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NCT01754402

Bendamustine + Pomalidomide + Dex in R/R Multiple Myeloma

Status unknown Phase 1, PHASE2 Results posted Last updated 20 February 2024
What this trial tests

Phase 1, PHASE2 trial testing Bendamustine in Multiple Myeloma in 56 participants. Status unknown.

Timeline
7 January 2013
Primary endpoint
6 December 2016
1 January 2025

Quick facts

Lead sponsorCristina Gasparetto
PhasePhase 1, PHASE2
StatusStatus unknown
Study typeINTERVENTIONAL
Allocationnon randomized
Designsequential
Maskingnone
Primary purposetreatment
Enrollment56
Start date7 January 2013
Primary completion6 December 2016
Estimated completion1 January 2025
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Cristina Gasparetto — full company profile →

Who can join

18 and older, any sex, with Multiple Myeloma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Maximum Tolerated Dose of Pomalidomide and Bendamustine Primary · 2 cycles (approximately 2 months)

In the phase I dose escalation portion, patients will be sequentially enrolled in 4 cohorts at dose levels in a standard 3+3 design until the maximum tolerated dose (MTD) is reached. Cohort 1 (bendamustine 120mg/m2 + pomalidomide 3mg); Cohort 2 (bendamustine 120mg/m2 + pomalidomide 4mg); Cohort 3 (bendamustine 150mg/m2 + pomalidomide 4mg); Cohort 4 (bendamustine 180mg/m2 + pomalidomide 4mg) If dose limiting toxicity (DLT) is observed in 2 or more of the six patients at the same dosing level while DLT is observed in only 1 or none of the 6 patients at the dosing level immediately below it, th

Pomalidomide
GroupValue95% CI
Cohorts 1 and 23
Bendamustine
GroupValue95% CI
Cohorts 1 and 2120
Initial Response Rate Primary · 2 cycles (approximately 2 months)

The number of patients achieving a complete response (CR) or partial response (PR). Response is defined by the International Myeloma Working Group as: CR- Negative immunofixation on serum and urine and disappearance of soft tissue plasmacytomas and \< 5% plasma cells in bone marrow PR- \> 50% reduction of serum M-protein and urine M-protein by \>90% or to \< 200 mg/24 h In addition, if present at baseline, a \> 50% reduction in the size of soft tissue plasmacytomas is also required VGPR - Serum and urine M-protein detectable by immunofixation but n

Partial Response
GroupValue95% CI
Cohort 1: 120mg Bendamustine + 3mg Pomalidomide1
Expansion: 120mg Bendamustine + 3mg Pomalidomide11
Very Good Partial Response
GroupValue95% CI
Cohort 1: 120mg Bendamustine + 3mg Pomalidomide0
Expansion: 120mg Bendamustine + 3mg Pomalidomide2
Complete Response
GroupValue95% CI
Cohort 1: 120mg Bendamustine + 3mg Pomalidomide0
Expansion: 120mg Bendamustine + 3mg Pomalidomide0

Adverse events — posted to ClinicalTrials.gov

Time frame: 30 days past last day of drug, up to 1 year. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cohort 1: 120mg Bendamustine + 3mg Pomalidomide
Serious: 6/6 (100%)
Deaths: 6/6
Cohort 2: 120mg Bendamustine + 4mg Pomalidomide
Serious: 1/2 (50%)
Deaths: 2/2
Expansion: 120mg Bendamustine + 3mg Pomalidomide
Serious: 17/30 (57%)
Deaths: 13/30

Serious adverse events (33 terms)

ReactionSystemCohort 1: 120mg Bendamusti…Cohort 2: 120mg Bendamusti…Expansion: 120mg Bendamust…
FeverGeneral disorders
Febrile neutropeniaBlood and lymphatic system disorders
Lung infectionInfections and infestations
SepsisInfections and infestations
Infections and infestations - Other, specifyInfections and infestations
Generalized muscle weaknessMusculoskeletal and connective tissue disorders
Psychiatric disorders - Other, specifyPsychiatric disorders
CoughRespiratory, thoracic and mediastinal disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
DyspneaRespiratory, thoracic and mediastinal disorders
HypotensionVascular disorders
Atrial fibrillationCardiac disorders
Chest pain - cardiacCardiac disorders
Supraventricular tachycardiaCardiac disorders
DiarrheaGastrointestinal disorders
Gastrointestinal disorders - Other, specifyGastrointestinal disorders
Mucositis oralGastrointestinal disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
Death NOSGeneral disorders
Bronchial infectionInfections and infestations
Urinary tract infectionInfections and infestations
FractureInjury, poisoning and procedural complications
Postoperative hemorrhageInjury, poisoning and procedural complications
DehydrationMetabolism and nutrition disorders
Other adverse events (121 terms — click to expand)

