- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01526694
Phase II Trial Designed to Determine Efficacy and Safety of Bendamustine+Dexamethasone+Thalidomide in R/R MM
July 2, 2018 updated by: Michael Mian, Azienda Ospedaliera di Bolzano
Phase II Multicenter Clinical Trial to Investigate the Efficacy and Safety of Bendamustine, Dexamethasone and Thalidomide in R/R MM Pts After Treatment With Lenalidomide and Bortezomib or Which Are Ineligible to One of These Drugs
This is a prospective, multicenter phase II trial designed to determine efficacy and safety of a combination chemotherapy consisting of Bendamustine + Dexamethasone + Thalidomide in patients with multiple myeloma (MM) after treatment with lenalidomide and bortezomib or which are ineligible to one of these drugs.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
Eligible patients will be treated according to the following scheme until the occurrence of maximum response, dose limiting toxicity or disease progression. Repeat cycles every 28 days for a maximum of 6 cycles and a minimum of 4.
- Bendamustine 60 mg/m2 i.v. days 1, 8, 15
- Dexamethasone 20 mg p.o. days 1,8 , 15, 22
- Thalidomide 100 mg daily p.o. days 1-28; initial dose of 50 mg/day, with an increment to 100 mg after the first 15 days of treatment.
Study Type
Interventional
Enrollment (Actual)
30
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Belluno, Italy, 32100
- Ospedale S. Martino
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Castelfranco Veneto, Italy, 31033
- Ospedale di Castelfranco Veneto
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Dolo, Italy, 30031
- Ospedale Civile di Dolo
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Feltre, Italy, 32032
- AULSS 2 Feltre
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Messina, Italy, 98125
- Azienda Ospedaliera Universitaria G. Martino
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Mestre, Italy, 30170
- Ospedale Dell'Angelo Di Mestre
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Padova, Italy, 35127
- A.O di Padova Ematologia e Immunologia Clinica
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Padova, Italy, 35127
- A.O di Padova Ematologia
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Rovigo, Italy, 45100
- AULLS 18 di Rovigo
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Trento, Italy, 38100
- Ospedale di Trento - P.O. S. Chiara
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Treviso, Italy, 31100
- Ospedale Cà Foncello
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Trieste, Italy, 34142
- A.O.U Ospedali Riuniti di Trieste Medicina II
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Trieste, Italy, 34142
- A.O.U Ospedali Riuniti di Trieste
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Udine, Italy, 33100
- A.O.U S. Maria della Misericordia
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Verona, Italy, 37134
- Ospedale Policlinico G.B Rossi (Borgo Roma) Ematologia
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Verona, Italy, 37134
- Ospedale Policlinico G.B Rossi (Borgo Roma) Medicina II
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Vicenza, Italy, 36100
- AULSS 6 Vicenza
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BZ
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Bolzano, BZ, Italy, 39100
- Division of Hematology and CBMT
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Padova
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Camposampiero, Padova, Italy, 35012
- Presidio Ospedaliero di Camposampiero
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
16 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Understand and voluntarily sign an informed consent form.
- Age 18 years at the time of signing the informed consent form.
- Life expectancy of at least 3 months
- Able to adhere to the study visit schedule and other protocol requirements
- Relapsed or refractory active MM (according to the International Myeloma Working Group guidelines) after treatments containing bortezomib and lenalidomide or ineligible (intolerance or toxicity) to one of these drugs with detectable myeloma protein in blood or urine.
- Disease free of prior malignancies for at least 5 years.
- All previous multiple myeloma treatments, including radiation, cytostatic therapy and surgery, must have been discontinued at least 4 weeks prior to treatment in this study, except corticosteroids therapy.
- ECOG performance status <2 at study entry, unless it is due to MM.
- At least the following laboratory findings at the day of treatment start:
- Platelet count ≥ 75 x 10^9/L without transfusional support within 7 days.
- Neutrophil count > 1.5 x 10^9/L without G-CSF.
- Corrected calcium ≤ 14 mg/dL (3.5 mmol/L).
- AST: ≤ 2.5 times the normal upper limit.
- ALT: ≤ 2.5 times the normal upper limit.
- Total bilirubin: ≤ 1.5 times the normal upper limit.
