To hear about similar clinical trials, please enter your email below

Trial Title: Carfilzomib, Lenalidomide, and Dexamethasone Re-induction Followed by the 2nd ASCT in Multiple Myeloma Patients Relapsed After the 1st ASCT

NCT ID: NCT05497102

Condition: Multiple Myeloma

Conditions: Official terms:
Multiple Myeloma
Neoplasms, Plasma Cell
Lenalidomide

Study type: Interventional

Study phase: Phase 2

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Lenalidomide maintenance
Description: Lenalidomide maintenance after carfilzomib, lenalidomide, and dexamethasone re-induction followed by the 2nd ASCT.
Arm group label: Single arm of Lenalidomide maintenance

Summary: The purpose of this study is to evaluate the efficacy and safety of salvage treatment with carfilzomib/lenalidomide/dexamethasone (KRD) followed by 2nd autologous stem cell transplantation (ASCT) and lenalidomide maintenance in patients with relapsed myeloma after 1st ASCT.

Detailed description: This is a single-arm phase II study to assess the efficacy and safety of KRD followed by 2nd ASCT - lenalidomide maintenance for 18 months in patients with relapsed multiple myeloma after 1st ASCT who are 70 years of age or younger. A total of 58 participants will be recruited. As a re-induction therapy 6 cycles of KRD (K, 27mg/m2, D1,2,8,9,15,16; R, 25 mg, D1-21; D, 40mg weekly, every 28 days) will be administered. If a patient achieves at least partial response, 2nd ASCT + lenalidomide 10mg for 18 months will be proceeded. Study will be continued until disease progression, unacceptable toxicity, or completion of pre-planned schedule. Response will be assessed using the International Myeloma Working Group(IMWG) response criteria and the safety profiles will be described using the NCI-CTCAE v5.0. Participants who discontinue therapy will be followed every 3 months for 3 years if they are on subsequent treatment, disease-free or dead.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Age 20~70 2. Progressive disease after 1st ASCT 3. Duration of response after 1st ASCT > 12 months 4. Measurable disease (+) - Serum M-protein ≥ 1 g/dL - Urine M-protein ≥ 200 mg/24 hr - Serum Free Light Chain(FLC) assay: involved FLC level ≥10 mg/dL (serum Free Light Chain ratio is abnormal) 5. Adequate organ function for induction & ASCT - Absolute Neutrophil Count (ANC) ≥ 1.0 x 109/L - Platelets ≥ 50 x 109/L (≥ 30 x 109/L if myeloma involvement is > 50% in the bone marrow) - Hemoglobin ≥ 8.0 g/dL - Creatinine clearance ≥ 30 mL/minute - Serum Bilirubin ≤ 1.5 x upper limit of normal - Aspartate aminotransferase(AST) and Alanine aminotransferase(ALT) ≤ 3 x upper limit of normal 6. Eastern Cooperative Oncology Group performance scale 0~2 7. Survival expectancy > 3 months 8. Adequately controlled hepatitis B(HBV) & hepatitis C(HCV) 9. Written informed consent 10. Optimal contraceptions Exclusion Criteria: 1. Prior refractoriness or intolerance to carfilzomib 2. Prior refractoriness or intolerance to lenalidomide/dexamethasone 3. Any treatment after progressive disease after 1st ASCT. High-dose dexamethasone or palliative radiation is permitted. 4. Waldenstroem's macroglobulinemia, POEMS syndrome, or plasma cell leukemia 5. Pregnant or nursing lactating women 6. Myocardial infarct within 6 months, heart failure of New York Heart Association(NYHA) Class III~IV, uncontrolled ventricular arrhythmia, severe coronary arterial obstructive disease 7. Uncontrolled hypertension (Defined as an average systolic blood pressure >= 160 mmHg or diastolic >= 100 mmHg) or diabetes 8. Grade 3~4 neuropathy 9. HIV infection 10. Severe or uncontrolled medical conditions, laboratory abnormalities, or psychiatric disorders that may preclude the participation of the study by the physician's discretion 11. Contraindication to any of the required concomitant drugs or supportive treatments, including hypersensitivity to all anticoagulation and antiplatelet options, antiviral drugs, or intolerance to hydration due to preexisting pulmonary or cardiac impairment 12. Diagnosis of other malignant disease other than myeloma within 5 year. Exceptions are properly treated non-melanomatous skin cancers, cervical intraepithelial neoplasia, prostate cancer that do not require treatment, or properly excised well-differentiated thyroid cancers

Gender: All

Minimum age: 20 Years

Maximum age: 70 Years

Healthy volunteers: No

Locations:

Facility:
Name: Samsung Medical Center

Address:
City: Seoul
Country: Korea, Republic of

Status: Recruiting

Contact:
Last name: Hyunju Park

Phone: 82-2-2148-7333
Email: hj9734.park@sbri.co.kr

Investigator:
Last name: Kihyun Kim
Email: Principal Investigator

Start date: November 8, 2021

Completion date: December 2025

Lead sponsor:
Agency: Samsung Medical Center
Agency class: Other

Source: Samsung Medical Center

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05497102

Login to your account

Did you forget your password?