- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03982771
BCD Regimen in Newly Diagnosed Idiopathic Multicentric Castleman's Disease (iMCD)
June 9, 2019 updated by: Jian Li, Peking Union Medical College Hospital
Bortezomib, Cyclophosphamide and Dexamethasone (BCD) in Newly Diagnosed Idiopathic Multicentric Castleman's Disease (iMCD) : a Prospective, Single-center, Single-arm, Phase-II Pilot Trial
To explore the effectiveness and safety of bortezomib, cyclophosphamide and dexamethasone (BCD regimen) in newly diagnosed idiopathic Multicentric Castleman's disease (iMCD) patients.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
This will be a single center, open-labeled, single arm, phase-II pilot study.
The treatment and the response evaluation phase will last from the time of enrollment up to 21 months (evaluation will be carried out every 3 months in the first 9 months and every 6 months from Month 9 to Month 21).
The maintenance and follow-up phase to assess for progression of disease will last from 21 months to 45 months after enrollment (evaluation will be carried out every 12 months).
The total study duration will be 4 years after the last patient starts study medication.
Study Type
Interventional
Enrollment (Anticipated)
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
-
-
Beijing
-
Beijing, Beijing, China, 100005
- Recruiting
- Peking Union Medical College Hospital
-
-
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
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Demography: ≥18 years, all race/ethnic groups in China;
- Newly diagnosed and previously untreated (patients are allowed to have received oral prednisone for up to 1 week before enrollment) symptomatic iMCD patients (symptomatic disease is defined by the presence of clinical symptoms with the NCI-CTCAE grading ≥1 that are attributable to the disease, and for which treatment is indicated; iMCD diagnosis is based on the international consensus diagnostic criteria);
- Clinical laboratory values meeting these criteria at screening: absolute neutrophil count ≥ 1·0 x 109/L, Platelets ≥ 50 x 109/L, Alanine aminotransferase (ALT) within 2·5 x upper limit of normal (ULN); total bilirubin within 2·5 x ULN; estimated glomerular filtration rate (according to MDRD formula) <15ml/min;
- Women of childbearing potential must agree to use birth control measures during the study and for at least 3 months after receiving the last dose of study agent, and must have a negative pregnancy test at screening period. Men must agree to use birth control measures during the study and for at least 3 months after receiving the last dose of study agent;
- Informed consent must be signed.
Exclusion Criteria:
- age under 18 years;
- Immunosuppressive or anti-neoplastic drugs within the last 3 months;
- serious diseases including malignancy;
- Plan to have babies within 1 year after enrollment (for women and men), or pregnancy / breast-feeding (for women);
- Known hypersensitivity to study agents;
- Active infection requiring systemic treatment;
- Other severe concurrent disease (eg. uncontrolled diabetes, symptomatic coronary heart disease) that is likely to interfere with study procedures or results, or that in the opinion of the investigator would constitute a hazard for participating in this study;
- Unwilling or unable to provide informed consent;
- Unwilling to return for follow-up at PUMCH.
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: BCD regimen
Bortezomib, cyclophosphamide and dexamethasone (the BCD regimen) would be utilized in newly diagnosed iMCD (idiopathic Multicentric Castleman's disease) patients
|
-Bortezomib: 1.3mg/m2 subcutaneous injection on Day 1,8,15,22 every month for 9 months; And maintained with 1.3mg/m2 subcutaneous injection every two weeks from Month 9 to 21;
-Cyclophosphamide: (oral) 300mg/m2 on Day 1, 8, 15, 22 every month for 9 months;
Dexamethasone: (oral) 40mg on Day 1,8,15,22 every month for 9 months; and maintained with 20mg (oral) every two weeks from Month 9 to 21.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Overall response
Time Frame: 12 months after the last patient begins study treatment.
|
Overall response is composed by biochemical, lymph node and symptom response, is the primary outcome of this study.
According to the CDCN response criteria, an overall CR (complete response) requires a complete biochemical, lymph node, and symptomatic response; and overall PR (partial response) requires nothing less than a PR across all categories, but not meeting criteria for CR; an overall SD (stable disease) requires no PD (progression disease) in any of the categories and not meeting the criteria for CR or PR; an overall PD occurs when any category has a PD.
|
12 months after the last patient begins study treatment.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Time to initial response
Time Frame: 12 months after the last patient begins study treatment.
|
defined as the time to achieve the first PR or CR.
