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CKD-581 + Lenalidomide + Dexamethasone in Patients With Previously Treated Multiple Myeloma

20. februar 2020 opdateret af: Chong Kun Dang Pharmaceutical

A Phase I, Open-Label, Multi-Center Study of CKD-581 in Combination With Lenalidomide and Dexamethasone in Patients With Previously Treated Multiple Myeloma

This study is to determine the maximum tolerated dose(MTD) and recommened phase 2 dose(RP2D) based on dose limiting toxicity(DLT), and to evaluate safety and pharmacokinetics(PK) profile of a single agent CKD-581 injection in Combination with Lenalidomide and Dexamethasone in patients with Previously Treated Multiple Myeloma.

Studieoversigt

Status

Ukendt

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

This is an open label, dose escalation study. Cohort of 3~6 patients receive escalation doses of CKD-516 until the maximum tolerated dose(MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose limiting toxicity.

Undersøgelsestype

Interventionel

Tilmelding (Forventet)

18

Fase

  • Fase 1

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

  • Korea, Republikken
    • Gangnam-gu
      • Seoul, Gangnam-gu, Korea, Republikken, 06351
        • Rekruttering
        • Samsung Hospital
        • Kontakt:
          • Ki Hyun Kim, PI
    • Seocho
      • Seoul, Seocho, Korea, Republikken, 06591
        • Rekruttering
        • The Catholic University of Korea, Seoul St. Mary's Hospital
        • Kontakt:
          • Chang-ki Min, PI

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

19 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • must have received at least two prior lines of therapy and Diagnosis of symptomatic multiple myeloma(IMWG 2015)
  • Eastern Cooperative Oncology Group performance status ≤ 2
  • Life expectancy 12 weeks

  • must have the following laboratory values within 3 weeks prior to first dose of study drug

    • absolute neutrophil count(ANC) ≥ 1,500 mm3
    • platelet count(PLT)≥ 100,000 mm3
    • Hb ≥ 9.0g/dL
    • AST(SGOT) and ALT(SGPT) ≤ 3 x upper limit of normal(UNL)
    • Serum bilirubin ≤ 1.5 x ULN (but, Gilbert syndrome ≤ 3 x UNL)
    • Creatinin Clearance(CrCl) ≤ 50mL/min

  • One more measureable disease following values

    • Serum M-protein ≥ 1g/dL
    • Urine M-Protein ≥ 200mg/24hr
    • in that case serum M-protein, urine M-Protein nonmeasurable and FLC ratio abnormal, Serum free light chain(FLC) level ≥ 100mg/L(≥10mg/dL)
  • more than 24 weeks prior to last lenalidomide dose
  • must have signed the consent form

Exclusion Criteria:

  • Patients with CNS disease
  • Patients with clinically significant heart disease within 24weeks prior to first dose of study drug
  • patients with clinically significans abnormal EKG, echocardiography at screening
  • patients with patients with embolism within 24 weeks
  • patients with active hepatitis, HIV positive(exception, non active hepatitis)
  • peripheral neuropathy ≥ CTCAE grade 2 within 2 weeks prior to first dose of study drug
  • Patients with clinically significant disease
  • Patients with a prior malignancy with in the last 3 years except adequately treated basal cell or squamous cell or skin cancer, in situ cervical cancer
  • Patients who have received surgery, chemotherapy, radiation therapy or immunotherapy or any other investigational drugs ≤ 4 weeks prior to first dose of study drug and during treatment period
  • Patients who can not anticoagulate
  • Patients who have received dexamethasone >10mg/day within 2week prior to first dose of study drug and during treatment period
  • Women who are pregnant or breast feeding or women of childbearing potential not using an effective method of birth control. Male patients whose sexual partners are not using effective birth control.
  • patients with hypersensitive reaction of lenalidomide or dexamethasone

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: N/A
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Treat Regimen
CKD-581(investigational Drug) Lenalidomide Dexamethasone
Medicin: Treat Regimen
CKD-581(investigational Drug): on days 1, 8, 15 of repeated 28day cycles Lenalidomide: on days 1~21 of repeated 28 day cycles Dexamethasone: administrated once weekly every 28day cycles
Andre navne:
  • CKD-581 lenalidomide dexamethasone regimen

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
MTD
Tidsramme: Up to 28 days(for 1st cycle)
Maximum Tolerated Dose
Up to 28 days(for 1st cycle)

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Pharmacokinetics(Cmax)
Tidsramme: 1st Cycle day1: up to 24hr
Pharmacokinetics
1st Cycle day1: up to 24hr

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Objective Response Rate(ORR)
Tidsramme: Average time period between the start day of induction therapy and the day of relapse or progression or death, whichever occurs firstly, up to 1year
Objective Response Rate(ORR) of participants as assessed by IMWG uniform response criteria(2011) every 4weeks
Average time period between the start day of induction therapy and the day of relapse or progression or death, whichever occurs firstly, up to 1year
Progression Free Survival(PFS)
Tidsramme: Average time period between the start day of induction therapy and the day of relapse or progression or death, whichever occurs firstly, up to 1year
Progression Free Survival(PFS) of participants as assessed by IMWG uniform response criteria(2011) every 4weeks
Average time period between the start day of induction therapy and the day of relapse or progression or death, whichever occurs firstly, up to 1year
Overall Survival(OS)
Tidsramme: Average time period between the start day of induction therapy and the day of death, due to any cause, up to 1year
Overall Survival(OS) of participants as assessed by IMWG uniform response criteria(2011) every 4weeks
Average time period between the start day of induction therapy and the day of death, due to any cause, up to 1year
Duration of Response(DOR)
Tidsramme: Average time period between the day of first achievement of response and the day of first relapse or progression, up to 1year
Duration of Response(DOR) of participants as assessed by IMWG uniform response criteria(2011) every 4weeks
Average time period between the day of first achievement of response and the day of first relapse or progression, up to 1year
Pharmacokinetics(T1/2)
Tidsramme: 1st Cycle day1: up to 24hr
Pharmacokinetics
1st Cycle day1: up to 24hr
Pharmacokinetics(CL)
Tidsramme: 1st Cycle day1: up to 24hr
Pharmacokinetics
1st Cycle day1: up to 24hr
Pharmacokinetics(AUClast)
Tidsramme: 1st Cycle day1: up to 24hr
Pharmacokinetics
1st Cycle day1: up to 24hr
Pharmacokinetics(AUCinf)
Tidsramme: 1st Cycle day1: up to 24hr
Pharmacokinetics
1st Cycle day1: up to 24hr
Pharmacokinetics(Vd)
Tidsramme: 1st Cycle day1: up to 24hr
Pharmacokinetics
1st Cycle day1: up to 24hr
Pharmacokinetics( MRT)
Tidsramme: 1st Cycle day1: up to 24hr
Pharmacokinetics
1st Cycle day1: up to 24hr
Adverse events
Tidsramme: through study completion, an average of 1 year
Adverse events will be assessed using CTCAE criteria.
through study completion, an average of 1 year

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Chong Kun Dang Pharmaceutical

Efterforskere

  • Ledende efterforsker: Chanki Min, The Catholic University of Korea

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

10. maj 2017

Primær færdiggørelse (Forventet)

30. juni 2020

Studieafslutning (Forventet)

30. september 2021

Datoer for studieregistrering

Først indsendt

10. maj 2017

Først indsendt, der opfyldte QC-kriterier

10. maj 2017

Først opslået (Faktiske)

12. maj 2017

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

24. februar 2020

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

20. februar 2020

Sidst verificeret

1. februar 2020

Mere information

Begreber relateret til denne undersøgelse

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • 133MM16016

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