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- Klinische proef NCT02272803
Phase II Study of Lenalidomide/Dexamethasone With or Without Elotuzumab for Newly Diagnosed MM Patients in Japan
A Phase 2, Randomized, Open Label Trial of Lenalidomide/Dexamethasone With or Without Elotuzumab in Subjects With Previously Untreated Multiple Myeloma in Japan
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Studietype
Inschrijving (Werkelijk)
Fase
- Fase 2
Contacten en locaties
Studie Locaties
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Kasama-shi, Japan, 3091793
- Local Institution
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Aichi
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Nagoya-shi, Aichi, Japan, 4600001
- Local Institution
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Nagoya-shi, Aichi, Japan, 4678602
- Local Institution
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Aomori
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Aomori-shi, Aomori, Japan, 0308553
- Local Institution
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Chiba
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Chiba-shi, Chiba, Japan, 2608677
- Local Institution
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Kamogawa-shi, Chiba, Japan, 2968602
- Local Institution
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Ehime
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Matsuyama-shi, Ehime, Japan, 7900024
- Local Institution
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Fukuoka
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Fukuoka-shi, Fukuoka, Japan, 8128582
- Local Institution
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Gunma
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Maebashi-shi, Gunma, Japan, 3718511
- Local Institution
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Shibukawa-shi, Gunma, Japan, 3770280
- Local Institution
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Hiroshima
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Fukuyama-shi, Hiroshima, Japan, 7200001
- Local Institution
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Iwate
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Morioka-shi, Iwate, Japan, 0208505
- Local Institution
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Kagoshima
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Kagoshima-shi, Kagoshima, Japan, 8920853
- Local Institution
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Kyoto
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Kyoto-shi, Kyoto, Japan, 6028566
- Local Institution
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Miyagi
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Sendai, Miyagi, Japan, 9808574
- Local Institution
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Niigata
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Niigata-shi, Niigata, Japan, 9518566
- Local Institution
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Okayama
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Okayama-shi, Okayama, Japan, 7011192
- Local Institution
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Osaka
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Osaka-shi, Osaka, Japan, 5438555
- Local Institution
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Osaka-shi, Osaka, Japan, 5300012
- Local Institution
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Saitama
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Kawagoe-shi, Saitama, Japan, 3508550
- Local Institution
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Shizuoka
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Hamamatsu-shi, Shizuoka, Japan, 4313192
- Local Institution
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Tochigi
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Utsunomiya-shi, Tochigi, Japan, 3200834
- Local Institution
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Tokyo
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Bunkyo-ku, Tokyo, Japan, 1138677
- Local Institution
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Koto-ku, Tokyo, Japan, 1358550
- Local Institution
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Shibuya-ku, Tokyo, Japan, 1508935
- Local Institution
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Shinjuku-Ku, Tokyo, Japan, 1608582
- Local Institution
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Shinjuku-ku, Tokyo, Japan, 1628655
- Local Institution
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Tachikawa-shi, Tokyo, Japan, 1900014
- Local Institution
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
For more information regarding BMS clinical trial participation, please visit www.BMSStudyConnect.com
Inclusion Criteria:
- Newly diagnosed with symptomatic Multiple Myeloma (MM)
- Have not received any prior systemic anti-myeloma therapy
- Have measurable disease
- Are not candidates for high-dose therapy plus stem-cell transplantation (SCT) because of age (≥ 65 years) or coexisting conditions. Refusal to undergo high dose therapy with SCT is NOT sufficient for entry onto CA204-116 for a subject < 65 years old. There must be a comorbidity that prevents SCT for a subject < 65 years old
Exclusion Criteria:
- Non-secretory myeloma
- Smoldering MM, defined as asymptomatic MM with absence of lytic bone lesions
- Monoclonal Gammopathy of Undetermined Significance (MGUS)
- Active plasma cell leukemia
- Known Human Immunodeficiency Virus (HIV) infection or active hepatitis A, B, or C
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
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Experimenteel: Arm A: Lenalidomide + Dexamethasone + Elotuzumab (BMS-901608)
