Multiple Myeloma
Item
1. diagnosis of multiple myeloma based on standard criteria.
boolean
C0026764 (UMLS CUI [1])
Measurable Disease | m-spike Serum electrophoresis test | m-spike 24 Hour Urine Test
Item
2. measurable disease, defined as a monoclonal immunoglobulin spike on serum electrophoresis of > 1gm/dl and/or urine monoclonal immunoglobulin spike of > 200mg/24 hours.
boolean
C1513041 (UMLS CUI [1])
C0241988 (UMLS CUI [2,1])
C0851095 (UMLS CUI [2,2])
C0241988 (UMLS CUI [3,1])
C1255149 (UMLS CUI [3,2])
Non-secretory myeloma | Protein Measurable | Other Coding | Measurable Disease | Plasmacytoma
Item
3. non-secretors must have measurable protein by freelite or measurable disease such as plasmacytoma to be eligible.
boolean
C0456845 (UMLS CUI [1])
C0033684 (UMLS CUI [2,1])
C1513040 (UMLS CUI [2,2])
C3846158 (UMLS CUI [3])
C1513041 (UMLS CUI [4])
C0032131 (UMLS CUI [5])
Prior Chemotherapy Absent | Prior Therapy Hypercalcemia | Adrenal Cortex Hormones | Diphosphonates
Item
4. patient must not have been previously treated with chemotherapy. prior treatment of hypercalcemia with corticosteroids, or bisphosphonates does not disqualify the patient.
boolean
C1514457 (UMLS CUI [1,1])
C0332197 (UMLS CUI [1,2])
C1514463 (UMLS CUI [2,1])
C0020437 (UMLS CUI [2,2])
C0001617 (UMLS CUI [3])
C0012544 (UMLS CUI [4])
Ineligibility Transplantation of autologous hematopoietic stem cell
Item
5. patient must be ineligible for autologous stem cell transplant due to one or more of the following reasons:
boolean
C1512714 (UMLS CUI [1,1])
C1831743 (UMLS CUI [1,2])
Age
Item
age>65
boolean
C0001779 (UMLS CUI [1])
Renal Insufficiency | Creatinine measurement, serum
Item
impaired renal function (creatinine≥2.0 mg/dl)
boolean
C1565489 (UMLS CUI [1])
C0201976 (UMLS CUI [2])
Pulmonary function impairment | Carbon Monoxide Diffusing Capability Test
Item
impaired pulmonary function (dlco≤50%)
boolean
C0858943 (UMLS CUI [1])
C1516251 (UMLS CUI [2])
Poor performance status | Karnofsky Performance Status
Item
poor performance status (kps≤80)
boolean
C1831741 (UMLS CUI [1])
C0206065 (UMLS CUI [2])
Comorbidity | Other Coding
Item
other prohibitive comorbid disorder
boolean
C0009488 (UMLS CUI [1])
C3846158 (UMLS CUI [2])
Age | Autologous hematopoietic stem cell transplant Refused
Item
5b. patients≥60 who decline autologous stem cell transplant are eligible for this study.
boolean
C0001779 (UMLS CUI [1])
C2193200 (UMLS CUI [2,1])
C1705116 (UMLS CUI [2,2])
PATIENT WISH Autologous hematopoietic stem cell transplant Delay
Item
5c. patients who are eligible but wish to postpone autologous stem cell transplant are eligible for this study.
boolean
C0747309 (UMLS CUI [1,1])
C2193200 (UMLS CUI [1,2])
C0205421 (UMLS CUI [1,3])
Karnofsky Performance Status
Item
6. karnofsky performance status>50
boolean
C0206065 (UMLS CUI [1])
Therapeutic radiology procedure Local | Exposure to Steroids | Absence Exposure to Steroids | Therapeutic radiology procedure Concurrent Completed | Washout Period Following | Therapeutic radiology procedure Vertebrae Quantity
Item
7. patients treated with local radiotherapy with or without a brief exposure to steroids are eligible. patients who require concurrent radiotherapy should have entry to the protocol deferred until the radiotherapy is completed, followed by a four week wash out period spot rt to ≤3 vertebrae acceptable prior to entry.
