FIRST-NIS: Non-interventional Study of Lenalidomide / Dexamethasone as First Line Therapy in Patients With Multiple Myeloma
Study Details
Study Description
Brief Summary
The objective of this non-interventional study is to explore the safety, effectiveness and quality of life of lenalidomide / dexamethasone as first line treatment for transplant-ineligible patients with multiple myeloma in a real life setting.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
The introduction of new drugs that can be differently combined with conventional chemotherapy or low-dose dexamethasone has changed substantially the treatment paradigm for patients with multiple myeloma. A variety of treatment options is now available for elderly patients. To compare the efficacy and safety of continuous lenalidomide in combination with low-dose dexamethasone (Rd) until progression vs. Rd for 18 cycles/72 weeks (Rd18) vs. melphalan, prednisone and thalidomide (MPT) for 12 cycles/72 weeks a multicenter, open-label phase III study (MM-020/IFM 07-01, FIRST trial) was performed in transplant ineligible patients.
After market approval of lenalidomide for previously untreated transplant-ineligible patients with multiple myeloma, the purpose of the FIRST-NIS is to evaluate the safety, effectiveness and quality of life of lenalidomide in combination with dexamethasone as first line treatment of multiple myeloma in a real life setting.
Study Design
Outcome Measures
Primary Outcome Measures
- Progression-free survival (PFS) rate at 24 months [24 months]
Secondary Outcome Measures
- To assess Median Overall Survival (OS) [84 month]
- To assess safety and tolerability via AE and SAE reporting [24 months]
AE, SAE and ADR are documented in the eCRF and will be used for safety assessment.
- To assess Quality of Life (EORTC QLQ-C30 and MY20 [24 months]
QoL data will be collected at baseline, after 3, 6, 12, 18 and 24 months
- To assess duration of hospitalisation periods [24 months]
To estimate hospital resource utilization by documenting how much time (days/weeks) patients spend in the hospital during their treatment period.
- Overall Response Rate [24 months]
- Median Progression-free survival (PFS) [84 months]
- Median Time to Progression (TTP) [84 months]
- Median Time to Response (TTR) [24 months]
- Duration of Response [84 months]
- Reason for treatment discontinuation [84 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Diagnosis of multiple myeloma (2008 WHO classification) requiring treatment (as defined by IMWG)
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Indication for treatment as assessed by the treating physician
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Decision for first line combination therapy with lenalidomide and low-dose dexamethasone
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No previous systemic therapy for multiple myeloma
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Ineligibility for transplantation
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Aged 18 years or older
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Written informed consent signed
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The conditions of the risk management plan/pregnancy prevention program (refer to the SmPC Revlimid®) must be followed by female and male patients
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Other criteria according to the SmPC. Special warnings and precautions of the SmPC have to be considered by the treating physician
Exclusion Criteria:
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Pregnant or breast-feeding women
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Any objections or contraindications according to the SmPC
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Hämatologisch-Onkologische Schwerpunktpraxis | Bochum | Germany | 44787 |
Sponsors and Collaborators
- iOMEDICO AG
Investigators
- Principal Investigator: Holger Nückel, Professor, Hämatologisch-Onkologische Schwerpunktpraxis
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- IOM-12315