Drug: Lenalidomide Capsules, Oral, 25 mg, once daily, on Days 1-21, Repeat every 28 days until subject meets criteria for discontinuation of study drug Drug: Dexamethasone Tablets, Oral 28 mg and Intravenous (IV) 8 mg, once daily, on Days 1, 8, 15, 22 (cycles 1&2) ; Days 1 &15 (cycles 3-18); Day 1 (cycle 19 and beyond), Repeat every 28 days until subject meets criteria for discontinuation of study drug Tablets, Oral, 40 mg, once daily, on Days 8 & 22 (cycles 3-18); Days 8, 15, 22 (cycle 19 and beyond), Repeat every 28 days until subject meets criteria for discontinuation of study drug Biological: Elotuzumab (BMS-901608) Solution, Intravenous (IV), 10 mg/kg, weekly, on Days 1, 8, 15, 22 (cycles 1&2); Days 1 and 15 (cycles 3-18), Repeat every 28 days until subject meets criteria for discontinuation of study drug Solution, Intravenous (IV), 20 mg/kg, Day 1 (cycle 19 and beyond), Repeat every 28 days until subject meets criteria for discontinuation of study drug |
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Actieve vergelijker: Arm B: Lenalidomide + Dexamethasone
Drug: Lenalidomide Capsules, Oral, 25 mg, once daily, on Days 1-21, Repeat every 28 days until subject meets criteria for discontinuation of study drug Drug: Dexamethasone Tablets, Oral, 40 mg, weekly, on Days 1, 8, 15, 22, Repeat every 28 days until subject meets criteria for discontinuation of study drug |
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Objective Response Rate (ORR) of Participants Treated With Elotuzumab + Lenalidomide/Dexamethasone (E-Ld)
Tijdsspanne: From first dose until documented response (assessed up to February 2017, approximately 24 months)
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ORR is the proportion of randomized participants who achieve a stringent complete response (sCR), complete response (CR), very good partial response (VGPR) or PR as determined by investigator using the International Myeloma Working Group (IMWG) response criteria. SCR: CR and normal free light chain (FLC) ratio and no clonal cells in bone marrow; CR: Negative serum and urine on immunofixation, disappearance of any soft tissue plasmacytomas and ≤ 5% plasma cells in bone marrow; VGPR: Serum and urine M-protein detectable by immunofixation but not on electrophoresis or ≥ 90% reduction in serum M-protein and urine M-protein level < 100 mg/24 hours; PR: ≥ 50% reduction of serum M-Protein and reduction in urinary M-protein by ≥ 90% or to < 200 mg/24 hours. In addition to the above, if present at baseline a ≥ 50% reduction in the size of soft tissue plasmacytomas is also required. |
From first dose until documented response (assessed up to February 2017, approximately 24 months)
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Objective Response Rate (ORR)
Tijdsspanne: From first dose until documented response, up to approximately 72 months
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ORR is the percentage of randomized participants who achieve a stringent complete response (sCR), complete response (CR), very good partial response (VGPR) or partial response (PR) as determined by investigator using the International Myeloma Working Group (IMWG) response criteria. SCR: CR and normal free light chain (FLC) ratio and no clonal cells in bone marrow; CR: Negative serum and urine on immunofixation, disappearance of any soft tissue plasmacytomas and ≤ 5% plasma cells in bone marrow; VGPR: Serum and urine M-protein detectable by immunofixation but not on electrophoresis or ≥ 90% reduction in serum M-protein and urine M-protein level < 100 mg/24 hours; PR: ≥ 50% reduction of serum M-Protein and reduction in urinary M-protein by ≥ 90% or to < 200 mg/24 hours. In addition to the above, if present at baseline a ≥ 50% reduction in the size of soft tissue plasmacytomas is also required. |
From first dose until documented response, up to approximately 72 months
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Progression Free Survival (PFS)
Tijdsspanne: From randomization to the date of first documented tumor progression or death due to any cause, up to approximately 72 months
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PFS is defined as the time from randomization to the date of the first documented tumor progression, as determined by the investigator using the International Myeloma Working Group (IMWG) response criteria, or to death due to any cause, provided death does not occur more than 10 weeks (2 or more assessment visits) after the last tumor assessment.
Clinical deterioration will not be considered progression.
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From randomization to the date of first documented tumor progression or death due to any cause, up to approximately 72 months
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Progression Free Survival (PFS) Rate
Tijdsspanne: From randomization up to the specified timepoints, up to 3 years
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PFS rate is defined as the percentage of participants who have neither progressed nor died at the specified timepoints
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From randomization up to the specified timepoints, up to 3 years
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Medewerkers en onderzoekers
Sponsor
Medewerkers
Publicaties en nuttige links
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Werkelijk)
Studie voltooiing (Werkelijk)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Schatting)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
- Hart-en vaatziekten
- Vaatziekten
- Ziekten van het immuunsysteem
- Neoplasmata per histologisch type
- Neoplasmata
- Lymfoproliferatieve aandoeningen
- Immunoproliferatieve aandoeningen
- Hematologische ziekten
- Hemorragische aandoeningen
- Hemostatische aandoeningen
- Paraproteïnemieën
- Bloed eiwit stoornissen
- Multipel myeloom
- Neoplasmata, plasmacel
- Fysiologische effecten van medicijnen
- Autonome agenten
- Agenten van het perifere zenuwstelsel
- Ontstekingsremmende middelen
- Antineoplastische middelen
- Immunologische factoren
- Anti-emetica
- Gastro-intestinale middelen
- Glucocorticoïden
- Hormonen
- Hormonen, hormoonvervangers en hormoonantagonisten
- Antineoplastische middelen, hormonaal
- Angiogenese-remmers
- Angiogenese modulerende middelen
- Groei stoffen
- Groeiremmers
- Dexamethason
- Lenalidomide
- Elotuzumab
Andere studie-ID-nummers
- CA204-116
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
product vervaardigd in en geëxporteerd uit de V.S.
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