QUIREDEX: Revlimid (Lenalidomide) and Dexamethasone (ReDex) Treatment Versus Observation in Patients With Smoldering Multiple Myeloma With High Risk of Progression
NCT ID: NCT00480363
Last Updated: 2013-07-31
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
PHASE3
120 participants
INTERVENTIONAL
2007-05-31
2013-07-31
Brief Summary
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Detailed Description
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Patients will be stratified according its diagnosis date and randomized 1 to 1 to receive Revlimid and Dexamethasone (Group A) in 9 treatment cycles and maintenance with lower doses until progression or No treatment and observation until progression (Group B).
The patients will be evaluated at scheduled visits in up to three study periods: Pre-treatment, Treatment and Follow up.
The Pre-treatment includes Screening and baseline visits. After providing informed consent, patients will be evaluated for study eligibility and then Patients will be stratified and randomized (1:1) to Group A or Group B.
During Treatment Period patients will be evaluated once a month. Once the treatment period has finished a maintenance treatment with low doses of Revlimid and Dexamethasone will be carry out in Group A. During this period we will evaluate response, progression-free survival and global survival every two months.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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1
Lenalidomide + Dexamethasone for 9 cycles and maintenance
Maintenance with lower doses of lenalidomide and dexamethasone
After 9 cycles of lenalidomide and dexamethasone, it follows with lower doses for maintenance
2
Observation
No interventions assigned to this group
Interventions
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Maintenance with lower doses of lenalidomide and dexamethasone
After 9 cycles of lenalidomide and dexamethasone, it follows with lower doses for maintenance
Eligibility Criteria
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Inclusion Criteria
* Must voluntary sign the informed consent before performance of any study-related procedure not part of normal medical care
* Age ≥ 18 years
* Patient recently diagnosed with smoldering Multiple Myeloma with high risk of progression to symptomatic Multiple Myeloma defined as follows:
* Bone Marrow infiltration ≥ 10% CPs and M component Ig G ≥ 3 g/dl or Ig A ≥ 2 g/dl or Bence Jones Protein \> 1 g/dl and absence of: hollowed out areas of bone, Hypercalcemia (Calcium-serum \< 11.5 mg/dl), Renal Failure (creatinine \< 2 mg/dl) and anaemia (Hb \> 10 g/dl or at least 2g/dl under normal value.
* Alternatively, patients with Bone Marrow infiltration with CPs ≥ 10 %, or Ig G ≥ 3 g/dl or Ig A ≥ 2 g/dl or Bence Jones Protein \> 1 g/24h (but not the two of them together) and always without: lytic lesions, Hypercalcaemia, Renal Failure and Anaemia could be admitted with the following additional criteria:
* % CPs abnormal (CPa/CpcMO) ≥ 95 % with immunodeficiency, defined as diminution of levels of one or two Immunoglobulins of more than 25% respect normal values.
* ECOG \>= 2.
* The patient has to be able to complain with the protocol visits.
* Women of childbearing age must have a negative pregnancy test during the 14 days before first dose. And they must accept to use anticonceptive methods beginning during all the study until 4 weeks after the last one.
Exclusion Criteria
* Patients previously received treatment to smoldering Multiple Myeloma.
* Pregnancy or breast-feed women
* Hollowed out areas of bone, anaemia, renal failure and Hypercalcemia
* The following laboratory data:
* Absolute neutrophil count ≥ 1000/mm3
* Platelet count ≥ 75000/mm3
* Aspartate transaminase (AST) or Alanine transaminase (ALT ) ≤ 3 x the upper limit of normal.
* Total bilirubin: ≤ 2 x the upper limit of normal.
* Patients with \>= Grade 2 peripheral neuropathy within 14 days before enrolment.
* Patient with a previous clinical history of another malignant illness except for squamous cell carcinoma or skin cancer or cervical cancer except the patient could be free of symptoms during ≥ 5 years.
* Patient has hypersensitivity or adverse events previous to lenalidomide or Dexamethasone.
* Patient who has major surgery during the 4th weeks previous inclusion.
* Patient has received other investigational drugs within 30 days before enrolment.
18 Years
ALL
No
Sponsors
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Celgene Corporation
INDUSTRY
PETHEMA Foundation
OTHER
Responsible Party
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Pethema
Principal Investigators
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Mª Victoria Mateos, Dr
Role: PRINCIPAL_INVESTIGATOR
Hospital Clinico Universitario de Salamanca
Jesús San Miguel, Dr
Role: PRINCIPAL_INVESTIGATOR
Hospital Clínico Universitario de Salamanca
Joan Bladé, Dr
Role: PRINCIPAL_INVESTIGATOR
Hospital Clinic of Barcelona
Juan José Lahuerta, Dr
Role: PRINCIPAL_INVESTIGATOR
HOSPITAL DOCE DE OCTUBRE
Locations
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Hospital germans Trias i Pujol
Badalona, , Spain
Hospital Clínic i Provincial de Barcelona
Barcelona, , Spain
Hospital de la Santa Creu i Sant Pau
Barcelona, , Spain
Hospital del SAS de Jerez de la Frontera
Jerez de la Frontera, , Spain
Hospital de la Princesa
Madrid, , Spain
Hospital Dode de Octubre
Madrid, , Spain
Hospital Ramón y Cajal
Madrid, , Spain
Hospital General Univeristario Morales Messeguer
Murcia, , Spain
Hospital Clínico de Salamanca
Salamanca, , Spain
Hospital Universitario de Canarias
Santa Cruz de Tenerife, , Spain
Hospital Clínico de Valencia
Valencia, , Spain
Hospital Universitario la Fe
Valencia, , Spain
Hospital Clínico Universitario Lozano Blesa
Zaragoza, , Spain
Countries
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References
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Related Links
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Spanish association of Haematology
Other Identifiers
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QUIREDEX
Identifier Type: -
Identifier Source: secondary_id
2007-000649-36
Identifier Type: -
Identifier Source: org_study_id
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