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临床试验/KCT0005635
KCT0005635招募中未知

Phase II, single-arm trial of carfilzomib, lenalidomide, and dexamethasone re-induction followed by the 2nd ASCT in multiple myeloma patients relapsed after the 1st ASCT

Samsung Medical Center0 个研究点目标入组 58 人开始时间: 待定最近更新:
适应症

试验速览

阶段
未知
状态
招募中
入组人数
58

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional Study

入排标准

年龄范围
20(Year) 至 70(Year)(—)
性别
All

入选标准

  • 1. Age 20~70
  • 2. Progressive disease after 1st ASCT
  • 3. Duration of response after 1st ASCT > 12 months
  • 4. Measurable disease (+)
  • Serum M-protein = 1 g/dL
  • Urine M-protein = 200 mg/24 hr
  • Serum Free Light Chain(FLC) assay: involved FLC level =10 mg/dL
  • (serum Free Light Chain ratio is abnormal)
  • 5. Adequate organ function for induction & ASCT
  • Absolute Neutrophil Count (ANC) = 1.0 x 109/L
  • Platelets = 50 x 109/L (= 30 x 109/L if myeloma involvement is >
  • 50% in the bone marrow)
  • Hemoglobin = 8.0 g/dL
  • Creatinine clearance = 30 mL/minute
  • Serum Bilirubin = 1.5 x upper limit of normal
  • Aspartate aminotransferase(AST) and Alanine
  • aminotransferase(ALT) = 3 x upper limit of normal
  • 6. Eastern Cooperative Oncology Group performance scale 0~2
  • 7. Survival expectancy > 3 months
  • 8. Adequately controlled hepatitis B(HBV) & hepatitis C(HCV)
  • 9. Written informed consent
  • 10. Optimal contraceptions

排除标准

  • 1. Prior refractoriness or intolerance to carfilzomib
  • 2. Prior refractoriness or intolerance to lenalidomide/dexamethasone
  • 3. Any treatment after progressive disease after 1st ASCT. High-dose
  • dexamethasone or palliative radiation is permitted.
  • 4. Waldenstroem’s macroglobulinemia, POEMS syndrome, or plasma cell
  • 5. Pregnant or nursing lactating women
  • 6. Myocardial infarct within 6 months, heart failure of New York Heart
  • Association(NYHA) Class III~IV, uncontrolled ventricular arrhythmia,
  • severe coronary arterial obstructive disease
  • 7. Uncontrolled hypertension (Defined as an average systolic blood
  • pressure >= 160 mmHg or diastolic >= 100 mmHg) or diabetes
  • 8. Grade 3~4 neuropathy
  • 9. HIV infection
  • 10. Severe or uncontrolled medical conditions, laboratory abnormalities, or
  • psychiatric disorders that may preclude the participation of the study by
  • the physician’s discretion
  • 11. Contraindication to any of the required concomitant drugs or supportive
  • treatments, including hypersensitivity to all anticoagulation and
  • antiplatelet options, antiviral drugs, or intolerance to hydration due to
  • preexisting pulmonary or cardiac impairment
  • 12. Diagnosis of other malignant disease other than myeloma within 5
  • year. Exceptions are properly treated non-melanomatous skin cancers,
  • cervical intraepithelial neoplasia, prostate cancer that do not require
  • treatment, or properly excised well-differentiated thyroid cancers

研究者

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