Overview

This trial is active, not recruiting.

Condition multiple myeloma
Treatments lenalidomide
Phase phase 3
Sponsor Gesellschaft fur Medizinische Innovation – Hamatologie und Onkologie mbH
Start date April 2009
End date December 2016
Trial size 194 participants
Trial identifier NCT00891384, LenaMain-Trial

Summary

This trial is a randomised, parallel-group, multicenter phase III study for maintenance therapy with lenalidomide in patients with multiple myeloma who were treated with high-dose therapy and autologous stem cell transplantation as first line therapy.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Allocation randomized
Endpoint classification safety/efficacy study
Intervention model parallel assignment
Masking single blind (subject)
Primary purpose treatment
Arm
(Experimental)
25 mg lenalidomide
lenalidomide Revlimid
Patients will receive maintenance therapy according to their assigned treatment arm: 25 mg daily for 21 days every 28 days. During the treatment period patients will be seen every 4 weeks until disease progression is documented. All patients who have to discontinue the study drug will be followed until disease progression.
(Experimental)
5 mg lenalidomide
lenalidomide Revlimid
Patients will receive maintenance therapy according to their assigned treatment arm:5 mg daily for 21 days every 28 days. During the treatment period patients will be seen every 4 weeks until disease progression is documented. All patients who have to discontinue the study drug will be followed until disease progression

Primary Outcomes

Measure
event-free survival
time frame: 6 years

Secondary Outcomes

Measure
safety, tolerability and feasibility
time frame: 6 month
Improvement of remission rate
time frame: 6 years
evaluate quality of life
time frame: 6 years

Eligibility Criteria

Male or female participants from 18 years up to 75 years old.

Inclusion Criteria: - Signed informed consent form - Age 18-75 years - Able to adhere to the study visit schedule and other protocol requirements - Patients with multiple myeloma who have received high-dose therapy and autologous stem cell transplantation as first-line therapy within the last 90 - 120 days and have not shown progressive disease afterwards. - Patients may have received up to 6 cycles of prior induction therapy and up to 2 cycles of prior mobilisation chemotherapy. A bortezomib or thalidomide induction therapy is allowed. Patients may also have received prior radiation therapy - Measurable levels of myeloma paraprotein in serum (>0.5 g/dL) or urine (>0.2 g/24hours) or measurable free light chains (FLC) in serum (>50 mg/l) with an abnormal FLC ratio must be documented at the time of first diagnosis. - ECOG performance status = 2 at study entry - Laboratory and functional test results within these ranges: - ANC ≥ 1,000/μL - Platelet count ≥ 100,000/μL - Total bilirubin 2.5 mg/dL - AST (SGOT) and ALT (SGPT) 3 x ULN - Patients with impaired renal function can be included - The patient must be able to adhere to the pregnancy precautions - Disease free of prior malignancies for 5 years with exception of currently treated basal cell, squamous cell carcinoma of the skin, or carcinoma "in situ" of the cervix or breast Exclusion Criteria: - Any serious medical condition, laboratory abnormality, or psychiatric illness that would prevent the subject from signing the informed consent form - Pregnant or breast feeding females - Any condition or laboratory abnormality which places the subject at an unacceptable risk if he/she were to participate in the study or confounds the ability to interpret data from the study - Known allergic/hypersensitivity reaction to thalidomide, lenalidomide or any components of the treatment - Any cutaneous grade ≥ 3 adverse reaction (for example desquamating rash) while taking thalidomide or similar drugs - Any prior use of lenalidomide - Known positive for HIV or active infectious hepatitis, type A, B or C

Additional Information

Official title A Randomised Comparison of Daily 25 mg Versus 5 mg Lenalidomide as Maintenance Therapy After High-dose Therapy and Autologous Stem Cell Transplantation in Patients With Multiple Myeloma
Principal investigator Guido Kobbe, PD Dr.
Description High-dose therapy will be performed as first line treatment. After high-dose therapy and autologous stem cell transplantation the patients will be included and randomised. Three month after high-dose therapy all patients will receive consolidation therapy with 6 cycles of lenalidomide 25 mg daily for 21 days every 28 days. Afterwards patients will receive maintenance therapy according to their assigned treatment arm. Randomisation will be performed in a 1:1 ratio to continuous maintenance therapy with either 25mg or 5mg lenalidomide daily for 21 days every 28 days.Randomisation will be stratified by ISS-stage (1+2 vs 3, age (younger than 66 years versus 66 years or older), response after high-dose therapy (CR+vgPR vs PR vs MR/SD. Patients will be treated until disease progression.
Trial information was received from ClinicalTrials.gov and was last updated in August 2015.
Information provided to ClinicalTrials.gov by Gesellschaft fur Medizinische Innovation – Hamatologie und Onkologie mbH.