- Measured or calculated creatinine clearance of ≥ 20 mL/minute
- Women of child bearing potential and male patients whose partner is a woman of child bearing potential must be prepared to use two effective methods of contraception both before and during protocol treatment, or commit to absolute and continuous abstinence.The pregnancy test must be negative 14-28 days and 72 hours before treatment start. Only in case of hysterectomy or presence of menopause for at least 24 consecutive months pregnancy tests as well as contraception are not necessary. Men must not father a child for up to 6 months following cessation of treatment and must use condoms.
Exclusion Criteria:
- Any serious medical condition, laboratory abnormality, or psychiatric illness that would prevent the subject from signing the informed consent form.
- Pregnant or breast feeding females.
- Any condition, including the presence of laboratory abnormalities, which places the subject at unacceptable risk if he/she were to participate in the study or confounds the ability to interpret data from the study.
- Patients with contraindications for treatment with bendamustine, dexamethasone and thalidomide.
- Uncontrolled or severe cardiovascular disease, including myocardial infarction within 6 months before study entry, New York Heart Association Class III or IV heart failure, uncontrolled angina or severe uncontrolled ventricular arrhythmias (≥ Lown 3).
- Use of any other experimental drug or therapy within 28 days of baseline.
- Known hypersensitivity to thalidomide or purine analogues
- Concurrent use of other anti-cancer agents or treatments other stated in this treatment plan.
- Peripheral neuropathy grade ≥2 according to WHO
- Known positive for HIV or infectious hepatitis, type A, B or C.
- Major surgery less than 30 days before start of treatment
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: treatment with BDT
Bendamustine + Dexamethasone + Thalidomide in patients with multiple myeloma (MM) patients after treatment with lenalidomide and bortezomib or which are ineligible to one of these drugs.
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Bifunctional alkylating agent consisting of a purine and amino acid antagonist (a benzimidazole ring) and an alkylating nitrogen mustard moiety.
Other Names:
Thalidomide can directly inhibit the growth and survival of myeloma cells, by oxidative damage to DNA mediated by free radicals.
The drug can induce apoptosis even in drug resistant myeloma cells.
Thalidomide modulates cell adhesion molecule expression, so it may interfere with the mutually stimulatory interactions between myeloma cells and the bone marrow microenvironment.
It's a corticosteroid.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Response rate
Time Frame: 18 months
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The proportion of patient with a Complete Response (CR) or Very Good Partial Response or partial response
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18 months
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Incidence of haematological toxicity of BDT
Time Frame: 18 months
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The incidence of haematological toxicities is the proportion of patients with haematological toxicity
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18 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Time to treatment Failure (TTF)
Time Frame: 18 months
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To evaluate time to treatment failure
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18 months
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Survival (OS)
Time Frame: 18 months
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To evaluate overall survival
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18 months
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Disease Free Survival (DFS)
Time Frame: 18 months
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To evaluate disease free survival
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18 months
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Michael Mian, MD, Azienda Ospedaliera di Bolzano
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
July 1, 2012
Primary Completion (Actual)
December 1, 2015
Study Completion (Actual)
April 8, 2017
Study Registration Dates
First Submitted
January 27, 2012
First Submitted That Met QC Criteria
February 3, 2012
First Posted (Estimate)
February 6, 2012
Study Record Updates
Last Update Posted (Actual)
July 3, 2018
Last Update Submitted That Met QC Criteria
July 2, 2018
Last Verified
July 1, 2018
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Cardiovascular Diseases
- Vascular Diseases
- Immune System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Lymphoproliferative Disorders
- Immunoproliferative Disorders
- Hematologic Diseases
- Hemorrhagic Disorders
- Hemostatic Disorders
- Paraproteinemias
- Blood Protein Disorders
- Neoplasms, Plasma Cell
- Multiple Myeloma
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Autonomic Agents
- Peripheral Nervous System Agents
- Anti-Inflammatory Agents
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Antiemetics
- Gastrointestinal Agents
- Glucocorticoids
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Antineoplastic Agents, Hormonal
- Antineoplastic Agents, Alkylating
- Alkylating Agents
- Angiogenesis Inhibitors
- Angiogenesis Modulating Agents
- Growth Substances
- Growth Inhibitors
- Anti-Bacterial Agents
- Leprostatic Agents
- Dexamethasone
- Thalidomide
- Bendamustine Hydrochloride
Other Study ID Numbers
- BDT-01-2011
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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