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临床试验/NL-OMON53146
NL-OMON53146招募中2 期

Carfilzomib, Lenalidomide and Dexamethasone versus Lenalidomide and Dexamethasone in High- Risk Smoldering Multiple Myeloma: A Randomized Phase 2 Study - HOVON 147 SMM

HOVO0 个研究点目标入组 25 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
发起方
入组人数
25

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

  • Patients must have histologically or cytologically confirmed Smoldering
  • Multiple Myeloma based on the 2014 International Myeloma Working Group Criteria:
  • o Serum M-protein >=3 g/dl
  • Or urinary monoclonal protein >500 mg per 24 hours
  • And/or monoclonal bone marrow plasma cells >=10-60 %
  • o Absence of CRAB symptoms and myeloma defining events.
  • Patients must have high risk Smoldering Multiple Myeloma based on the Mayo
  • Clinic and/or the PETHEMA criteria
  • Measurable disease
  • Age >18 years
  • WHO/ECOG performance status <=2
  • Patients must have normal organ and marrow function
  • Calculated Creatinine Clearance >= 50 ml/min
  • Females of childbearing potential must have a negative serum or urine
  • pregnancy test within 10 - 14 days prior to entry and again within 24 hours of
  • starting lenalidomide treatment
  • Patients must be willing and capable to use adequate contraception during and
  • after the therapy (all men, all pre-menopausal women) Patients must be able to
  • adhere to the requirements of the Lenalidomide Pregnancy Prevention Plan
  • Written informed consent
  • Patient is capable of giving informed consent

排除标准

  • Patients with symptomatic multiple myeloma (i.e. having myeloma defining
  • Amyloid Light-chain (AL) amyloidosis
  • Patients who are receiving any other investigational agents.
  • Concurrent systemic treatment or prior therapy within 4 weeks for SMM
  • Contraindication to any concomitant medication, including antivirals,
  • anticoagulation prophylaxis, tumor lysis prophylaxis, or hydration given prior
  • History of allergic reactions attributed to immunomodulatory agents and
  • proteasome inhibitors.
  • Hypersensitive reaction to active substances or any excipients of the IMPs
  • Uncontrolled hypertension or diabetes
  • Pregnant or lactating females.
  • Significant cardiovascular disease with NYHA grade III or IV symptoms, or
  • hypertrophic cardiomegaly, or restrictive cardiomegaly, or myocardial
  • infarction within 3 months prior to enrollment, or unstable angina, or unstable
  • Active hepatitis B or C infection
  • Known or suspected HIV infection
  • Incidence of gastrointestinal disease that would prevent absorption
  • Patients with gastric or duodenal ulcers
  • Significant neuropathy >=Grade 3 or grade 2 with pain within 14 days of
  • Uncontrolled intercurrent illness including, but not limited to, ongoing or
  • active infection.
  • History of other malignancy (apart from basal cell carcinoma of the skin, or
  • in situ cervix carcinoma) except if the patient has been free of symptoms and
  • without active therapy during at least 5 years
  • Major surgery within 1 month prior to enrollment
  • Pre-existing pulmonary, cardiac or renal impairement that prevents hydration
  • Any psychological, familial, sociological and geographical condition
  • potentially hampering compliance with the study protocol and follow-up schedule

研究者

发起方
HOVO

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