Zn-DDC to Target Hypoxia-NFkappaB-CSCs Pathway in Multiple Myeloma

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorThe Royal Wolverhampton Hospitals NHS Trust

About this trial

The outlook for patients with haematological malignancies remains challenging. It has been shown in some early cancer studies that a particular drug called Zn-DDC otherwise known as Imuthiol is highly toxic to cancer stem cells. Imuthiol has been intravenously used in clinical trials with an excellent safety record. Recent novel therapy and immunotherapy in haematological malignancies have improved outcome and survival but come with an increasing cost burden. Imuthiol could be an ideal affordable drug to study on it's own as well as in combination with other drugs in myeloma and other haematological malignancies. This may lead to potential combination therapies which will be very effective as well as affordable in the future. There is the need to look to see if this drug, Imuthiol and along with complementary drugs lenalidomide (Revlimid) and pomalidomide (Pomalyst) can help in haematological malignancy treatment. In order to do this there is the need to see how the cancer cells respond to the drugs in the laboratory before being able to trial the drug (or combination of drugs) out for treatment. The success of this study may lead to quick translation of Imuthiol into haematological malignancy treatment.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients diagnosed with haematological malignancy - either myeloma or acute leukaemia

Patients must be 18 years or over

Patients must be willing and able to give informed consent

Disqualifiers

Pregnant patients will not be entered

Trial population

Up to 60 myeloma bone marrow samples from Myeloma patients and 10 bone marrow samples from other haematological malignancy samples (Acute leukaemia's) at Diagnosis and Relapse will be tested.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Zn-DDC

    Drug

    Zn-DDC added to myeloma samples for culturing

  • Lanalidomide with Zn-DDC

    Drug

    Lanalidomide with Zn-DDC added to myeloma samples for culturing

  • Pomalidomide with Zn-DDC

    Drug

    Lanalidomide with Zn-DDC added to myeloma samples for culturing

Treatment groups

70 Participants
are divided into 3 treatment groups
Group A: Zn-DDC1 intervention
Group B: Lenalidomide with Zn-DDC1 intervention
Group C: Pomalidomide with Zn-DDC1 intervention

Trial outcomes

Primary outcomes

1

Imuthiol and zinc efficacy

examine the cyctotoxicity of Imuthiol and zinc in combination with other drugs

Time frame
7 days
2

Cell kill and determination of IC50 (inhibitory concentration) and apoptotic pathways involved

Cell kill and determination of IC50 (inhibitory concentration) and apoptotic pathways involved

Time frame
7 days

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

The Royal Wolverhampton Hospitals NHS Trust

Lead sponsor

University of Wolverhampton

Collaborator