A PHASE II STUDY OF CYCLOPHOSPHAMIDE IN MULTIPLE MYELOMA PATIENTS WITH BIOCHEMICAL PROGRESSION DURING LENALIDOMIDE-DEXAMETHASONE TREATMENT FOR RELAPSED/REFRACTORY MULTIPLE MYELOMA
- Conditions
- RELAPSED/REFRACTORY MULTIPLE MYELOMA PATIENTSTherapeutic area: Diseases [C] - Cancer [C04]
- Registration Number
- EUCTR2012-000087-15-IT
- Lead Sponsor
- FONDAZIONE NEOPLASIE SANGUE ONLUS
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Authorised-recruitment may be ongoing or finished
- Sex
- All
- Target Recruitment
- Not specified
• Patient with relapse/refractory multiple myeloma who experienced biochemical progression, without CRAB, during treatment with Rd. CRAB means the presence of organ damage, multiple myeloma related (renal impairment and/or anemia and/or new bone lesions and/or hypercalcemia). It is sufficient one of the previous signs for defining the presence of CRAB. Biochemical progression means: positivization of serum/urine immunofixation for patients who reached a complete remission with Rd treatment or at least 25% increment of monoclonal component in serum/urine for patients who reached at least a stable disease (SD). • Patient exposed to previous therapy included Lenalidomide, Thalidomide, Bortezomib and/or ASCT and in treatment with Rd. • 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performance of any study-related procedure not part of normal medical care, with the understanding that consent may be withdrawn by the patient at any time without prejudice to their future medical care. • Female patient is either post-menopausal or surgically sterilized or, if at child-bearing potential, must: understand that the study medication could have an expected teratogenic risk. • Agree to use, and be able to comply with, effective contraception without interruption, 4 weeks before starting study drug, throughout study drug therapy (including dose interruptions) and for 4 weeks after the end of study drug therapy, even if she has amenorrhea. This applies unless the subject commits to absolute and continued abstinence confirmed on a monthly basis. The following are effective methods of contraception*: o Implant** o Levonorgestrel-releasing intrauterine system (IUS)** o Medroxyprogesterone acetate depot o Tubal sterilisation o Sexual intercourse with a vasectomised male partner only; vasectomy must be confirmed by two negative semen analyses o Ovulation inhibitory progesterone-only pills (i.e., desogestrel) • Combined oral contraceptive pills are not recommended. If a subject was using combined oral contraception, she must switch to one of the methods above. The increased risk of VTE continues for 4 to 6 weeks after stopping combined oral contraception. • **prophylactic antibiotics should be considered at the time of insertion particularly in patients with neutropenia due to risk of infection. • Agree to have a medically supervised pregnancy test with a minimum sensitivity of 25 mIU/ml not more than 3 days before the start of study medication once the subject has been on effective contraception for at least 4 weeks. This requirement also applies to women of childbearing potential who practice complete and continued abstinence. • Agree to have a medically supervised pregnancy test every 4 weeks including 4 weeks after the end of study treatment, except in the case of confirmed tubal sterilization. These tests should be performed not more than 3 days before the start of next treatment. This requirement also applies to women of childbearing potential who practice complete and continued abstinence. • † A female subject or a female partner of a male subject is considered to have childbearing potential unless she meets at least one of the following criteria: Age =50 years and naturally amenorrhoeic for = 1 year (amenorrhoea following cancer therapy does not rule out childbearing potential), premature ovarian failure confirmed
• Patients with newly diagnosed multiple myeloma. • Patients who relapsed from multiple myeloma with signs of organ damage related to disease (CRAB). • 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 females. • 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 histological finding of prostate cancer (TNM stage of T1a or T1b).
Study & Design
- Study Type
- Interventional clinical trial of medicinal product
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Main Objective: • To assess the efficacy of the addiction of Cyclophosphamide to Revlimid-low dose dexamethasone (Rd) in relapsed/refractory Multiple Myeloma patients, who experienced a biochemical progression, without CRAB, during Rd treatment;Secondary Objective: •To assess the safety •To assess progression free survival (PFS) •To assess overall survival (OS) •Duration of time to progression (TTP). •Time to next therapy (TNT) •To assess prognostic factors (ISS, FISH, age, sex, renal function);Primary end point(s): • To assess the efficacy of the addiction of Cyclophosphamide to Revlimid-low dose dexamethasone (Rd) in relapsed/refractory Multiple Myeloma patients, who experienced a biochemical progression, without CRAB, during Rd treatment;Timepoint(s) of evaluation of this end point: 9 months
- Secondary Outcome Measures
Name Time Method Secondary end point(s): 9 months;Timepoint(s) of evaluation of this end point: 9 months