Status:
RECRUITING
Individualized Dynamic Frailty-tailored Therapy (DynaFiT) in Elderly Patients With NDMM
Lead Sponsor:
FengYan Jin
Conditions:
Multiple Myeloma
Frailty
Eligibility:
All Genders
65+ years
Brief Summary
Frailty is dynamic and confers poor outcomes in elderly patients with newly diagnosed multiple myeloma (NDMM), mainly because of the high prevalence of treatment discontinuation due to intolerability....
Detailed Description
Older patients with MM represent a heterogeneous population with different fitness/frailty statuses. Unlike fit patients who can benefit from intensive therapies due to their endurance, frail patients...
Eligibility Criteria
Inclusion
- Adult males and females aged ≥65 years who were either transplant-ineligible or had no intent for immediate transplant;
- Subject must have documented multiple myeloma as defined by the criteria below:
- Monoclonal plasma cells in the bone marrow 10% or presence of a biopsy-proven plasmacytoma;
- Measurable disease as defined by any of the following:
- Serum monoclonal paraprotein (M-protein) level ≥1.0 g/dL or urine M-protein level ≥200 mg/24 hours; or
- IgA multiple myeloma: serum M-protein level ≥0.5 g/dL or urine M-protein level ≥200 mg/24 hours; or
- Light chain multiple myeloma: Serum immunoglobulin free light chain ≥10 mg/dL and abnormal serum immunoglobulin kappa lambda free light chain ratio.
- Has not had prior systemic therapy for multiple myeloma;
- The functional reserve of the organs can withstand systemic therapy;
- Each subject (or their legally acceptable representative) must sign an informed consent form (ICF) indicating that he or she understands the purpose of and procedures required for the study and are willing to participate in the study. Subject must be willing and able to adhere to the prohibitions and restrictions specified in this protocol, as referenced in the ICF.
Exclusion
- There are active systemic viral, fungal, or bacterial infections that require systemic anti-infective treatment;
- Severe organ dysfunction (New York Heart Association class III and IV or transaminases ≥5 normal level, except those caused by cardiac and hepatic amyloidosis secondary to MM)
- Patients with prior history of hematologic or solid tumors treated with radiotherapy or chemotherapy(except ≥5 years);
- Patients who currently have hematologic tumors or solid tumors that require radiotherapy or chemotherapy;
- Non-signation of informed consent.
Key Trial Info
Start Date :
September 8 2021
Trial Type :
OBSERVATIONAL
Allocation :
ESTIMATED
End Date :
September 8 2029
Estimated Enrollment :
100 Patients enrolled
Trial Details
Trial ID
NCT06099912
Start Date
September 8 2021
End Date
September 8 2029
Last Update
July 11 2024
Active Locations (1)
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1
The First Hospital of Jilin University
Changchun, Jilin, China, 130021