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临床试验/NCT00319865
NCT00319865Unknown2 期

PS-341 (Bortezomib, Velcade®), Adriamycin and Dexamethasone (PAD) Combination Therapy Followed by Thalidomide With Dexamethasone (Thal/Dex) for Relapsed or Refractory Multiple Myeloma

Korean Multiple Myeloma Working Party1 个研究点 分布在 1 个国家目标入组 47 人开始时间: 2005年11月1日最近更新:
适应症
相关药物

试验速览

阶段
2 期
发起方
入组人数
47
试验地点
1
主要终点
Response rate of PAD induction Therapy

研究概览

简要总结

Prospective multicenter phase 2 study using PAD and Thal/Dex combination sequentially.

详细描述

Although the overall survival was improved with the introduction of high dose therapy with autologous hematopoetic stem cell transplantation,it remains as a incurable disease. Most patients ultimately relapse. Recenlty, targeted therapy using novel agents, such as bortezomib and thalidomide, shows the possibility of improved in this situation. Among them, PAD (Velcade, Adriamycin,Dexamethasone) showed highest response rate. PAD does not show any cross resiatance with another effective combination, thalidomide plus dexamethasone.

We desined prospective multicenter phase 2 study using these combination sequentially.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
0 Years 至 75 Years(Child, Adult, Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •* Patients with multiple myeloma who relapsed after at least 1 lines of therapy including high dose thearapy with autologous stem cell transplantation and chemotherapy.
  • •* Presence of measureble disease : serum M-protein \> 1g/dL or urine M-protein \> 400mg/day
  • •* Age \< 75
  • •* Performance status \ 6 months
  • •* who signs the informed consent

排除标准

  • •known hypersensitivity to thalidomide or dexamethasone
  • •known refractoriness to thalidomide + dexamethasone
  • •Previous Velcade therapy
  • •Woman in reproductive age
  • •Serum creatinine > 2 mg/dL ; 24 hour creatinine clearance < 30 ml/min; past medical history of kidney transplatation
  • •Peripheral neuropathy >/= grade 2
  • •Recurrent DVT or pulmonary embolism
  • •Cardiac ejection fraction <0.5 : Severe conduction disorder
  • •Hepatic dysfunction (AST or ALT ≥ x 5 upper normal) or active hepatitis
  • •Active ulcers in gastrofiberscope

结局指标

主要结局

Response rate of PAD induction Therapy

次要结局

  • Response rate of PAD followed by Thal/Dex maintenance
  • Progression free survival and Overall survival of PAD/Thal-Dex.
  • To evaluate toxicities of PAD/Thal-Dex

研究者

发起方
Korean Multiple Myeloma Working Party
申办方类型
Other

研究点 (1)

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PAD Combination Therapy Followed by Thal/Dex for... | 临床试验