Phase II Study of Revlimid®, Oral Cyclophosphamide and Prednisone for Patients With Newly Diagnosed Multiple Myeloma

• Status: Completed
• Trial end date: 2014-08-01
• Target enrollment: 0
• Participant gender: All

Summary

The purpose of this study to explore the combination of Revlimid®, oral cyclophosphamide and prednisone (RCP) in patients with newly diagnosed multiple myeloma.

• Phase: Phase 2
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Attaya Suvannasankha
• Collaborator: Celgene
• Treatments: Cyclophosphamide; Lenalidomide; Prednisone; Thalidomide

Criteria

Inclusion Criteria:

Patients with newly diagnosed, symptomatic multiple myeloma based on the following criteria:

• Presence of an M-component in serum and/or urine plus clonal plasma cells in the bone marrow and/or a documented clonal plasmacytoma

PLUS one or more of the following:

• Calcium elevation (11.5 mg/dl) [42.65 mmol/l]

• Renal insufficiency (1.5 x the ULN of serum creatinine)

• Anemia (hemoglobin <=10 g/dl or 2 g/dl <= normal)

• Bone disease (lytic lesions or osteopenia)

Measurable disease is defined at least one of the following three measurements:

• Serum M-protein >=1 g/dl ( or 10 g/l)

• Urine M-protein >=200 mg/24 h

• Serum FLC assay: Involved FLC level >=10 mg/dl (>=100 mg/l) provided serum FLC ratio is abnormal

• Measurable plasmacytoma

• NOTE: If a patient meets the criteria for symptomatic multiple myeloma but does not meet serum M-protein, urine M-protein or serum FLC levels stated above, percent plasma cells in bone marrow will be used to follow response.

Laboratory test results within these ranges:

• Absolute neutrophil count >= 1.0 x 109/L

• Platelet count >= 50 x 10(9)/L

• Hemoglobin >= 9 gm/dl

• Serum creatinine <= 2.5mg/dL.

• Total bilirubin <=1.5 x upper limit of normal

• AST (SGOT) and ALT (SGPT) <= 3 x ULN

Exclusion Criteria:

• Known hypersensitivity to thalidomide

• The development of erythema nodosum if characterized by a desquamating rash while taking thalidomide or similar drugs.

• Patients with a solitary plasmacytoma

• Patients with uncontrolled diabetes

• Patients with ≥ Grade 3 sensory neuropathy

• History of cardiac disease, with NYHA Class II or greater