Phase 1 Study of Vorinostat and Bortezomib in Multiple Myeloma (MK-0683-015 EXT 1 (AM1))
2015年5月5日 更新者：Merck Sharp & Dohme LLC
Phase I Clinical Trial of Vorinostat (MK-0683) in Combination With Bortezomib in Patients With Advanced Multiple Myeloma
The purposes of this study are:
- To determine the maximum tolerated dose (MTD) for the combination of oral vorinostat and bortezomib in participants with advanced multiple myeloma
- To assess the safety and tolerability of this regimen and to document the participant's clinical status (by anti-tumor activity) for this combination, as determined per standard of care.
調査の概要
研究の種類
介入
入学 (実際)
34
段階
- フェーズ 1
参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
18年歳以上 (大人、高齢者)
健康ボランティアの受け入れ
いいえ
受講資格のある性別
全て
説明
Inclusion Criteria:
- Adults with refractory or relapsed multiple myeloma
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-2 (a measurement to determine participant's ability to perform daily activities)
- Adequate bone marrow reserve
- Adequate hepatic and renal function
- Ability to swallow capsules
- 3 weeks or more since prior chemotherapy and have recovered from prior toxicities
Exclusion Criteria:
- Participants who plan to have a bone marrow transplant within 4 weeks of start of treatment
- Participants with prior treatment with other investigational agents with a similar anti-tumor mechanism
- Participants with other active/uncontrolled clinically significant illness
- Pregnant or nursing female participants
- Participants who received bortezomib within 3 months of start of this trial
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：非ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的：vorinostat 200 mg + bortezomib 0.7 mg/m^2
Vorinostat capsules given twice daily (b.i.d.); bortezomib injection given on Days 4, 8, 11, and 15 of each cycle.
|
Vorinostat capsules.
Treatment in 21 day cycles (participants receive vorinostat for 14 days followed by a 7 day break).
他の名前：
Bortezomib injection.
Given twice weekly for 2 weeks with a 1 week break.
Treatment in 21 day cycles.
他の名前：
|
|
実験的：vorinostat 200 mg + bortezomib 0.9 mg/m^2
Vorinostat capsules given b.i.d.; bortezomib injection given on Days 4, 8, 11, and 15 of each cycle.
|
Vorinostat capsules.
Treatment in 21 day cycles (participants receive vorinostat for 14 days followed by a 7 day break).
他の名前：
Bortezomib injection.
Given twice weekly for 2 weeks with a 1 week break.
Treatment in 21 day cycles.
他の名前：
|
|
実験的：vorinostat 300 mg + bortezomib 1.3 mg/m^2
Vorinostat given once daily (q.d.); bortezomib given on Days 1, 4, 8, and 11 of each cycle.
|
Vorinostat capsules.
Treatment in 21 day cycles (participants receive vorinostat for 14 days followed by a 7 day break).
他の名前：
Bortezomib injection.
Given twice weekly for 2 weeks with a 1 week break.
Treatment in 21 day cycles.
他の名前：
|
|
実験的：vorinostat 400 mg + bortezomib 0.9 mg/m^2
Vorinostat given q.d.; bortezomib given on Days 1, 4, 8, and 11 of each cycle.
|
Vorinostat capsules.
Treatment in 21 day cycles (participants receive vorinostat for 14 days followed by a 7 day break).
他の名前：
Bortezomib injection.
Given twice weekly for 2 weeks with a 1 week break.
Treatment in 21 day cycles.
他の名前：
|
|
実験的：vorinostat 400 mg + bortezomib 1.1 mg/m^2
Vorinostat given q.d.; bortezomib given on Days 1, 4, 8, and 11 of each cycle.
|
Vorinostat capsules.
Treatment in 21 day cycles (participants receive vorinostat for 14 days followed by a 7 day break).
他の名前：
Bortezomib injection.
Given twice weekly for 2 weeks with a 1 week break.