boolean
C1522449 (UMLS CUI [1,1])
C0205276 (UMLS CUI [1,2])
C0332157 (UMLS CUI [2,1])
C0038317 (UMLS CUI [2,2])
C0332197 (UMLS CUI [3,1])
C0332157 (UMLS CUI [3,2])
C0038317 (UMLS CUI [3,3])
C1522449 (UMLS CUI [4,1])
C0205420 (UMLS CUI [4,2])
C0205197 (UMLS CUI [4,3])
C1710661 (UMLS CUI [5,1])
C0332282 (UMLS CUI [5,2])
C1522449 (UMLS CUI [6,1])
C0549207 (UMLS CUI [6,2])
C1265611 (UMLS CUI [6,3])
Laboratory Criteria pre treatment
Item
8. meets the following pretreatment laboratory criteria at baseline (within 14 days prior to study drug administration):
boolean
C0022877 (UMLS CUI [1,1])
C0243161 (UMLS CUI [1,2])
C2709094 (UMLS CUI [1,3])
Platelet Count measurement | Bone marrow infiltration Extensive
Item
1. platelet count>50x10^9/l or, if the bone marrow is extensively infiltrated,>30x10^9/l
boolean
C0032181 (UMLS CUI [1])
C3854434 (UMLS CUI [2,1])
C0205231 (UMLS CUI [2,2])
Hemoglobin measurement
Item
2. hemoglobin>8.0g/dl
boolean
C0518015 (UMLS CUI [1])
Absolute neutrophil count | Bone marrow infiltration Extensive
Item
3. absolute neutrophil count >1.0x10^9/l or, if the bone marrow is extensively infiltrated, >0.5x10^9/l
boolean
C0948762 (UMLS CUI [1])
C3854434 (UMLS CUI [2,1])
C0205231 (UMLS CUI [2,2])
Laboratory Criteria pre treatment | Liver Function Tests
Item
9. meets the following pretreatment laboratory criteria for liver function tests at the screening visit conducted within 14 days of registration
boolean
C0022877 (UMLS CUI [1,1])
C0243161 (UMLS CUI [1,2])
C2709094 (UMLS CUI [1,3])
C0023901 (UMLS CUI [2])
Aspartate aminotransferase measurement
Item
1. ast (sgot): <3 times the upper limit of institutional laboratory normal
boolean
C0201899 (UMLS CUI [1])
Alanine aminotransferase measurement
Item
2. alt (sgpt): <3 times the upper limit of institutional laboratory normal
boolean
C0201836 (UMLS CUI [1])
Serum total bilirubin measurement | Exception Relationship Disease
Item
3. total bilirubin: <2 times the upper limit of institutional laboratory normal, unless clearly related to the disease
boolean
C1278039 (UMLS CUI [1])
C1705847 (UMLS CUI [2,1])
C0439849 (UMLS CUI [2,2])
C0012634 (UMLS CUI [2,3])
Childbearing Potential Contraceptive methods | Contraceptives, Oral | Barrier Contraception Double | Sexual Abstinence | Female Sterilization | Postmenopausal state | Gender Contraceptive methods
Item
10. women with child-bearing potential should be practicing an adequate form of contraception, as judged by the investigator (i.e. birth control pills, double barrier method, abstinence, etc.) or be surgically sterile or 12 months post-menopausal. male subject agrees to use an acceptable method for contraception for the duration of the study.
boolean
C3831118 (UMLS CUI [1,1])
C0700589 (UMLS CUI [1,2])
C0009905 (UMLS CUI [2])
C0004764 (UMLS CUI [3,1])
C0205173 (UMLS CUI [3,2])
C0036899 (UMLS CUI [4])
C0015787 (UMLS CUI [5])
C0232970 (UMLS CUI [6])
C0079399 (UMLS CUI [7,1])
C0700589 (UMLS CUI [7,2])
Age
Item
11. age 18 years or older
boolean
C0001779 (UMLS CUI [1])
Informed Consent
Item
12. has given voluntary written informed consent.
