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CDD Plus Bortezomib or CDDin Relapsed or Refractory Multiple Myeloma With Extramedullary Plasmacytoma

Phase 3
Conditions
Extramedullary Plasmacytoma
Interventions
Drug: CDD
Drug: CDD Plus Bortezomib
Registration Number
NCT02336386
Lead Sponsor
Beijing Chao Yang Hospital
Brief Summary

The purpose of this study is to determine whether Cyclophosphamide, Liposome doxorubicin and Dexamethasone(CDD) Plus Bortezomib might have effective in extramedullary plasmacytoma.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
100
Inclusion Criteria
  • Male or female patients from 18 to 80
  • Biopsy-proven EMP with relapsed or refractory Myeloma disease. Patients may be proteasome inhibitor-exposed or naive, but cannot be refractory to proteasome inhibitor therapy
  • Disease requiring further treatment
  • Measurable disease such as M protein and Objective and measurable of EMP
  • Eastern Cooperative Oncology Group (ECOG) performance status of less than or equal to 2
  • Meet the clinical laboratories criteria as specified in the protocol
  • Voluntary written consent
Exclusion Criteria
  • Female patients who are lactating, breastfeeding or pregnant
  • Evidence of current uncontrolled cardiovascular conditions as specified in study protocol
  • Requirement for other concomitant chemotherapy, immunotherapy, radiotherapy, which would be considered as a treatment of EMP.
  • Comorbid systemic illnesses or other severe concurrent disease which, in the judgment of the investigator, would make the patient inappropriate for entry into this study or interfere significantly with the proper assessment of safety and toxicity of the prescribed regimens
  • Ongoing or active infection, known HIV positive, active hepatitis B or C infection
  • Psychiatric illness/social situations that would limit compliance with study requirements
  • Known allergy to any of the study medications

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
CDDCDDDexamethasone 20 mg/day PO on Days 1-4, 9-12,Cyclophosphamide 300mg/m2 D1-4, doxorubicin Dexamethasone 40mg D4 of each 28-day cycle; Patients may continue to receive treatment until PD or unacceptable toxicity
CDD Plus BortezomibCDD Plus BortezomibPatients will receive Bortezomib (1.3mg/m2) Subcutaneous injection on Days 1, 4,8,11 and plus dexamethasone 20 mg/day PO on Days 1-4, 9-12,Cyclophosphamide 300mg/m2 D1-4, Liposome doxorubicin 40mg D4 of each 28-day cycle; Patients may continue to receive treatment until PD or unacceptable toxicity.
Primary Outcome Measures
NameTimeMethod
Number of patients with overall hematologic responseAssessed every 2 cycles (median length of the endpoint assessment period is projected to be approximately 24 months)

Complete response, very good partial response and partial response

Secondary Outcome Measures
NameTimeMethod
Number of patients with EMP responseAssessed every 2 cyeles period is projected to be approximately 24 months

response rate

Time from diagnosis ofEMP to the date of deathMonthly up to 3 years
Progression free survivalMonthly up to 2 years
Overall survivalMonthly up to 3 years

The median overall survival

Time from date of diagnosis of EMP to the date of first documentation of diseaseMonthly up to 2 years
Number of adverse eventsMonthly up to 3 years

Adverse events, serious adverse events, assessment of clinical laboratory values from the date of signing of the informed consent form through 30 days after the last dose of study drug.

Trial Locations

Locations (1)

Yuping ZHONG

🇨🇳

Beijing, Beijing, China

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