ReactionSystemCohort 1: 120mg Bendamusti…Cohort 2: 120mg Bendamusti…Expansion: 120mg Bendamust…
Neutrophil count decreasedInvestigations
AnemiaBlood and lymphatic system disorders
FatigueGeneral disorders
Platelet count decreasedInvestigations
White blood cell decreasedInvestigations
HypomagnesemiaMetabolism and nutrition disorders
HypoalbuminemiaMetabolism and nutrition disorders
HypocalcemiaMetabolism and nutrition disorders
DyspneaRespiratory, thoracic and mediastinal disorders
HypokalemiaMetabolism and nutrition disorders
CoughRespiratory, thoracic and mediastinal disorders
NauseaGastrointestinal disorders
Metabolism and nutrition disorders - Other, specifyMetabolism and nutrition disorders
Musculoskeletal and connective tissue disorder - Other, specifyMusculoskeletal and connective tissue disorders
Lymphocyte count decreasedInvestigations
HyperglycemiaMetabolism and nutrition disorders
Creatinine increasedInvestigations
HyponatremiaMetabolism and nutrition disorders
HypophosphatemiaMetabolism and nutrition disorders
ConstipationGastrointestinal disorders
DyspepsiaGastrointestinal disorders
Nasal congestionRespiratory, thoracic and mediastinal disorders
DiarrheaGastrointestinal disorders
Peripheral sensory neuropathyNervous system disorders
Productive coughRespiratory, thoracic and mediastinal disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
FeverGeneral disorders
Alkaline phosphatase increasedInvestigations
AnorexiaMetabolism and nutrition disorders
Muscle weakness lower limbMusculoskeletal and connective tissue disorders
InsomniaPsychiatric disorders
Edema limbsGeneral disorders
General disorders and administration site conditions - Other, specifyGeneral disorders
Activated partial thromboplastin time prolongedInvestigations
Aspartate aminotransferase increasedInvestigations
INR increasedInvestigations
Weight lossInvestigations
ArthralgiaMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
ConfusionPsychiatric disorders

Most-reported serious reactions: Fever, Febrile neutropenia, Lung infection, Sepsis, Infections and infestations - Other, specify, Generalized muscle weakness, Psychiatric disorders - Other, specify, Cough.

Data from ClinicalTrials.gov NCT01754402 adverse events section.

Sponsor's own description

This study is designed as a phase I-II, open label, dose finding study. Study treatment will be as follows, in 28 day cycles: * Pomalidomide: once daily orally (PO) dosing on days 1-21, every 28 days * Bendamustine: once intravenously (IV) dosing on day 1, every 28 days * Dexamethasone: weekly PO or IV dosing on days 1, 8, 15, and 22. After completing 6 cycles of treatment, dexamethasone may be decreased to 20mg per investigator discretion. After completing 12 cycles of treatment, patients will proceed to the maintenance phase of the study. Patients will receive Pomalidomide on day 1-21, every 28 days and dexamethasone on days 1, 8, 15, and 22 every 28 days until time of progression.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Pomalidomide: the new immunomodulatory agent for the treatment of multiple myeloma.
    Chanan-Khan AA, Swaika A, Paulus A, Kumar SK, et al · · 2013 · cited 94× · PMID 24013664 · DOI 10.1038/bcj.2013.38
  2. Ikaros Proteins in Tumor: Current Perspectives and New Developments.
    Xia R, Cheng Y, Han X, Wei Y, et al · · 2021 · cited 12× · PMID 34950704 · DOI 10.3389/fmolb.2021.788440
  3. Bendamustine, pomalidomide, and dexamethasone for relapsed and/or refractory multiple myeloma.
    Sivaraj D, Green MM, Kang Y, Long GD, et al · · 2018 · cited 11× · PMID 30065277 · DOI 10.1038/s41408-018-0104-5
  4. Clinical outcomes of pomalidomide-based and daratumumab-based therapies in patients with relapsed/refractory multiple myeloma: A real-world cohort study in China.
    Han X, Jiang X, He J, Zheng G, et al · · 2024 · cited 4× · PMID 38698679 · DOI 10.1002/cam4.7232

Verify or expand the search:

Other trials of Bendamustine

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