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Use Lenalidomide (Revlimid®) in Combination With Dexamethasone in Clinical Practice for the Treatment of Newly Diagnosed Multiple Myeloma (MM) Transplant Ineligible Patients

Completed
Conditions
Multiple Myeloma
Registration Number
NCT03001804
Lead Sponsor
Celgene
Brief Summary

The aim of this non-interventional study is to collect primarily the percentage of patients who receive the full dose of dexamethasone (20 or 40 mg orally once daily on days 1, 8, 15 and 22 of the repetitive 28-day cycles, 20 mg in \>75 year old patients) in the registered indication under practice conditions.

Detailed Description

Multiple myeloma is still a persistent and life-threatening blood cancer that is characterised by tumour proliferation and suppression of the immune system. It is a rare but incurable disease. On average, multiple myeloma is diagnosed in people 65-74 years of age, and the majority of newly diagnosed patients may not be eligible for more aggressive treatment options such as high-dose chemotherapy with stem cell transplant. In February 2015 REVLIMID® (lenalidomide) was approved in combination with dexamethasone for the treatment of adult patients with previously untreated multiple myeloma who are not eligible for transplant. Furthermore, in May 2019 REVLIMID® was approved in combination with bortezomib and dexamethasone for the treatment of adult patients with previously untreated multiple myeloma who are not eligible for transplant.

Looking in more detail at the combination of lenalidomide and dexamethasone, the role and especially the most adequate and effective dosage of dexamethasone in long term use with lenalidomide is not clearly defined or well characterised It is therefore of great relevance to gain insights into the clinical practice and the routine of dexamethasone management and dosing in long term use with Revlimid.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
29
Inclusion Criteria
  • Signed Informed Consent
  • Age ≥ 18 years
  • Newly diagnosed Multiple Myeloma
  • Not suitable for stem cell transplantation
  • Appropriate methods of contraception according to the Risk Minimization Program (RMP)
  • Adequate thrombosis prophylaxis
Exclusion Criteria
  • Pregnant and lactating females
  • No other formal exclusion criteria according to most recent European Summary of Product Characteristics (SmPC)

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Number of patients receiving dexamethasone after 6 months of treatmentup to 2 years

Number of patients receiving 20mg or 40mg dexamethasone on day 1, 8, 15, 22 of a 28 day cycle after 6 months of treatment

Secondary Outcome Measures
NameTimeMethod
Over all response rate (ORR)up to 2 years

Number of patients that achieve a response

Number of patients with Deep Venous Thrombosis (VTE) prophylaxisup to 2 years

Number of patients that receive VTE prophylaxis

Adverse Events (AEs)up to 2 years

Number of patients with an adverse events

Trial Locations

Locations (12)

Landeskrankenhaus Kirchdorf

🇦🇹

Kirchdorf, Austria

Klinikum Klagenfurt am Wörthersee

🇦🇹

Klagenfurt, Austria

Ordensklinikum Linz GmbH Elisabethinen

🇦🇹

Linz, Austria

Kepleruniversitätsklinikum GmbH, Hämatologie und Internistische Onkologie

🇦🇹

Linz, Austria

Landeskrankenhaus Steyr - Innere Medizin

🇦🇹

Steyr, Austria

Krankenhaus der Barmherzigen Schwestern Ried Innere Medizin 1

🇦🇹

Ried, Austria

AKH, Innere Medizin I, Klinische Abteilung für Hämatologie und Hämostaseologie

🇦🇹

Wien, Austria

Salzkammergut-Klinikum Vöcklabruck Abteilung Innere Medizin

🇦🇹

Vöcklabruck, Austria

LKH Wiener Neustadt, Innere Medizin

🇦🇹

Wr. Neustadt, Austria

Wilhelminenspital, 1. Med.Abteilung, Zentrum für Onkologie

🇦🇹

Vienna, Austria

Klinische Abteilung für Hämatologie und Hämostaseologie

🇦🇹

Vienna, Austria

St. Josef Krankenhaus

🇦🇹

Vienna, Austria

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