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临床试验/EUCTR2013-005485-19-DE
EUCTR2013-005485-19-DE进行中(未招募)1 期

Bendamustine, Prednisone and Velcade® for first-line treatment of patients with symptomatic multiple myeloma not eligible for high-dose chemotherapy followed by autologous stem cell transplantation (BPV). - BPV

Ruprecht-Karls-University Heidelberg, Med Faculty represented by University Clinic HD and its Comm. Director0 个研究点目标入组 46 人开始时间: 2014年7月18日最近更新:
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相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
46

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

入选标准

  • 1.Newly diagnosed multiple myeloma requiring systemic treatment (according to CRAB criteria as specified in the appendix) with following characteristics: Subject is not a candidate for high-dose chemotherapy and stem cell transplantation due to age, presence of comorbidities likely to have a negative impact on tolerability of HDT-SCT, or subject preference
  • 2.Measurable disease, defined as any quantifiable monoclonal protein value, defined by at
  • least one of the following three measurements (International Working Group , 2003 and Durie et al, 2006) (see appendix II)
  • a.Serum M-protein = 10g/l
  • b.Urine light-chain (M-protein) of = 200 mg/24 hours
  • c.Serum FLC assay: involved FLC level = 10 mg/dl provided sFLC ratio is abnormal
  • 3.Age =18 years
  • 4.WHO performance status 0-3 (WHO=3 is allowed only when caused by MM and not by co-morbid conditions) 5.For women of childbearing potential: negative pregnancy test at inclusion
  • 6.All men and women of childbearing potential must be willing and capable to use highly effective contraception during the complete therapy. [CPMP/ICH/286/95 mod: Highly effective
  • methods of birth control are defined as those, alone or in combination, that result in a low failure rate (i.e.,less than 1% per year) when used consistently and correctly. Examples of Highly effective and additional
  • methods:- Intrauterine device (IUD), Hormonal (birth control pills, injections, implants), Tubal ligation,Partner’s vasectomy. Additional effective methods: Male condom, Diaphragm, Cervical Cap]
  • 7. All patients must agree to abstain from donating blood while on study
  • 8.Ability to understand character and individual consequences of the clinical trial
  • 9.Written informed consent (must be available before enrolment in the trial)
  • 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 41

排除标准

  • Subjects presenting any of the following criteria will not be included in the trial:
  • 1.Patient has known hypersensitivity to bortezomib, bendamustine, prednisone or to any of the constituent compounds (incl. boron and mannitol).
  • 2.Systemic AL amyloidosis (except for patients with AL amyloidosis of the skin or the bone marrow)
  • 3.Previous chemotherapy or radiotherapy during the past 5 years except patient’s local radiotherapy in case of local myeloma progression. (Note: patients may have received a cumulative dose of up to 160 mg of dexamethasone or equivalent as emergency therapy within 3 weeks prior to study entry.)
  • 4.Plasma cell leukaemia which requires the presence of 20% of plasma cell in peripheral blood leukocytes and at least 2/nl.
  • 5.Severe cardiac dysfunction (NYHA classification III-IV)
  • 6.Significant hepatic dysfunction (serum bilirubin = 2 mg/dl or ASAT and/or ALAT = 2.5 times normal level), unless related to myeloma
  • 7.Patients known to be HIV-positive
  • 8.Patients with active, uncontrolled infections
  • 9.Patients with peripheral neuropathy or neuropathic pain, CTC grade 2 or higher (as defined by the NCI Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 4.0)
  • 10.Second malignancy within the past 5 years except:
  • a.Adequately treated basal cell or squamous cell skin cancer,
  • b.Carcinoma in situ of the cervix, or
  • c.Prostate cancer < Gleason score 6 with undetectable prostate-specific antigen (PSA) over 12 months, or
  • d.Ductal breast carcinoma in situ with full surgical resection (i.e., negative margins), or
  • e.Similar condition with an expectation of > 95 % 5-year disease free survival
  • 11.Patients with acute diffuse infiltrative pulmonary and pericardial disease
  • 12.Autoimmune hemolytic anemia with positive Coombs test or immune thrombocytopenia
  • 13.Platelet count < 50 x 109/l (transfusion support within 14 days before the test is not allowed), unless related to myeloma
  • 14.Hemoglobin < 7.5g/dl, unless related to myeloma
  • 15.Absolute neutrophil count (ANC) < 0.75 x 109/l (the use of colony stimulating factors within 14 days before the test is not allowed), unless related to myeloma
  • 16.Pregnancy and lactation
  • 17.Participation in other clinical trials within one month prior to enrolment except patients for supportive care studies and vaccination studies. (Note: This does not include long-term follow-up periods without active drug treatment of previous studies during the last 6 months).

研究者

发起方
Ruprecht-Karls-University Heidelberg, Med Faculty represented by University Clinic HD and its Comm. Director

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