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Study to Determine the Maximum Tolerated Dose and Evaluate the Efficacy and Safety of CEP-18770 (Delanzomib) in Patients With Relapsed Multiple Myeloma Refractory to the Most Recent Therapy

10 de marzo de 2016 actualizado por: Cephalon

An Open-Label Study to Determine the Maximum Tolerated Dose and Evaluate the Efficacy and Safety of CEP-18770 in Patients With Relapsed Multiple Myeloma Refractory to the Most Recent Therapy

The primary objective for part 1 of the study is to determine the maximum tolerated dose (MTD) of CEP-18770 in patients with relapsed and refractory multiple myeloma. The primary objective for part 2 is to evaluate the antitumor activity of CEP-18770 in patients treated at the MTD.

Descripción general del estudio

Estado

Terminado

Condiciones

Intervención / Tratamiento

Tipo de estudio

Intervencionista

Inscripción (Actual)

62

Fase

  • Fase 2
  • Fase 1

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

  • Estados Unidos
    • Arizona
      • Scottsdale, Arizona, Estados Unidos
        • Mayo Clinic- Scottsdale
    • Arkansas
      • Little Rock, Arkansas, Estados Unidos
        • University of Arkansas for Medical Sciences
    • California
      • Palo Alto, California, Estados Unidos
        • Stanford Heme Group
      • San Francisco, California, Estados Unidos
        • University of California, San Francisco
    • District of Columbia
      • Washington, District of Columbia, Estados Unidos
        • Washington Cancer Institute
    • Illinois
      • Chicago, Illinois, Estados Unidos
        • Northwestern University Medical School
    • Michigan
      • Detroit, Michigan, Estados Unidos
        • Henry Ford Health System Protocol Review Committee
      • Lansing, Michigan, Estados Unidos
        • Sparrow Regional Cancer Center
    • Missouri
      • St. Louis, Missouri, Estados Unidos
        • Washington University School of Medicine
    • New Jersey
      • Hackensack, New Jersey, Estados Unidos
        • John Theurer Cancer Center
    • North Carolina
      • Durham, North Carolina, Estados Unidos
        • Duke University Medical Center
    • Pennsylvania
      • Philadelphia, Pennsylvania, Estados Unidos
        • University of Pennsylvania
    • Wisconsin
      • Milwaukee, Wisconsin, Estados Unidos
        • Medical College of Wisconsin

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

18 años y mayores (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Todos

Descripción

Key Inclusion Criteria:

The patient has:

  • relapsed multiple myeloma that has progressed following therapies that included bortezomib and an IMiD (thalidomide or lenalidomide) either alone or in any combination.
  • multiple myeloma, which is refractory to the most recent therapy (bortezomib or IMiD, or any other chemotherapy), or the patient did not tolerate and discontinued the most recent therapy for multiple myeloma but has recovered from its toxic effects.

  • measurable disease defined as 1 of the following:

    • serum M-protein ≥0.5 g/dL
    • urine M-protein ≥200 mg/24 hours
  • a life expectancy of more than 3 months.
  • an ECOG performance status of 0, 1, or 2.
  • adequate hepatic organ function.
  • an absolute neutrophil count (ANC), hemoglobin level, and platelet count within protocol-specific ranges.
  • been independent of granulocyte-colony stimulating factor (G-CSF) or granulocyte macrophage-colony stimulating factor (GM-CSF) support for more than 1 week.
  • been independent of platelet transfusion for more than 1 week.
  • received, or may have received, an allogeneic and/or autologous transplant.
  • a creatinine clearance of 30 mL/minute or more as measured or as calculated based on the Cockcroft-Gault method.
  • if the patient is a female of childbearing potential (not surgically sterile or 1 year postmenopausal): must use a medically accepted method of contraception (including abstinence) and must agree to continue use of this method for the duration of the study and for 3 months after participation in the study.
  • if the patient is a male: is surgically sterile, or if sexually active, is currently using an effective barrier method of contraception, and agrees to continue use of this method for the duration of the study and for 3 months after the last administration of study drug.

