Bortezomib-Dexamethasone-Doxorubicin-Study

Overview[ - collapse ][ - ]

Purpose The primary objective of the study is to evaluate the activity of BDD in subjects with acute renal failure as measured by· reversal of acute renal failureSecondary objectives· tumor response (complete and partial response)· To evaluate the safety of Bortezomib- Doxorubicin-Dexamethasone in this patient population· to evaluate the activity of Bortezomib- Doxorubicin -Dexamethasone on progression free survival · to evaluate the activity of Bortezomib- Doxorubicin -Dexamethasone on overall survival
ConditionMultiple Myeloma
Renal Insuficiency
InterventionDrug: Dexamethasone, Bortezomib, Doxorubicin
PhasePhase 2
SponsorAustrian Forum Against Cancer
Responsible PartyAustrian Forum Against Cancer
ClinicalTrials.gov IdentifierNCT00401804
First ReceivedNovember 20, 2006
Last UpdatedJanuary 23, 2013
Last verifiedJuly 2010

Tracking Information[ + expand ][ + ]

First Received DateNovember 20, 2006
Last Updated DateJanuary 23, 2013
Start DateFebruary 2006
Estimated Primary Completion DateNovember 2009
Current Primary Outcome MeasuresOS
Current Secondary Outcome MeasuresOR

Descriptive Information[ + expand ][ + ]

Brief TitleBortezomib-Dexamethasone-Doxorubicin-Study
Official TitleBortezomib-Doxorubicin-Dexamethasone as Treatment for Patients With Multiple Myeloma Presenting With Acute Renal Failure
Brief Summary
The primary objective of the study is to evaluate the activity of BDD in subjects with acute
renal failure as measured by· reversal of acute renal failureSecondary objectives· tumor
response (complete and partial response)· To evaluate the safety of Bortezomib-
Doxorubicin-Dexamethasone in this patient population· to evaluate the activity of
Bortezomib- Doxorubicin -Dexamethasone on progression free survival · to evaluate the
activity of Bortezomib- Doxorubicin -Dexamethasone on overall survival
Detailed DescriptionNot Provided
Study TypeInterventional
Study PhasePhase 2
Study DesignAllocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Condition
  • Multiple Myeloma
  • Renal Insuficiency
InterventionDrug: Dexamethasone, Bortezomib, Doxorubicin
Study Arm (s)Not Provided

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment72
Estimated Completion DateNovember 2009
Estimated Primary Completion DateNovember 2008
Eligibility Criteria
Inclusion Criteria:

- Confirmed diagnosis of multiple myeloma ·

- Acute multiple myeloma related renal failure (Diagnosis established by clinical and
laboratory findings including renal biopsy - if indicated)a) Newly diagnosed
patients:Decrease of GFR to < 50ml/minb) Previously treated patients with GFR of ≥
60ml/min within last 4 weeks: decrease in GFR > 25% and to < 60ml / min,concomitantly
with either increase in paraproteins (>25%) and/or decrease in hemoglobin ≥ 2 g/dl
(within 4 weeks) and/or increase in bone marrow plasma infiltration and/or increase
in number of bone lesions and/or hypercalcaemia (Ca > 11.5 mg/dl or 2.8 mmol/l) as
signs of disease progression·

- Age > 20 years·

- ECOG performance status of ≤ 3.·

- Platelet count > 50.000/µl·

- WBC > 2000/µl·

- Total bilirubin < 1.5 x upper limit of normal,

- AST, ALT < 2.5 x upper limit of normal·

- International Normalized Ratio (INR) < 1.5; APTT < 1.5 x upper limit of normal·

- Fertile women and men of childbearing potential (<2 years after last menstruation in
women) must use effective means of contraception (oral contraceptives, intrauterine
contraceptive device, barrier method of contraception in conjunction with spermicidal
jelly or surgically sterile)· Negative serum or urine β-HCG pregnancy test at
screening for subjects of child-bearing potential·

- Patient's written informed consent

Exclusion Criteria:

- History of malignancy other than squamous cell carcinoma, basal cell carcinoma of the
skin or carcinoma in situ of the cervix within the last 5 years.·

- Major surgical procedure, open biopsy, or significant traumatic injury within 28 days
prior to study treatment start, or anticipation of the need for major surgical
procedure during the course of the study.·

- Evidence of CNS involvement or spinal cord compression.·

- Neuropathy Grade ≥ 2·

- A history of uncontrolled seizures, central nervous system disorders or psychiatric
disability judged by the investigator to be clinically significant and adversely
affecting compliance to study drug.·

- NYHA Status > 2, i.e. clinically significant cardiac disease, (congestive heart
failure, symptomatic coronary artery disease, cardiac arrhythmias, and arterial
hypertension not well controlled with medication) or myocardial infarction within the
last 6 months ·

- Evidence of bleeding diathesis or coagulopathy·

- Serious, non-healing wound or ulcer·

- Evidence of any severe active acute or chronic infection.·

- Evidence of other disease, metabolic dysfunction, physical examination finding, or
clinical laboratory finding giving reasonable suspicion of a disease or condition
that contraindicates use of an investigational drug or patient at high risk from
treatment complications·

- Patient is known to be HIV-positive, Hbs-antigen positive or HCV-RNA-positive·

- Pregnant women or nursing mothers·

- Have received bortezomib within 4 weeks before enrollment·

- Half body irradiation < 28 days before enrollment·

- Has known or suspected hypersensitivity or intolerance to boron, mannitol, or
heparin, if an indwelling catheter is used
GenderBoth
Ages18 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesAustria, Czech Republic

Administrative Information[ + expand ][ + ]

NCT Number NCT00401804
Other Study ID NumbersEudract Number: 2005-003001-85
Has Data Monitoring CommitteeNot Provided
Information Provided ByAustrian Forum Against Cancer
Study SponsorAustrian Forum Against Cancer
CollaboratorsNot Provided
Investigators Principal Investigator: Heinz Ludwig, MD, Univ.Prof. Austrian Forum agianst Cancer; Wilhelminenspital Vienna, 1st. Med. Department - center for Oncology and Hematology
Verification DateJuly 2010

Locations[ + expand ][ + ]

Landeskrankenhaus Feldkirch
Feldkirch, Austria
Klinischen Abteilung für Hämatologie, Medizinische Universitätsklinik Graz
Graz, Austria, 8036
Landeskrankenhaus Leoben
Leoben, Austria
Dep. of Internal Medicine I, Oncology, SALK - Gemeinnützige Salzburger Landeskliniken
Salzburg, Austria, 5020
Universitätsklinik für Innere Medizin I
Vienna, Austria, 1090
Wilhelminenspital Vienna, 1st Med. Department - center for Oncology and Hematology
Vienna, Austria, 1160
Medical University of Vienna, Dep. of Internal Medicine I
Vienna, Austria, 1090
Klinikum Kreuzschwestern Wels GmbH
Wels, Austria, 4600
FN Brno Interni Hematoonkolog. klinika
Brno, Czech Republic, 62500