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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. mars 2016 oppdatert av: 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.

Studieoversikt

Status

Avsluttet

Forhold

Intervensjon / Behandling

Studietype

Intervensjonell

Registrering (Faktiske)

62

Fase

  • Fase 2
  • Fase 1

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

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

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

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.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: N/A
  • Intervensjonsmodell: Enkeltgruppeoppdrag
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: 1
CEP-18770
Legemiddel: 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.
Andre navn:
  • delanzomib

Hva måler studien?

Primære resultatmål

Resultatmål
Tidsramme
Overall Response Rate (ORR)
Tidsramme: Every 4 weeks, until completion of treatment
Every 4 weeks, until completion of treatment

Sekundære resultatmål

Resultatmål
Tidsramme
Elapsed time from the ORR date to the date of disease progression (DOR)
Tidsramme: 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
Tidsramme: 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)
Tidsramme: at date of disease progression (TTP)
at date of disease progression (TTP)

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Cephalon

Publikasjoner og nyttige lenker

Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.

Generelle publikasjoner

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart

1. januar 2010

Primær fullføring (Faktiske)

1. november 2012

Studiet fullført (Faktiske)

1. januar 2013

Datoer for studieregistrering

Først innsendt

1. desember 2009

Først innsendt som oppfylte QC-kriteriene

1. desember 2009

Først lagt ut (Anslag)

2. desember 2009

Oppdateringer av studieposter

Sist oppdatering lagt ut (Anslag)

11. april 2016

Siste oppdatering sendt inn som oppfylte QC-kriteriene

10. mars 2016

Sist bekreftet

1. mars 2016

Mer informasjon

Begreper knyttet til denne studien

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • C18770/2043

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