Treatment in 21 day cycles.
他の名前：
|
|
実験的：vorinostat 400 mg + bortezomib 1.3 mg/m^2
Vorinostat given q.d.; bortezomib given on Days 1, 4, 8, and 11 of each cycle.
|
Vorinostat capsules.
Treatment in 21 day cycles (participants receive vorinostat for 14 days followed by a 7 day break).
他の名前：
Bortezomib injection.
Given twice weekly for 2 weeks with a 1 week break.
Treatment in 21 day cycles.
他の名前：
|
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Mean Duration of Treatment With Vorinostat
時間枠：Day 1 to an event causing discontinuation from the study, assessed up to 29 months
|
Event causing discontinuation from the study was defined as (1) progressive disease OR (2) intolerable toxicity. Progressive disease was defined as:
biopsy.
Intolerable toxicity was based on the clinical judgment of the investigator. |
Day 1 to an event causing discontinuation from the study, assessed up to 29 months
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Number of Participants With Dose Modifications of Either Vorinostat or Bortezomib Due to Adverse Experiences (AEs) After Treatment With Study Drug
時間枠：Day 1 to disease progression, toxicity, or death, assessed up to 29 months
|
An adverse experience (AE) was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the sponsor's product, whether or not considered related to the use of the product.
Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which was temporally associated with the use of the sponsor's product, was also an adverse experience.
|
Day 1 to disease progression, toxicity, or death, assessed up to 29 months
|
|
Mean Time to First AE Resulting in a Dose Modification in Either Vorinostat or Bortezomib
時間枠：Day 1 to disease progression, toxicity, or death, assessed up to 29 months
|
An AE was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the sponsor's product, whether or not considered related to the use of the product.
Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which was temporally associated with the use of the sponsor's product, was also an adverse experience.
|
Day 1 to disease progression, toxicity, or death, assessed up to 29 months
|
|
Clinical AE Summary
時間枠：Day 1 up to disease progression, toxicity, or death, assessed up to 30 days after end of treatment (up to 30 months)
|
An AE was defined as any unfavorable/unintended change in the structure/function/chemistry of the body temporally associated with the use of study drug, or any worsening of a preexisting condition. A serious AE (SAE) was any AE that resulted in death, was life threatening, resulted in a persistent or significant disability/incapacity, resulted in or prolonged an existing inpatient hospitalization, was a congenital anomaly/birth defect, was a new cancer, or was an overdose. |
Day 1 up to disease progression, toxicity, or death, assessed up to 30 days after end of treatment (up to 30 months)
|
|
Laboratory AE Summary
時間枠：Day 1 up to disease progression, toxicity, or death, assessed up to 29 months
|
An AE was defined as any unfavorable/unintended change in the structure/function/chemistry of the body temporally associated with the use of study drug, or any worsening of a preexisting condition. A SAE was any AE that resulted in death, was life threatening, resulted in a persistent or significant disability/incapacity, resulted in or prolonged an existing inpatient hospitalization, was a congenital anomaly/birth defect, was a new cancer, or was an overdose. A lab (S)AE was any lab value considered clinically significant in the investigator's judgment. |
Day 1 up to disease progression, toxicity, or death, assessed up to 29 months
|
協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
スポンサー
出版物と役立つリンク
研究に関する情報を入力する責任者は、自発的にこれらの出版物を提供します。これらは、研究に関連するあらゆるものに関するものである可能性があります。
研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始
2005年9月1日
一次修了 (実際)
2009年12月1日
研究の完了 (実際)
2011年5月1日
試験登録日
最初に提出
2005年5月25日
QC基準を満たした最初の提出物
2005年5月25日
最初の投稿 (見積もり)
2005年5月26日
学習記録の更新
投稿された最後の更新 (見積もり)
2015年5月21日
QC基準を満たした最後の更新が送信されました
2015年5月5日
最終確認日
2015年5月1日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。