Front-line Therapy With Carfilzomib, Lenalidomide, and Dexamethasone Induction

NCT ID: NCT02405364

Last Updated: 2025-01-27

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

46 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-02-28

Study Completion Date

2019-11-25

Brief Summary

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The purpose is to determine whether induction and consolidation treatment with Carfilzomib, Lenalidomide and Dexamethasone (CRd), within an intensive program, warrant further investigation in clinical trials.

Detailed Description

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The primary objective is to evaluate the sCR rate of the combination of carfilzomib, lenalidomide and dexamethasone in newly diagnosed multiple myeloma patients at the completion of consolidation therapy.

It's a multicenter, open label, non randomized, phase II study. 46 patients will be enrolled.

Induction: 4 cycles of 28 Days with Carfilzomib/Lenalidomide and dexamethasone Stem Cell Harvest: High dose Cyclophosphamide with intensification consolidation: 4 cycles of 28 Days with Carfilzomib/Lenalidomide and dexamethasone Maintenance : Lenalidomide 13 cycles of 28 days

Conditions

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Multiple Myeloma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Front line therapy

Induction: 4 cycles of 28 days of Carfilzomib/Lenalidomide/Dexamethasone Stem Cell Harvest+Intensification Consolidation 4 cycles of 28 days of Carfilzomib/ Lenalidomide/Dexamethasone Maintenance: Lenalidomide 13 cycles of 28 days

Group Type EXPERIMENTAL

Carfilzomib/Lenalidomide/Dexamethasone

Intervention Type DRUG

Induction:Carfilzomib/Lenalidomide/Dexamethasone (4 cycles every 28 days) Stem Cell harvest: HD Cyclophosphamide Intensification: HD Melphalan Consolidation:Carfilzomib/Lenalidomide/Dexamethasone (4 cycles every 28 days) Maintenance: Lenalidomide (13 cycles)

Interventions

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Carfilzomib/Lenalidomide/Dexamethasone

Induction:Carfilzomib/Lenalidomide/Dexamethasone (4 cycles every 28 days) Stem Cell harvest: HD Cyclophosphamide Intensification: HD Melphalan Consolidation:Carfilzomib/Lenalidomide/Dexamethasone (4 cycles every 28 days) Maintenance: Lenalidomide (13 cycles)

Intervention Type DRUG

Other Intervention Names

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New drug combination

Eligibility Criteria

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Inclusion Criteria

* Patients diagnosed with multiple myeloma based on the new International Myeloma Working Group
* Subjects must have symptomatic myeloma with at least one CRAB criteria
* Subjects must not have been treated previously with any systemic therapy for multiple myeloma

Exclusion Criteria

* Pregnant or lactating females
* Evidence of mucosal or internal bleeding and/or platelet refractory
* Acute active infection requiring treatment
* Treatment by localized radiotherapy if the interval between the end of radiotherapy and initiation of protocol therapy lower than 2 weeks
* Treatment by corticosteroids if exceed the equivalent of 160 mg of dexamethasone in a 2-week period before initiation therapy
* Subjects not eligible for high dose therapy
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Onyx Therapeutics, Inc.

INDUSTRY

Sponsor Role collaborator

Celgene

INDUSTRY

Sponsor Role collaborator

University Hospital, Toulouse

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michel ATTAL, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital of Toulouse

Murielle ROUSSEL, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital of Toulouse

Locations

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CHU Henri Mondor

Créteil, , France

Site Status

CHRU Dijon

Dijon, , France

Site Status

CHU Grenoble

Grenoble, , France

Site Status

Hôpital Claude Huriez

Lille, , France

Site Status

CHRU Hôtel Dieu

Nantes, , France

Site Status

Hôpital Saint-Antoine

Paris, , France

Site Status

Hôpital de Pontchaillou

Rennes, , France

Site Status

Hôpital de Hautepierre

Strasbourg, , France

Site Status

CHU de Toulouse

Toulouse, , France

Site Status

University hospital of Toulouse

Toulouse, , France

Site Status

Hôpital Bretonneau

Tours, , France

Site Status

Countries

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France

References

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Landgren O, Kazandjian D, Roussel M, Jasielec J, Dytfeld D, Anderson A, Kervin TA, Iskander K, McFadden I, Jakubowiak AJ. Efficacy and safety of carfilzomib-lenalidomide-dexamethasone in newly diagnosed multiple myeloma: pooled analysis of four single-arm studies. Leuk Lymphoma. 2022 Oct;63(10):2413-2421. doi: 10.1080/10428194.2022.2068001. Epub 2022 May 12.

Reference Type DERIVED
PMID: 35549810 (View on PubMed)

Roussel M, Lauwers-Cances V, Wuilleme S, Belhadj K, Manier S, Garderet L, Escoffre-Barbe M, Mariette C, Benboubker L, Caillot D, Sonntag C, Touzeau C, Dupuis J, Moreau P, Leleu X, Facon T, Hebraud B, Corre J, Attal M. Up-front carfilzomib, lenalidomide, and dexamethasone with transplant for patients with multiple myeloma: the IFM KRd final results. Blood. 2021 Jul 15;138(2):113-121. doi: 10.1182/blood.2021010744.

Reference Type DERIVED
PMID: 33827114 (View on PubMed)

Other Identifiers

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12 568 03

Identifier Type: -

Identifier Source: org_study_id

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