Multiple Myeloma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All the following criteria MUST be met: 1)Symptomatic multiple myeloma in IMWG diagnostic criteria 2)Newly diagnosed multiple myeloma patients ineligible autologous stem cell transplantation 3)Multiple myeloma received NO prior treatment 4)Measurable disease: serum IgG >=1.0 g/dL; IgA, IgD protein >=0.5 g/dL; urinary M-protein excretion 0.2 g/ 24 hour 5)Age >=20 year old and <=80 year old 6)PS 0-2 or 3 by osteolytic lesion 7)All the following criteria MUST be met: Neutrophil >=1000 /mm3 Platelet >=75000 /mm3 hemoglobin >=8.0 g/dl Serum AST or ALT <=2.5 x ULN Serum total bilirubin <=2.0mg/dl Serum creatinine <=2.5mg/dl Compensated serum Ca <=12.5 mg/dl Serum Na >130 mEq/l ECG: normal or asymptomatic and required no treatment Ejection fraction >=50% SpO2 >=95% 8)Prognosis more than 3 months 9)Given voluntary written consent for this study
Exclusion criteria
Exclusion criteria: 1)Women in pregnancy or lactation; women who can not or intend to use appropriate contraceptive methods 2)Active and advanced cancer 3)steroid administration equivalent to 10mg prednisolone for other disease 4)psychiatric disease or psychological symptom 5)Positive for HBs antigen or able to detect HBV DNA 6)Positive for HCV antibody 7)Positive for HIV antibody 8)poorly controlled diabetes mellitus 9)poorly controlled hypertension 10)Cardiac amyloidosis 11)Angina; acute myocardial infarction last 6 months; heart failure or arrythmia that needs treatment 12)Interstitial pneumonia, pulmonary fibrosis, severe pulmonary emphysema or pleural effusion that allows aspiration 13)Peripheral neuropathy Grade >=2; painful peripheral neuropathy 14)Severe drug allergy 15)The patient judged inappropriate to participate in this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| complete response rate | — |
Secondary
| Measure | Time frame |
|---|---|
| overall response rate, progression free survival, overall survival, incidence rate of adverse events, rate of complete treatment | — |
Countries
Japan
Contacts
Tokai University School of Medicine Department of Hematology/ Oncology