 x ULN unless due to inheritable syndrome such as Gilbert*s)
  • Prior history of malignancies, other than MM, unless the subject has been free of the disease
  • for >= 5 years. Exceptions include the following:
  • oBasal or squamous cell carcinoma of the skin.
  • oCarcinoma in situ of the cervix or breast.
  • oIncidental histological finding of prostate cancer (TNM stage of T1a or T1b).
  • Hypersensitivity to bortezomib or dexamethasone (this includes >= Grade 3 rash during prior bortezomib therapy).
  • Peripheral neuropathy >= Grade 2 at time of registration.
  • Subjects who received an allogeneic bone marrow or allogeneic peripheral blood stem cell transplant less than 12 months prior to initiation of study treatment
  • Congestive heart failure (NY Heart Association Class III or IV).
  • Myocardial infarction within 12 months prior to starting study treatment
  • Unstable or poorly controlled angina pectoris, including Prinzmetal variant angina pectoris.
  • Subjects who received any of the following within the last 14 days of initiation of study treatment:
  • Major surgery (kyphoplasty is not considered major surgery).
  • Use of any anti-myeloma drug therapy at the time of registration in the trial.
  • Use of any investigational agents within 28 days or five half-lives (whichever is longer) of treatment.
  • Any serious medical condition, laboratory abnormality, or psychiatric illness that would prevent the subjects from signing the informed consent form.
  • Any active uncontrolled infections
  • Pregnant or breastfeeding females.
  • Known human immunodeficiency virus (HIV) positivity, active infectious hepatitis A, B or C or chronic hepatitis B or C.
  • Any psychological, familial, sociological and geographical condition potentially hampering compliance with the study protocol and follow-up schedule.

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