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Treatment With Lenalidomide, Bendamustine and Prednisone (RBP) in Patients With Relapsed or Refractory Multiple Myeloma

Primary Purpose

Multiple Myeloma

Status
Unknown status
Phase
Phase 1
Locations
Germany
Study Type
Interventional
Intervention
Lenalidomide, Bendamustine, Prednisone
Sponsored by
University of Leipzig
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Multiple Myeloma focused on measuring Lenalidomide, Bendamustine, Multiple Myeloma, Myeloma, Revlimid, Phase I/II, refractory Myeloma, relapsed Myeloma

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Understand and voluntarily sign an informed consent form.
  2. Age 18 years at the time of signing the informed consent form.
  3. Life expectancy of at least 3 months
  4. Able to adhere to the study visit schedule and other protocol requirements
  5. Relapsed or refractory MM (only first or second relapse) in stage II or III after autologous SCT or conventional chemotherapy (histologically or cytologically proven/ Salmon and Durie criteria) with detectable myeloma protein in blood or urine
  6. All previous cancer therapies, including radiation, cytostatic therapy and surgery, must have been discontinued at least 4 weeks prior to treatment in this study, without corticosteroids therapy.
  7. ECOG performance status of £ 2 at study entry (see Appendix 01).
  8. Laboratory test results within ranges
  9. Females of childbearing potential must agree to contraception or abstinence
  10. Disease free of prior malignancies for ³ 5 years with exception of currently treated basal cell, squamous cell carcinoma of the skin, or carcinoma "insitu" of the cervix or breast

Exclusion Criteria:

  1. Any serious medical condition, laboratory abnormality, or psychiatric illness that would prevent the subject from signing the informed consent form.
  2. Pregnant or breast feeding females.
  3. Any condition, including the presence of laboratory abnormalities, which places the subject at unacceptable risk if he/she were to participate in the study or confounds the ability to interpret data from the study.
  4. Patients with contraindications (exclusion criteria) for treatment with lenalidomide, bendamustine and prednisone.
  5. Uncontrolled or severe cardiovascular disease, including myocardial infarction within 6 months before study entry, New York Heart Association Class III or IV heart failure, uncontrolled angina or severe uncontrolled ventricular arrhythmias (≥ Lown 3).
  6. Use of any other experimental drug or therapy within 28 days of baseline.
  7. Known hypersensitivity to thalidomide or purine analogues
  8. The development of erythema nodosum if characterized by a desquamating rash while taking thalidomide or similar drugs.
  9. Any prior use of lenalidomide or bendamustine in the last six months
  10. Concurrent use of other anti-cancer agents or treatments other stated in this treatment plan.
  11. Known positive for HIV or infectious hepatitis, type A, B or C.

Sites / Locations

  • University of LeipzigRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

RBP

Arm Description

Lenalidomide and Bendamustine and Prednisone

Outcomes

Primary Outcome Measures

To determine the maximum tolerable dose (MTD) of lenalidomide in combination with bendamustine and prednisone (RBP) in refractory and relapsed MM stage I/III

Secondary Outcome Measures

To determine the safety of lenalidomide, bendamustine and prednisone at MTD

Full Information

First Posted
October 23, 2009
Last Updated
August 11, 2011
Sponsor
University of Leipzig
Collaborators
Celgene Corporation, Mundipharma Pte Ltd., Amgen
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1. Study Identification

Unique Protocol Identification Number
NCT01002703
Brief Title
Treatment With Lenalidomide, Bendamustine and Prednisone (RBP) in Patients With Relapsed or Refractory Multiple Myeloma
Official Title
Treatment With Lenalidomide, Bendamustine and Prednisone (RBP) in Patients With Relapsed or Refractory Multiple Myeloma After Autologous Stem Cell Transplantation or Conventional Chemotherapy OSHO #077
Study Type
Interventional

2. Study Status

Record Verification Date
October 2009
Overall Recruitment Status
Unknown status
Study Start Date
September 2009 (undefined)
Primary Completion Date
October 2012 (Anticipated)
Study Completion Date
October 2014 (Anticipated)