This outcome can be further divided into time to initial overall response, time to initial symptomatic response, time to initial biochemical response, time to initial lymph node response
|
12 months after the last patient begins study treatment.
|
Time to best response
Time Frame: 12 months after the last patient begins study treatment.
|
defined as the time to achieve the best response (either PR or CR).
This outcome can be further divided into time to best overall response, time to best symptomatic response, time to best biochemical response, time to best lymph node response;
|
12 months after the last patient begins study treatment.
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Progression-free survival (PFS)
Time Frame: 12 months after the last patient begins study treatment.
|
defined as the time to disease PD
|
12 months after the last patient begins study treatment.
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Overall survival (OS)
Time Frame: 12 months after the last patient begins study treatment.
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defined as the time to patients' death
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12 months after the last patient begins study treatment.
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Change in PHQ-9 score
Time Frame: From Day 1 of the BCD treatment until 12 months after the treatment
|
PHQ-9 score (Patient Health Questionnaire scale-9) is a nine-item self-administered instrument to assess depressive symptoms which incorporates the DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition) classification for major depressive disorder.
Each item is scored 0 - 3, which results in a range of scores between 0 and 27.
PHQ-9 scores are interpreted as follows: (1) score <5, no depression; (2) score 5 - 9, mild depression; (3) score 10 - 14, moderate depression; (4) score 15 - 19, moderately severe depression; and (5) score 20 - 27,severe depression.
|
From Day 1 of the BCD treatment until 12 months after the treatment
|
Change in hemoglobin level
Time Frame: From baseline until 12 months after the treatment
|
hemoglobin with g/L as unit of measure
|
From baseline until 12 months after the treatment
|
Change in IL-6 (interleukin-6)
Time Frame: From baseline until 12 months after the treatment
|
IL-6 level with pg/ml as unit of measure
|
From baseline until 12 months after the treatment
|
Change in CRP
Time Frame: From baseline until 12 months after the treatment
|
CRP (c-reactive protein) level with mg/L as unit of measure
|
From baseline until 12 months after the treatment
|
Change in ESR
Time Frame: From baseline until 12 months after the treatment
|
ESR (eerythrocyte sedimentation rate) level with mm/h as unit of measure
|
From baseline until 12 months after the treatment
|
Change in IgG level
Time Frame: From baseline until 12 months after the treatment
|
IgG (immunoglobin G) level with g/L as unit of measure
|
From baseline until 12 months after the treatment
|
Change in MCD-related overall symptom score
Time Frame: From baseline until 12 months after the treatment
|
Change of MCD symptom scores.
MCD symptom score (MCD disease related overall symptom score) is a 34-item score based on NCI-CTCAE (V4.0) adverse events.
Each item is scored 0-5, which results in a range of scores between 0 and 170.
More scores indicate more severe disease activity.
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From baseline until 12 months after the treatment
|
Number of participants with treatment-related adverse events as assessed by CTCAE v4.0 ( ≥1 grade)
Time Frame: 12 months after the last patient begins study treatment.
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Number of participants with treatment-related adverse events as assessed by CTCAE v4.0 (patients with grades ≥1 would be included)
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12 months after the last patient begins study treatment.
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Number of participants with treatment-related serious adverse events as assessed by CTCAE v4.0 ( ≥3 grade)
Time Frame: 12 months after the last patient begins study treatment
|
Number of participants with treatment-related serious adverse events as assessed by CTCAE v4.0 (patients with grades ≥3 would be included)
|
12 months after the last patient begins study treatment
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
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)
January 1, 2019
Primary Completion (Anticipated)
January 1, 2022
Study Completion (Anticipated)
January 1, 2023
Study Registration Dates
First Submitted
May 3, 2019
First Submitted That Met QC Criteria
June 9, 2019
First Posted (Actual)
June 12, 2019
Study Record Updates
Last Update Posted (Actual)
June 12, 2019
Last Update Submitted That Met QC Criteria
June 9, 2019
Last Verified
June 1, 2019
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Immune System Diseases
- Lymphoproliferative Disorders
- Lymphatic Diseases
- Immunoproliferative Disorders
- Castleman Disease
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Antirheumatic Agents
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Antineoplastic Agents, Alkylating
- Alkylating Agents
- Myeloablative Agonists
- Cyclophosphamide
- Bortezomib
Other Study ID Numbers
- ZS-1892
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
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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