Safety Study of Lenalidomide/Dexamethasone to Treat Patients With Relapsed or Refractory Multiple Myeloma

Celgene22 enrolled

Overview

Multicentre, prospective, observational, open-label, single arm, post-marketing study intended to record Lenalidomide/Dexamethasone treatment data from patients with relapsed/refractory Multiple Myeloma (rrMM) treated under the settings defined by the standard clinical practice and approved Summary of Product Characteristics (SmPC).

This study aims to assess the real-life safety of Lenalidomide/Dexamethasone (Len/Dex) in patients with (Relapsed or Refractory Multiple Myeloma (rrMM), by evaluation of adverse events of special interest (infections, gastrointestinal events, thrombocytopenia, neutropenia, febrile neutropenia, and thromboembolism). In addition, due to the scarce information regarding the impact of frailty in Len/Dex treatment in rrMM, this study will prospectively assess Len/Dex safety and effectiveness by patient frailty groups. The following study assessments will be performed: * Recruitment: patients will be recruited within 15 days after the start of Len/Dex (from day 1 to day 15). In case patients are not recruited at the day of Len/Dex start (day 1), baseline information respective to this day will be collected retrospectively. * Treatment period: during this period, the following assessments will be carried out: * Every 30 days (± 5 days) for adverse events, changes in concomitant medication and change in Len/Dex dose. * Every 90 days (± 15 days) for the remaining information to be collected in the treatment period * Assessment at the end of Len/Dex treatment (until 5 days after end of treatment). Follow-up assessment 90 days (± 15 days) after the end of Len/Dex treatment. No visits were predefined for this study. Study data is planned to be collected when the patient goes to the study site for a clinical routine visit. No assessments will be imposed for the purposes of this study. If the patient goes to the clinical routine visit at a date out of the time intervals predicted above, no information will be collected. Information will be collected in the context of routine clinical practice. The patient will be followed until the end of Len/Dex treatment, death or discontinuation for any reason for a maximum period of 36 months, Patients within treatment after this maximum period will stop being followed in the study.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Multiple Myeloma

Interventions

LenalidomideDRUG

Standard of Care doses for relapsed/refractory multiple myeloma: 25 mg/day lenalidomide 21 of 28 days cycle

DexamethasoneDRUG

Standard of Care doses for relapsed/refractory multiple myeloma: dexamethasone 40 mg/day at day 1,8,15,22 at 28 days cycle

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Patients aged 18 years or higher. 2. Patients who have voluntarily given written informed consent to participate in the study and have their data retrieved for the purposes of the study 3. Patients diagnosed with 1st or 2nd relapsed or refractory multiple myeloma and indicated for 2nd or 3rd line Len/Dex treatment, according with the SmPC (patients who have received at least one prior therapy) - Exclusion Criteria: 1. Pregnant or lactating patients 2. Female patients of childbearing potential unable or unwilling to use effective contraceptive methods, as stated in the summary of product characteristics: * Implant. * Levonorgestrel-releasing intrauterine system. * Medroxyprogesterone acetate depot. * Tubal sterilisation. * Sexual intercourse with a vasectomised male partner only; vasectomy must be confirmed by two negative semen analyses. Ovulation inhibitory progesterone-only pills (i.e. desogestrel). \- Male patients unable to follow or comply with the required contraceptive measures stated in the SmPC (use of condom if engaged in sexual activity with a pregnant woman or a woman of childbearing potential not using effective contraception \[even if the man has had a vasectomy\], during treatment and for 1 week after dose interruptions and/or cessation of treatment) 3. Hypersensitivity to the active substance or any of the excipients 4. Patients participating in a clinical trial -

Locations (12)

Hospital Garcia Orta, E.P.E.

Almada, Portugal

Hospital Professor Doutor Fernando Fonseca, E.P.E.

Amadora, Portugal

Hospital Central de Faro

Faro, Portugal

Outcomes

Primary Outcomes

Number of Adverse events of special interest during Len/Dex therapy

Adverse event (AE): Any untoward medical occurrence in a patient administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment, i.e. any unfavourable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product whether or not considered related to the medicinal product. Progression of the underlying disease of multiple myeloma is not considered an AE and should not be reported as an AE

Time frame: Up to approximately 72 months

Secondary Outcomes

Incidence (number) of thromboembolism

Identification of the incidence of deep venous thrombosis and pulmonary embolism) during Lenalidomide and Dexamethasone study drug treatment.

Time frame: Up to approximately 72 months

Duration of Len/Dex treatment over the course of the study

Defined as the time between the start of Len/Dex treatment until discontinuation or death (whichever occurs first)

Time frame: Up to approximately 72 months

Number of patients with good and poor compliance to lenalidomide and dexamethasone

Compliance will be measured by the capsule/tablet count, after the end of study treatment

Time frame: Up to approximately 72 months

Type and frequency of prophylaxis treatment for prevention of thromboembolism

Type and frequency of prophylaxis treatment for prevention of thromboembolism during Lenalidomide/Dexamethasone study treatment.

Time frame: Up to 36 months

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.