boolean
C0021430 (UMLS CUI [1])
POEMS Syndrome
Item
1. poems syndrome (plasma cell dyscrasia with polyneuropathy, organomegaly, endocrinopathy, monoclonal protein (m-protein) and skin changes)
boolean
C0085404 (UMLS CUI [1])
Leukemia, Plasma Cell
Item
2. plasma cell leukemia
boolean
C0023484 (UMLS CUI [1])
Renal Insufficiency Requirement Dialysis | Hemodialysis
Item
3. impaired kidney function requiring dialysis, patients on hemodialysis are excluded
boolean
C1565489 (UMLS CUI [1,1])
C1514873 (UMLS CUI [1,2])
C0011946 (UMLS CUI [1,3])
C0019004 (UMLS CUI [2])
Steroids Dosage | Prednisone U/day Equivalent | Other medical condition | Asthma | Lupus Erythematosus, Systemic | Rheumatoid Arthritis
Item
4. receiving steroids >the equivalent of 10mg prednisone daily for other medical conditions, e.g., asthma, systemic lupus erythematosis, rheumatoid arthritis
boolean
C0038317 (UMLS CUI [1,1])
C0178602 (UMLS CUI [1,2])
C0032952 (UMLS CUI [2,1])
C0456683 (UMLS CUI [2,2])
C0205163 (UMLS CUI [2,3])
C3843040 (UMLS CUI [3])
C0004096 (UMLS CUI [4])
C0024141 (UMLS CUI [5])
C0003873 (UMLS CUI [6])
Communicable Disease Uncontrolled | Antibiotics Lacking
Item
5. infection not controlled by antibiotics
boolean
C0009450 (UMLS CUI [1,1])
C0205318 (UMLS CUI [1,2])
C0003232 (UMLS CUI [2,1])
C0332268 (UMLS CUI [2,2])
HIV Infection | Consent HIV test
Item
6. hiv infection. patients should provide consent for hiv testing according to the institution's standard practice
boolean
C0019693 (UMLS CUI [1])
C1511481 (UMLS CUI [2,1])
C1321876 (UMLS CUI [2,2])
Hepatitis B | Hepatitis C
Item
7. known active hepatitis b or c
boolean
C0019163 (UMLS CUI [1])
C0019196 (UMLS CUI [2])
Myocardial Infarction | Heart failure New York Heart Association Classification | Angina Pectoris Uncontrolled | Ventricular arrhythmia Severe Uncontrolled | Ischemia Electrocardiography | Cardiac conduction abnormality Electrocardiography
Item
8. myocardial infarction within 6 months prior to enrollment or has new york heart association (nyha) class iii or iv heart failure (appendix d), uncontrolled angina, severe uncontrolled ventricular arrhythmias, or electrocardiographic evidence of acute ischemia or active conduction system abnormalities
boolean
C0027051 (UMLS CUI [1])
C0018801 (UMLS CUI [2,1])
C1275491 (UMLS CUI [2,2])
C0002962 (UMLS CUI [3,1])
C0205318 (UMLS CUI [3,2])
C0085612 (UMLS CUI [4,1])
C0205082 (UMLS CUI [4,2])
C0205318 (UMLS CUI [4,3])
C0022116 (UMLS CUI [5,1])
C1623258 (UMLS CUI [5,2])
C1842820 (UMLS CUI [6,1])
C1623258 (UMLS CUI [6,2])
Second Neoplasm Treatment required for
Item
9. second malignancy requiring concurrent treatment
boolean
C0085183 (UMLS CUI [1,1])
C0332121 (UMLS CUI [1,2])
Illness Serious Interferes with Treatment completion | Serious mental illness Interferes with Treatment completion
Item
10. other serious medical or psychiatric illness that could potentially interfere with the completion of treatment according to this protocol
boolean
C0221423 (UMLS CUI [1,1])
C0205404 (UMLS CUI [1,2])
C0521102 (UMLS CUI [1,3])
C0580352 (UMLS CUI [1,4])
C3841614 (UMLS CUI [2,1])
C0521102 (UMLS CUI [2,2])
C0580352 (UMLS CUI [2,3])
Childbearing Potential Pregnancy test positive
Item
11. positive pregnancy test in women of childbearing potential
boolean
C3831118 (UMLS CUI [1,1])
C0240802 (UMLS CUI [1,2])
Hypersensitivity Boron | Mannitol allergy
Item
12. patient has hypersensitivity to boron or mannitol.
boolean
C0020517 (UMLS CUI [1,1])
C0006030 (UMLS CUI [1,2])
C0571922 (UMLS CUI [2])
Peripheral Neuropathy CTCAE Grades
Item
13. patient has ≥grade 2 peripheral neuropathy within 14 days before enrollment.
boolean
C0031117 (UMLS CUI [1,1])
C1516728 (UMLS CUI [1,2])
Investigational New Drugs
Item
14. patient has received other investigational drugs with 14 days before enrollment
boolean
C0013230 (UMLS CUI [1])