3. Sponsor/Collaborators

Name of the Sponsor
University of Leipzig
Collaborators
Celgene Corporation, Mundipharma Pte Ltd., Amgen

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Define maximum tolerable dose of the combination lenalidomide, bendamustine, prednisone.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Myeloma
Keywords
Lenalidomide, Bendamustine, Multiple Myeloma, Myeloma, Revlimid, Phase I/II, refractory Myeloma, relapsed Myeloma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
50 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
RBP
Arm Type
Experimental
Arm Description
Lenalidomide and Bendamustine and Prednisone
Intervention Type
Drug
Intervention Name(s)
Lenalidomide, Bendamustine, Prednisone
Intervention Description
During the study the first cohort of subjects receive a starting dose of lenalidomide 10mg/d d1-21, bendamustine 60mg/m²/d d1-2 and prednisone 100mg/d d1-4. Escalation steps will include 15, 20 and 25 mg of lenalidomide and 75mg/m² for bendamustine.
Primary Outcome Measure Information:
Title
To determine the maximum tolerable dose (MTD) of lenalidomide in combination with bendamustine and prednisone (RBP) in refractory and relapsed MM stage I/III
Time Frame
2 month
Secondary Outcome Measure Information:
Title
To determine the safety of lenalidomide, bendamustine and prednisone at MTD
Time Frame
2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Understand and voluntarily sign an informed consent form. Age 18 years at the time of signing the informed consent form. Life expectancy of at least 3 months Able to adhere to the study visit schedule and other protocol requirements Relapsed or refractory MM (only first or second relapse) in stage II or III after autologous SCT or conventional chemotherapy (histologically or cytologically proven/ Salmon and Durie criteria) with detectable myeloma protein in blood or urine All previous cancer therapies, including radiation, cytostatic therapy and surgery, must have been discontinued at least 4 weeks prior to treatment in this study, without corticosteroids therapy. ECOG performance status of £ 2 at study entry (see Appendix 01). Laboratory test results within ranges Females of childbearing potential must agree to contraception or abstinence Disease free of prior malignancies for ³ 5 years with exception of currently treated basal cell, squamous cell carcinoma of the skin, or carcinoma "insitu" of the cervix or breast Exclusion Criteria: Any serious medical condition, laboratory abnormality, or psychiatric illness that would prevent the subject from signing the informed consent form. Pregnant or breast feeding females. Any condition, including the presence of laboratory abnormalities, which places the subject at unacceptable risk if he/she were to participate in the study or confounds the ability to interpret data from the study. Patients with contraindications (exclusion criteria) for treatment with lenalidomide, bendamustine and prednisone. Uncontrolled or severe cardiovascular disease, including myocardial infarction within 6 months before study entry, New York Heart Association Class III or IV heart failure, uncontrolled angina or severe uncontrolled ventricular arrhythmias (≥ Lown 3). Use of any other experimental drug or therapy within 28 days of baseline. Known hypersensitivity to thalidomide or purine analogues The development of erythema nodosum if characterized by a desquamating rash while taking thalidomide or similar drugs. Any prior use of lenalidomide or bendamustine in the last six months Concurrent use of other anti-cancer agents or treatments other stated in this treatment plan. Known positive for HIV or infectious hepatitis, type A, B or C.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Dietger Niederwieser
Phone
+4934197
Ext
13050
Email
dietger@medizin.uni-leipzig.de
Facility Information:
Facility Name
University of Leipzig
City
Leipzig
ZIP/Postal Code
04103
Country
Germany
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Dietger Niederwieser
Phone
+4934197
Ext
13050
Email
dietger@medizin.uni-leipzig.de
First Name & Middle Initial & Last Name & Degree
Wolfram Pönisch

12. IPD Sharing Statement

Links:
URL
http://osho.uni-leipzig.de/
Description
Related Info

Learn more about this trial

Treatment With Lenalidomide, Bendamustine and Prednisone (RBP) in Patients With Relapsed or Refractory Multiple Myeloma

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