Evaluation of Ixazomib, Lenalidomide, Dexamethasone in Newly Diagnosed Multiple Myeloma Patients eligible for High Dose Therapy
- Conditions
- Multiple Myeloma newly diagnosedMedDRA version: 18.0Level: LLTClassification code 10028566Term: MyelomaSystem Organ Class: 100000004864Therapeutic area: Diseases [C] - Cancer [C04]
- Registration Number
- EUCTR2014-003467-37-FR
- Lead Sponsor
- CHU de Toulouse
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Recruiting
- Sex
- All
- Target Recruitment
- 46
-Male or female patients = 18 years and = 65 years at the time of signing informed consent form
- Patients diagnosed with multiple myeloma based on the new International Myeloma Working Group Diagnostic Criteria for plasma cells disorders (leukemia 2009)
-Subjects must have symptomatic myeloma with CRAB criteria
- Subjects must have measurable disease requiring systemic therapy defined by serum M-component = 5g/l or urine M-component = 200 mg/24h or serum FLC = 100 mg/l.
-Subjects must not have been treated previously with any systemic therapy for multiple myeloma. Prior treatment with corticosteroids or radiation therapy does not disqualify the subject (the maximum dose of corticosteroids should not exceed the equivalent of 160 mg of dexamethasone in a 2-week period before initiation therapy). Two weeks must have elapsed since the date of the last radiotherapy treatment
-Subjects must be eligible for high dose therapy.
-Life expectancy = 3 months
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 46
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 1
-Female patients who are both lactating and breastfeeding or have a positive serum pregnancy test
-Evidence of mucosal or internal bleeding and/or platelet refractory.
-Prior myeloma systemic therapy
-Central nervous system involvement
-Uncontrolled hypertension or uncontrolled diabetes within 14 days prior to first dose of study drug=
-Infection requiring systemic antibiotic therapy or other serious infection within 14 days before first dose of study drug.
-Evidence of current uncontrolled cardiovascular conditions...
-Systemic treatment, within 14 days before first dose of study drug, with strong inhibitors of CYP1A2, strong inhibitors of CYP3A or strong CYP3A inducers or use of Ginkgo biloba or St. John’s wort
-Ongoing or active systemic infection, known human immunodeficiency virus (HIV) positive, known active hepatitis B virus hepatitis, or known active hepatitis C virus hepatitis and history of hepatitis B or C virus hepatitis.
-Diagnosed or treated for another malignancy within 5 years before study enrollment
-Patient has significant neuropathy
Study & Design
- Study Type
- Interventional clinical trial of medicinal product
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Main Objective: Evaluate the sCR rate of the combination of Ixazomib, Lenalidomide with and without dexamethasone as induction and extended consolidation therapy in an intensive program in newly diagnosed MM patients, after consolidation and before maintenance therapy.;Secondary Objective: Determine the safety and tolerability of the drug combination in this patient population as induction and extensive consolidation therapy.<br>Evaluate the sCR, CR, VGPR and PR rates, the overall response rate after induction, high dose Melphalan, early consolidation, late consolidation and maintenance therapy<br>Evaluate progression free survival, overall survival, time to progression and duration of response, time to response.<br>Evaluate the quality of stem cell harvest after induction therapy<br>Determine biological prognostic factors influencing outcome and response rates<br>;Primary end point(s): The sCR rate ;Timepoint(s) of evaluation of this end point: After consolidation and before maintenance therapy
- Secondary Outcome Measures
Name Time Method Secondary end point(s): 1-the safety and tolerability <br>2-the sCR, CR, VGPR and PR rates, the overall response rate <br>3-évaluate progression free survival, overall survival, time to progression and duration of response, time to response<br>4-the quality of stem cell harvest <br>5-biological prognostic factors influencing outcome and response rates;Timepoint(s) of evaluation of this end point: 1-induction and consolidation <br>2-after induction, high dose Melphalan, early consolidation, late consolidation and maintenance therapy<br>3-end of study <br>4-after stem celsl harvest <br>5-end of study