Pharmacokinetic Study of Thalidomide in Subjects With Multiple Myeloma
A Phase 1, Open-label Study to Evaluate the Pharmacokinetics of Thalidomide Following Multiple Oral Dosing in Subjects With Multiple Myeloma
2 other identifiers
interventional
7
2 countries
7
Brief Summary
Objective of this study is to characterize the steady-state pharmacokinetics (PK) of thalidomide when given orally as monotherapy to subjects with multiple myeloma.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_1 multiple-myeloma
Started Nov 2013
Shorter than P25 for phase_1 multiple-myeloma
7 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 4, 2013
CompletedFirst Posted
Study publicly available on registry
September 9, 2013
CompletedStudy Start
First participant enrolled
November 7, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 23, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
September 23, 2015
CompletedNovember 12, 2019
November 1, 2019
1.9 years
September 4, 2013
November 7, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Pharmacokinetic parameters for plasma thalidomide: Tmax Cmax AUC t1/2 CL/F V/F
PK blood sampling for a single day (on Day 5)
predose, 1, 2, 3, 4, 5, 6, 8, 10, 12, 16 and 24 hours postdose
Study Arms (1)
Thalidomide Celgene™ 200mg once daily
EXPERIMENTAL5-day period of thalidomide treatment
Interventions
Eligibility Criteria
You may qualify if:
- Males and females ≥ at 18 the time of signing the informed consent document.
- Documented diagnosis of multiple myeloma and receiving thalidomide containing therapy or initiating thalidomide-containing therapy.
- Subjects must agree to temporally discontinue all antimyeloma therapies other than the study drug (thalidomide) at least 7 days prior to the PK phase (Day 1) and through post study procedures on Day 6.
- All Females of Child Bearing Potential (FCBP) and male subjects must be counseled about pregnancy precautions and risks of fetal exposure.
- Females of childbearing potential (FCBP) must:
- Have two negative pregnancy tests as verified by the study doctor prior to starting study therapy. She must agree to ongoing pregnancy testing during the course of the study, and after end of study therapy. This applies even if the subject practices true abstinence from heterosexual contact.
- Either commit to true abstinence from heterosexual contact (which must be reviewed on a monthly basis) or agree to use, and be able to comply with, effective contraception without interruption, 28 days prior to starting study drug, during the study therapy (including dose interruptions), and for 28 days after discontinuation of study therapy.
- All other females must had either a hysterectomy or bilateral oophorectomy at least 6 months before screening (proper documentation required) OR been naturally postmenopausal for at least 24 consecutive months (i.e. who has not had menses at any time in the preceding 24 consecutive months). For this study, in subjects who are postmenopausal, estradiol level must be \<30 pg/mL and plasma FSH must be \>40 IU/L at screening.
- Males (including those who have had a vasectomy):
- Must practice true abstinence or agree to use a condom during sexual contact with a pregnant female or a female of childbearing potential while participating in the study, during dose interruptions and for at least 28 days following study drug discontinuation, even if he has undergone a successful vasectomy.
- Must agree to not donate semen and sperm during study drug therapy and for 4 weeks after end of study drug therapy.
- All subjects must also be counseled against sharing thalidomide and donating blood during and within 4 weeks of discontinuing thalidomide therapy
You may not qualify if:
- Any significant medical condition, laboratory abnormality, or psychiatric illness that would prevent the subject from participating in the study (according to the Thalidomide product/prescribing information).
- Any condition including the presence of laboratory abnormalities, which places the subject at unacceptable risk if he/she were to participate in the study (according to the Thalidomide product information).
- Any condition that confounds the ability to interpret data from the study (includes conditions that may affect the absorption of thalidomide, such as gastric bypass surgery, colon resection, etc.).
- Pregnant or lactating females.
- Any surgical or medical conditions that might significantly alter the absorption of study drug, such as gastrectomy, gastroenterostomy, bowel resection, pancreatic injury, or pancreatitis. (Cholecystecomy and appendectomy are permissible.)
- Use of antimyeloma agents (other than thalidomide) or investigational agents within 7 days before the start of the PK phase.
- Prior history of allergic reactions to thalidomide, thalidomide excipients (as referenced in the IB), or to related drugs (ie, lenalidomide).
- Prior history of malignancies, other than multiple myeloma, unless the subject has been free of the disease for \>= 3 years (from the time of signing the ICD). Exceptions include the following:
- Basal cell carcinoma of the skin
- Squamous cell carcinoma of the skin
- Carcinoma in situ of the cervix
- Carcinoma in situ of the breast
- Incidental histological finding of prostate cancer (TNM stage of T1a or T1b)
- Known human immunodeficiency virus (HIV) or infectious hepatitis (type A, B, or C) positivity.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Celgenelead
Study Sites (7)
Hopital Augustin Morvan
Brest, 29609, France
CHU Grenoble
Grenoble, 38043, France
CHRU-Hopital Claude Huriez
Lille, 59037, France
CHRU Hopital Bretonneau
Tours, 37044, France
CHRU Hopital Brabois
Vandœuvre-lès-Nancy, 54511, France
Christie Hospital NHS Foundation Trust
Manchester, M20 4BX, United Kingdom
Royal Marsden Hospital
Sutton, SM2 5PT, United Kingdom
Related Publications (1)
Lund J, Gruber A, Lauri B, Duru AD, Blimark C, Swedin A, Hansson M, Forsberg K, Ahlberg L, Carlsson C, Waage A, Gimsing P, Vangsted AJ, Frolund U, Holmberg E, Gahrton G, Alici E, Hardling M, Mellqvist UH, Nahi H. Lenalidomide versus lenalidomide + dexamethasone prolonged treatment after second-line lenalidomide + dexamethasone induction in multiple myeloma. Cancer Med. 2018 Jun;7(6):2256-2268. doi: 10.1002/cam4.1422. Epub 2018 Apr 19.
PMID: 29673108BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Robert Knight, MD
Celgene Corporation
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 4, 2013
First Posted
September 9, 2013
Study Start
November 7, 2013
Primary Completion
September 23, 2015
Study Completion
September 23, 2015
Last Updated
November 12, 2019
Record last verified: 2019-11