Key Exclusion Criteria:

The patient:

  • has nonmeasurable multiple myeloma.
  • received glucocorticoid therapy (prednisone >10 mg/day orally or equivalent) within the last 2 weeks prior to the first dose of study drug.
  • has POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy or monoclonal proliferative disorder, and skin changes).
  • has plasma cell leukemia.
  • received chemotherapy with approved anticancer therapeutics within 2 weeks, or within 5 drug half-lives (t1/2), or investigative anticancer therapeutics within 4 weeks, or within 5 drug half-lives (t1/2), before the first dose of study drug, whichever time is greater.
  • received radiation therapy or immunotherapy in the 4 weeks prior to, or localized radiation therapy within 1 week prior to, the first dose of study drug.
  • received prior treatment with CEP-18770.
  • has used a medication known to be a potent inducer of CYP2E1, CYP2D6 or CYP3A4/5 within 4 weeks prior to the first dose of study drug.
  • has used a medication known to be a potent inhibitor of CYP2E1, CYP2D6 or CYP3A4/5 within 2 weeks prior to the first dose of study drug.
  • had major surgery within 3 weeks before the first dose of study drug.
  • has congestive heart failure or had symptomatic ischemia, conduction abnormalities uncontrolled by conventional intervention, or myocardial infarction within the last 6 months.
  • had an acute infection requiring systemic antibiotics, antiviral agents, or antifungal agents within 2 weeks before the first dose of study drug.
  • has a known or suspected human immunodeficiency virus (HIV) infection on the basis of medical history.
  • had a nonhematologic malignancy within the past 3 years except for the following: adequately treated basal cell or squamous cell skin cancer, carcinoma in situ of the cervix or breast, or prostate cancer (Gleason grade <6 with prostate specific antigen (PSA) levels within the normal range).
  • has myelodysplastic or myeloproliferative syndrome.
  • has significant neuropathy.
  • is a pregnant or lactating woman. Any women becoming pregnant during the study will be withdrawn from the study.
  • has known central nervous system involvement.
  • has any serious psychiatric or medical condition that could interfere with treatment or study procedures, place the patient at unacceptable risk, or hinder the interpretation of study data.
  • has known hypersensitivity to mannitol or hydroxypropyl betadex.

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Tratamiento
  • Asignación: N / A
  • Modelo Intervencionista: Asignación de un solo grupo
  • Enmascaramiento: Ninguno (etiqueta abierta)

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: 1
CEP-18770
Droga: CEP-18770
CEP-18770 beginning at a dose of 1.5 mg/m2. Patients will receive I.V. administration on days 1, 8, 15 (up to 8 cycles of 28 days each). When the MTD is established, additional patients will be treated at the MTD.
Otros nombres:
  • delanzomib

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Periodo de tiempo
Overall Response Rate (ORR)
Periodo de tiempo: Every 4 weeks, until completion of treatment
Every 4 weeks, until completion of treatment

Medidas de resultado secundarias

Medida de resultado
Periodo de tiempo
Elapsed time from the ORR date to the date of disease progression (DOR)
Periodo de tiempo: at disease progression
at disease progression
Elapsed time from the date of first dose of CEP-18770 to the date of first response (TTR) to treatment with CEP-18770
Periodo de tiempo: at date of first response (TTR) to treatment
at date of first response (TTR) to treatment
Elapsed time from the date of first dose of CEP-18770 to the date of disease progression (TTP)
Periodo de tiempo: at date of disease progression (TTP)
at date of disease progression (TTP)

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Cephalon

Publicaciones y enlaces útiles

La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.

Publicaciones Generales

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio

1 de enero de 2010

Finalización primaria (Actual)

1 de noviembre de 2012

Finalización del estudio (Actual)

1 de enero de 2013

Fechas de registro del estudio

Enviado por primera vez

1 de diciembre de 2009

Primero enviado que cumplió con los criterios de control de calidad

1 de diciembre de 2009

Publicado por primera vez (Estimar)

2 de diciembre de 2009

Actualizaciones de registros de estudio

Última actualización publicada (Estimar)

11 de abril de 2016

Última actualización enviada que cumplió con los criterios de control de calidad

10 de marzo de 2016

Última verificación

1 de marzo de 2016

Más información

Términos relacionados con este estudio

Términos MeSH relevantes adicionales

Otros números de identificación del estudio

  • C18770/2043

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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