About this trial
This is an open-label, multicenter, Phase 2 study in subjects with newly diagnosed or previous treated systemic light chain (AL) amyloidosis. Approximately 40 subjects will receive therapy with bortezomib, pomalidomide, and dexamethasone. The primary outcome is hematologic very good partial response and complete response rate at 6 months.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosis of AL amyloidosis, confirmed by histology and typed with immunohistochemistry, immunoelectron microscopy or mass spectrometry.
Newly diagnosed or previous treated AL amyloidosis
Patients must be ≥ 18 years of age.
ECOG performance status 0, 1 or 2.
Disqualifiers
Fulfill with the criteria of active multiple myeloma or active lymphoplasmacytic lymphoma.
Presence of other tumors which is/are in advanced malignant stage and has/have systemic metastasis;
Severe or persistent infection that cannot be effectively controlled;
Presence of severe autoimmune diseases or immunodeficiency disease;
Trial design
Single group
Treatments tested in this trial
Bortezomib
DrugBortezomib 1.3mg/m2 sc weekly
Pomalidomide
Drug4mg per day taken orally on 1-21 of repeated 28-day cycles
Dexamethasone
DrugDexamethasone 20mg-40mg weekly
Treatment groups
Trial outcomes
Primary outcomes
Hematologic VGPR + CR rate at 6 months
Hematologic very good partial response plus complete response rate at 6 months
Secondary outcomes
Overall Hematologic response rate at 6 months
Overall Hematologic partial response, very good partial response rate and complete response at 6 months
At least one organ response at 6 months
At least one organ response (cardiac response, renal response, liver response) at 6 months
TTNT at 2 years
Time to next treatment at 2 years
Estimated PFS at 2 years
Estimated Progression free survival at 2 years
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Jin Lu, MD
Lead sponsor
Peking University People's Hospital
Sponsor institution