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Brief Title: Expanded Treatment Prot of Panobinostat in Combo w/ Bortez and Dex in Pts w/ Relapsed and/or Refractory Multiple Myeloma
Official Title: An Expanded Treatment Protocol of Panobinostat (LBH589) in Combination With Bortezomib and Dexamethasone in Patients With Multiple Myeloma Who Have Had at Least One Prior Line of Therapy
Study ID: NCT02204553
Brief Summary: This will be a multi-center, open label, expanded treatment protocol of panobinostat, bortezomib and dexamethasone in patients with relapsed and/or refractory multiple myeloma. Panobinostat will be administered at a starting dose of 20mg orally three times a week (every other day) for two weeks on and one week off, with dose adjustments permitted based on observed toxicity. Bortezomib will be administered either intravenously or sub-cutaneously, twice a week on days 1 and 4, two weeks on 1 week off. After 8 cycles of treatment, patients who have achieved stable disease or better by modified EBMT 1998 criteria may continue combination therapy with bortezomib dosing changed to days 1 and 8 of a 21 day cycle for up to 48 weeks of therapy. At the end of the treatment period, (48 weeks) patients with stable disease or better may continue on therapy at the discretion of their investigator until September 2015 or until drug is commercially available, whichever comes first. Patients who have not achieved at least stable disease by 8 cycles must discontinue from study treatment. Dexamethasone will be administered on the day of and the day immediately following bortezomib treatment. Patients will not receive any study treatment during the third week of each cycle. Cycles will be defined as 21 days of treatment. Investigators may not add any other anti-myeloma agents (with the exception of bisphosphonates) while patients remain on study treatment. Patients will remain on study until disease progression, unacceptable toxicity, or end of the study
Detailed Description:
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Ironwood Cancer and Research Centers Ironwood Cancer, Chandler, Arizona, United States
Highlands Oncology Group Dept of Highlands Oncology Grp, Fayetteville, Arkansas, United States
Kaiser Permanente Medical Group Kaiser Permanente-Moanalua M.C, Anaheim, California, United States
Alta Bates Cancer Center, Berkeley, California, United States
Los Angeles Hematology/Oncology Medical Group, Los Angeles, California, United States
Stanford Cancer Center Stanford Cancer Institute (2), Stanford, California, United States
George Washington U Medical Center Medical Faculty Associates, Washington, District of Columbia, United States
University Cancer Institute Univ. Cancer Institute, Boyton Beach, Florida, United States
Memorial Cancer Institute Memorial Cancer Inst., Hollywod, Florida, United States
Lakes Research SC, Miami Lakes, Florida, United States
Emory University School of Medicine/Winship Cancer Institute Winship Cancer Institute (2), Atlanta, Georgia, United States
Stormont-Vail Cancer Center, Topeka, Kansas, United States
Hematology Oncology Clinic Hematology Oncology Clinic, Baton Rouge, Louisiana, United States
Sinai Hospital of Baltimore Sinai Hospital, Baltimore, Baltimore, Maryland, United States
Bronson Battle Creek Cancer Care Center, Battle Creek, Michigan, United States
University of Mississippi Medical Center Cancer Institute, Jackson, Mississippi, United States
Research Medical Center Research Med. Center, Kansas City, Missouri, United States
Oncology Hematology West, PC Nebraska Cancer Specialists, Omaha, Nebraska, United States
Hematology Oncology of Central New Jersey, Little Silver, New Jersey, United States
Morton Coleman, MD M. Coleman, MD (2), New York, New York, United States
Cancer Centers of the Carolinas GHS Cancer Institute, Greenville, South Carolina, United States
Wellmont Medical Associates, Bristol, Tennessee, United States
Texas Oncology Texas Oncology - Arlington, Dallas, Texas, United States
Texas Oncology TX Oncology Baylor, Dallas, Texas, United States
Northern Utah Cancer Associates SC, Ogden, Utah, United States
Virginia Oncology Associates Virginia Oncology Assoc. (2), Norfolk, Virginia, United States
Fox Valley Hematology and Oncology, Appleton, Wisconsin, United States
Name: Novartis Pharmaceuticals
Affiliation: Novartis Pharmaceuticals
Role: STUDY_DIRECTOR