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临床试验/EUCTR2008-008599-15-CZ
EUCTR2008-008599-15-CZ进行中(未招募)不适用

A PHASE 3, MULTICENTRE, RANDOMIZED, CONTROLLED STUDY TO DETERMINE THEEFFICACY AND SAFETY OF CYCLOPHOSPHAMIDE, LENALIDOMIDE AND DEXAMETHASONE (CRD) versus MELPHALAN (200 mg/m2) FOLLOWED BY STEM CELL TRANSPLANT IN NEWLY DIAGNOSED MULTIPLE MYELOMA SUBJECTS

FONDAZIONE NEOPLASIE SANGUE ONLUS0 个研究点目标入组 380 人开始时间: 2009年9月11日最近更新:
适应症
相关药物

试验速览

阶段
不适用
状态
进行中(未招募)
发起方
入组人数
380

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • -Patient is, in the investigator(s) opinion, willing and able to comply with the protocol requirements.
  • -Patient has given voluntary written informed consent before performance of any study-related procedure not part
  • of normal medical care, with the understanding that consent may be withdrawn by the patient at any time without
  • prejudice to their future medical care. -Patient is 65 years old or younger at the time of signing the informed
  • -Women of child-bearing potential must agree to use 2 methods of contraception: 1 effective (for example
  • hormonal or tubal ligation) and 1 barrier (for example latex condom, diaphragm) for at least 4 weeks before
  • starting the therapy, during the Treatment Period, and for 4 weeks after the last dose of lenalidomide
  • -Male patient agrees to use an acceptable method for contraception (i.e., condom or abstinence) during study drug
  • therapy (including dose interruption) and for 4 weeks after discontinuation of lenalidomide therapy.
  • -Negative serum B-human chorionic gonadotropin (B-HCG) pregnancy test both 24 hours prior to beginning of
  • therapy and then at 4 weeks intervals in women with regular menstrual cycles or every 2 weeks in women with
  • irregular menstrual cycles during study treatment for subjects of childbearing potential
  • -Patient was diagnosed with symptomatic multiple myeloma based on standard criteria (10), and has measurable
  • disease, defined as follows: any quantifiable serum monoclonal protein value (generally, but not necessarily,
  • greater than 1 g/dL of IgG M-Protein and greater than 0.5 g/dL of IgA M-Protein) and, where applicable,
  • urine light-chain excretion of >200 mg/24 hours; measurable plasmacytoma > 2 cm as determined by clinical
  • examination or applicable radiographs (i.e. MRI, CT-Scan); bone marrow plasma cells >10%.
  • -Patient has a Karnofsky performance status more than 60%.
  • -Patient has a life-expectancy > 6 months -Patient has HBV, HCV and HIV negative
  • -Patients must have normal ECG and NYHA more than 2; an evaluation of ejection fraction by ECHO or MUGA
  • is optional -Patients must normal chest X ray; an evaluation of pulmonary function studies on mechanical aspects
  • (FEV1, FVC, etc) and diffusion capacity (DLCO) is optional.
  • -Patient has the following laboratory values within 14 days before Baseline (day 1 of the Cycle 1): *Platelet
  • count more than 75 x 109/L without transfusion support within 7 days before the test. *Absolute neutrophil
  • count (ANC) 1.5x 109/L without the use of growth factors. *Corrected serum calcium more than 14 mg/dL
  • (3.5 mmol/L).*Aspartate transaminase (AST): more than 2.5 x the upper limit of normal (ULN). *Alanine
  • transaminase(ALT): more than 2.5 x the ULN. *Total bilirubin: more than1.5 x the ULN. *Calculated or
  • measured creatinine clearance: 20 mL/minute
  • -Patient has a baseline bone marrow sample available for cytogenetics, that will be processed and eventually
  • centralized.
  • 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
  • F.1.3 Elderly (>=65 years) no
  • F.1.3.1 Number of subjects for this age range

排除标准

  • -Previous treatment with anti-myeloma therapy (does not include radiotherapy, bisphosphonates, or a single short
  • course of steroid; < to the equivalent of dexamethasone 40 mg/day for 4 days).
  • -Any serious medical condition, including the presence of laboratory abnormalities, which places the subject at
  • an unacceptable risk if he or she participates in this study or confounds the experimental ability to interpret data
  • from the study.
  • -Pregnant or lactating women. A serum b-hCG pregnancy test must be performed at the Screening visit, for
  • female patients of child-bearing potential. If the test is positive, the patient must be excluded from the study.
  • Confirmation that the patient is not pregnant must be established by a negative serum or urinary pregnancy test
  • with the result obtained 1 day prior to the Baseline visit (or the day of the visit if results are available before drug
  • delivery). A pregnancy test is not required for naturally post-menopausal women (who have not had menses
  • at any time in the preceding 24 consecutive months) or surgically sterilised women (hysterectomy, bilateral
  • ovariectomy, bilateral salpingectomy);
  • -Prior history of malignancies, other than multiple myeloma, unless the subject has been free of the disease for 3
  • years. Exceptions include the following: basal cell carcinoma of the skin, squamous cell carcinoma of the skin,
  • carcinoma in situ of the cervix, carcinoma in situ of the breast, incidental histologic finding of prostate cancer
  • (TNM stage of T1a or T1b)
  • -Patients previously diagnosed as bearing deep venous thrombosis or arterial thromboembolic event within the
  • latest 12 months.

研究者

发起方
FONDAZIONE NEOPLASIE SANGUE ONLUS

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