Status:

UNKNOWN

Clinical Trial of Clarithromycin, Lenalidomide and Dexamethasone in the Treatment of the First Relapsed Multiple Myeloma

Lead Sponsor:

The First Hospital of Jilin University

Conditions:

Multiple Myeloma in Relapse

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

BiRd regimen consisting of clarithromycin and Rd is safe and effective in NDMM. It can significantly increase ORR (up to 90.3%) , relief depth (≥VGPR), and prolong PFS to 43 months. In our previous st...

Eligibility Criteria

Inclusion

  • diagnosed as symptomatic multiple myeloma.
  • the first relapse/progression with thalidomide, bortezomib or lenalidomide based current first-line treatment or resistance to the first-line treatment (previous treatment line number =1).
  • there must be measurable lesions to determine disease progression (PD): according to the IMWG 2016 efficacy evaluation criteria.
  • the expected survival time is longer than 3 months.
  • ECOG score less than 2 points.
  • the serum AST/ALT level \<3 times higher than the normal value; the serum total bilirubin level\<2 times of the normal value; creatinine clearance rate was ≥30ml/mi.
  • neutrophil count \>1000/mm3 ; platelet count \>75000/mm3 (if bone marrow plasma cell \<50%) or \>30000/mm3 (if the plasma cells in the bone marrow is not less than 50%).
  • women of childbearing age were negative for pregnancy before admission, and agreed to carry out pregnancy screening during the study (once a month until 4 weeks after the last dose), and agreed to use contraceptive measures within 3 months after the study and the last dose.
  • all patients were required to sign informed consent.

Exclusion

  • under the age of 18
  • ECOG score \>2
  • non secretory myeloma, defined as serum protein M \< 1g/dL, urinary M protein \< 200mg/24h and sFLCR ≤100mg/L
  • there is growing demand, pregnant or lactating women within one year
  • HIV infection
  • activity of HBV or HCV infection
  • 4 weeks before entering the group of thromboembolic events
  • not signed informed consent

Key Trial Info

Start Date :

March 21 2017

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

February 1 2020

Estimated Enrollment :

100 Patients enrolled

Trial Details

Trial ID

NCT04063189

Start Date

March 21 2017

End Date

February 1 2020

Last Update

August 21 2019

Active Locations (1)

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1

The First Hospital of Jilin University

Changchun, Jilin, China, 130021