Overview

Revlimid And Prednisone Followed By Revlimid, Melphalan And Prednisone In Multiple Myeloma Patients

Status:
Active, not recruiting
Trial end date:
2021-12-01
Target enrollment:
0
Participant gender:
All
Summary
This study will determine whether the association of Revlimid and Prednisone (RP) as induction treatment followed by Revlimid, Melphalan and Prednisone (MPR) as consolidation treatment is safe and induce a significant rate of PR (and CR) in newly diagnosed elderly MM patients.
Phase:
Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Fondazione EMN Italy Onlus
Fondazione Neoplasie Sangue Onlus
Treatments:
Lenalidomide
Melphalan
Prednisone
Criteria
Inclusion Criteria:

- Patient is 65 years of age or older at the time of signing the informed consent.

- Patient is, in the investigator(s) opinion willing and able to comply with the
protocol requirements.

- Patient has given voluntary written informed consent before performance of any
study-related procedure not part of normal medical care, with the understanding that
consent may be withdrawn by the patient at any time without prejudice to their future
medical care.

- Male patient agrees to use an acceptable method for contraception (i.e., condom or
abstinence) during study drug therapy (including dose interruption) and for 4 weeks
after discontinuation of lenalidomide therapy.

- Female patient is either post-menopausal for 24 consecutive months or surgically
sterilised or agree to continuous abstinence from heterosexual sexual contact or
willing to use two acceptable method of birth control at the same time (one highly
effective method and one additional effective method)(Highly Effective Methods:
Intrauterine device -IUD-; Hormonal -birth control pills, injections, implants-; tubal
ligation; partner's vasectomy; Additional Effective Methods: Latex condom; Diaphragm;
Cervical Cap) for 4 weeks prior to beginning study drug therapy, during study drug
therapy (including dose interruption) and for 4 weeks after discontinuation of
lenalidomide therapy.

- Patient was a newly diagnosed multiple myeloma based on standard criteria

- Patient has measurable disease, defined as follows: - Secretory myeloma: any
quantifiable serum monoclonal protein value (generally, but not necessarily, greater
than 1 g/dL of IgG M-Protein and greater than 0.5 g/dL of IgA M-Protein) and, where
applicable, urine light-chain excretion of >200 mg/24 hours; - Non-secretory myeloma:
> 30% plasma cells in the bone marrow and at least one plasmacytoma > 2 cm as
determined by clinical examination or applicable radiographs (i.e., MRI or CT scan).

- Patient has a Karnofsky performance status ≥ 50%.

- Patient has a life-expectancy >3 months.

Exclusion Criteria:

- Any serious medical condition, laboratory abnormality or psychiatric illness that
prevented the subject from signing the informed consent form or placed the subjects at
unacceptable risk.

- Previous treatment with anti-myeloma therapy (does not include radiotherapy,
bisphosphonates, or a single short course of steroid; < to the equivalent of
dexamethasone 40 mg/day for 4 days).

- Pregnant or lactating females

- Known positive for HIV or active infectious hepatitis type A, B or C