A study in which is investigated if the medicine bortezomib is effective in patients with AL amyloidosis

• Register: EUCTR
• Last refreshed on: 12 April 2021
• Main ID: EUCTR2010-021445-42-NL
• Date of registration: 27/01/2011
• Prospective Registration: Yes
• Primary sponsor: HOVON Foundation
• Public title: A study in which is investigated if the medicine bortezomib is effective in patients with AL amyloidosis
• Scientific title: A multicenter, phase II study of bortezomib and dexamethasone as induction treatment followed by high dose melphalan (HDM) and autologous stem cell transplantation (SCT) in patients with de novo amyloid light chain (AL) amyloidosis. - HOVON 104 AL amyloidosis
• Date of first enrolment: 31/08/2011
• Target sample size: 50
• Recruitment status: Not Recruiting
• URL: https://www.clinicaltrialsregister.eu/ctr-search/search?query=eudract_number:2010-021445-42
• Study type: Interventional clinical trial of medicinal product
• Study design: Controlled: no; Randomised: no; Open: yes; Single blind: no; Double blind: no; Parallel group: no; Cross over: no; Other: no; If controlled, specify comparator, Other Medicinial Product: no; Placebo: no; Other: no; Number of treatment arms in the trial: 1
• Phase: Human pharmacology (Phase I): no Therapeutic exploratory (Phase II): yes Therapeutic confirmatory - (Phase III): no Therapeutic use (Phase IV): no

Countries of recruitment

Belgium, Germany, Netherlands

Contacts

• Name: HOVON Data Center
• Affiliation: Erasmus MC

• Name: HOVON Data Center
• Affiliation: Erasmus MC

Key inclusion & exclusion criteria

Inclusion criteria:
• Biopsy proven, systemic, untreated AL amyloidosis requiring systemic chemotherapy,
• Age 18 -70 years inclusive at the time of signing the informed consent form,
• Measurable plasma cell dyscrasia, defined as a detectable M-protein with serum electrophoresis and/or level of involved FLC> 50 mg/L,
• Life expectancy > 3 months,
• WHO performance status 0-2,
• NYHA 1-2,
• Negative pregnancy test at inclusion for women of childbearing potential,
• Written informed consent.

Are the trial subjects under 18? no
Number of subjects for this age range: 0
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 44
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 6

Exclusion criteria:
• Multiple Myeloma stage II and III (Durie and Salmon),
• Any serious medical condition, laboratory abnormality, or psychiatric illness that would prevent the subject from signing the informed consent form,
• Any psychological, familial, sociological and geographical condition potentially hampering compliance with the study protocol and follow-up schedule,
• Previous treatment for plasma cell dyscrasia
• Pregnant or breast feeding females.
• Presence of other active malignancy or a history of active malignancy during the past 5 years, with the exception of nonmelanoma skin cancer, stage 0 cervical carcinoma, or treated early-stage prostate cancer provided that prostate-specific antigen is within normal limits,
• Hypersensitivity to boron or mannitol,
• Uncontrolled infection,
• Symptomatic othostatic hypotension defined as a decrease in systolic blood pressure on standing of >20mmHg combined with symptoms like dizziness, cerebral and/or cardial ischemia,
• Symptomatic effusions, defined as pleural effusion or ascites needing drainage therapy,
•NT pro BNP level > 5000 pg/ml and Troponin T> 0.06 microgram/l (not high senstitivity assay) or NT proBNP level > 5000 pg/ml and Troponin I > 2 times ULN
• Positive for HIV or infectious hepatitis, B or C,
• Bilirubin > 2x upper limit of normal,
• Creatinin clearance < 30 ml/min (after rehydration),
• Absolute neutrophil count < 1.0 × 109/L,
• NCI CTCAE grade peripheral sensory neuropathy > grade 2,
• NCI CTCAE grade peripheral sensory neuropathy > grade 1 in the presence of neuropathic pain,
•NCI CTCAE grade peripheral motor neuropathy > grade 2
• Concurrent diagnosis of B-cel NHL or B-CLL,
• Previous organ transplantation.
• Unwilling or unable to use adeaquate contraception




Age minimum:
Age maximum:
Gender:
Female: yes
Male: yes

Health Condition(s) or Problem(s) studied

AL Amyloidosis
MedDRA version: 16.1 Level: PT Classification code 10002022 Term: Amyloidosis System Organ Class: 10021428 - Immune system disorders

Therapeutic area: Diseases [C] - Cancer [C04]

Intervention(s)

Trade Name: Velcade
Pharmaceutical Form: Powder for solution for injection
INN or Proposed INN: BORTEZOMIB
CAS Number: 179324-69-7
Concentration unit: mg milligram(s)
Concentration type: equal
Concentration number: 3.5-

Primary Outcome(s)

Timepoint(s) of evaluation of this end point: About 10 months after inclusion of last patient

Secondary Objective: To asses the safety of bortezomib plus dexamethasone in the induction regimen followed by HDM and autologous SCT in patients with newly diagnosed AL amyloidosis who are 18-70 years inclusive

Main Objective: To determine the efficacy of bortezomib plus dexamethasone followed by HDM and auto-SCT in patients with newly diagnosed AL amyloidosis who are 18-70 years inclusive.

Primary end point(s): • Hematological CR rate 6 months after auto-SCT.
Patients are considered a success if they received HDM and auto-SCT and are in complete hematological response at 6 months, all other patients are considered a failure.

Secondary Outcome(s)

Timepoint(s) of evaluation of this end point: About 10 months after inclusion of last patient. May be repeated at later analysis

Secondary end point(s): • OS
• PFS
• Hematological response rate after induction therapy
• Response rate, hematological and organ
• Time to response, hematological and organ
• Duration of hematological and organ response
• Time to next AL amyloidosis therapy
• Safety (type, frequency, and severity of adverse events (AE) and relationship of AE to study drug
•Exploratory assessment of multiparameter flow cytometry quantification of bone marrow plasma cells and change in amyloid deposition in abdominal fat aspiration samples
•Evaluation of prognostic factors for survival included in the hematological and organ response criteria

Secondary ID(s)

HO104

Source(s) of Monetary Support

Janssens Pharma NV

Dutch Cancer Society

Ethics review

Status: Approved
Approval date: 31/08/2011
Contact: