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Efficacy of CC-5013 (Revlimid or Lenalidomide) in Patients With Primary Systemic Amyloidosis

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ClinicalTrials.gov Identifier: NCT00166413
Recruitment Status : Completed
First Posted : September 14, 2005
Last Update Posted : May 6, 2011
Sponsor:
Information provided by:
Mayo Clinic

Brief Summary:
Patients with primary systemic amyloidosis will be treated with CC-5013 (lenalidomide; Revlimid) as a single agent for 3 months. If their disease worsens or does not improve during that time frame dexamethasone will be added to the treatment program.

Condition or disease Intervention/treatment Phase
Amyloidosis Drug: CC-5013 Phase 2

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 38 participants
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase II Trial of CC-5013 in Patients With Primary Systemic Amyloidosis
Study Start Date : April 2005
Actual Primary Completion Date : December 2006

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Amyloidosis

Arm Intervention/treatment
Experimental: CC5013
Assess the proportion of confirmed hematologic responses (HCR, HPR) resulting from treatment with CC5013 after 3 months in patients with primary systemic amyloidosis.
Drug: CC-5013
40 mg/day orally on days 1-4 and 15-18 of each 28-day cycle
Other Name: amino substituted analog of thalidomide




Primary Outcome Measures :
  1. To evaluate the hematologic response rate of CC-5013 in patients with primary systemic amyloidosis [ Time Frame: 12 months ]

Secondary Outcome Measures :
  1. Toxicity of single agent CC-5013 and combination CC-5013 and dexamethasone [ Time Frame: 12 months ]
  2. Hematologic response rate of CC-5013 and dexamethasone [ Time Frame: 12 months ]
  3. Organ response of CC-5013 and the CC-5013 dexamethasone combination [ Time Frame: 12 months ]
  4. Time to progression [ Time Frame: 5 years ]
  5. Survival [ Time Frame: 5 years ]


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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria
  1. Histochemical diagnosis of amyloidosis as based on detection by polarizing microscopy of green birefringent material in Congo red-stained tissue specimens and immunohistochemical proof of AL
  2. Measurable disease of AL amyloidosis as defined by one of the following:

    • Serum monoclonal protein >=1.0 g by protein electrophoresis
    • >200 mg of monoclonal protein in the urine on 24 hour electrophoresis
    • Serum immunoglobulin free light chain & >=10 mg/dL AND abnormal serum immunoglobulin kappa to lambda free light chain ratio
  3. ECOG performance status (PS) 0, 1, 2, or 3
  4. >=18 years of age
  5. The following laboratory values obtained <=14 days prior to registration:

    • Creatinine < = 3 mg/dL
    • Absolute neutrophil count >=1000/microliter
    • Platelet >=75000/microliter
    • Hemoglobin > = 8.0 g/dL
  6. Symptomatic organ involvement with amyloid to justify therapy. This could include liver involvement, cardiac involvement, renal involvement, peripheral neuropathy grade 1, or soft tissue involvement. Must have more than purpura or carpal tunnel syndrome
  7. Previously treated or untreated. No limit to prior therapy provided there is adequate residual organ function
  8. Ability to provide informed consent
  9. Anticipated life expectancy of at least 3 months
  10. None of the following:

    • Pregnant women or women of reproductive ability who are unwilling to use effective contraception
    • Nursing women
    • Men who are unwilling to use a condom (even if they have undergone a prior vasectomy) while having intercourse with any woman, while taking the drug and for 4 weeks after stopping treatment
    • Myelosuppressive chemotherapy < 4 weeks prior to registration
    • Concomitant high dose corticosteroids
    • Grade 2 (or higher) peripheral neuropathy
    • Uncontrolled infection
    • Clinically overt multiple myeloma
    • Active malignancy
    • Prior hypersensitivity reaction to Thalidomide
    • Syncope within the past 30 days

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00166413


Locations
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United States, Minnesota
Mayo Clinic
Rochester, Minnesota, United States, 55905
Sponsors and Collaborators
Mayo Clinic
Investigators
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Principal Investigator: Angela Dispenzieri, M.D. Mayo Clinic

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Responsible Party: Angela Dispenzieri, M.D., Mayo Clinic Cancer Center
ClinicalTrials.gov Identifier: NCT00166413     History of Changes
Other Study ID Numbers: 1105-04
MC0484 ( Other Identifier: Mayo Clinic Cancer Center )
1105-04 ( Other Identifier: Mayo Clinic IRB )
First Posted: September 14, 2005    Key Record Dates
Last Update Posted: May 6, 2011
Last Verified: May 2011
Additional relevant MeSH terms:
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Immunoglobulin Light-chain Amyloidosis
Amyloidosis
Proteostasis Deficiencies
Metabolic Diseases
Neoplasms, Plasma Cell
Neoplasms by Histologic Type
Neoplasms
Lymphoproliferative Disorders
Immunoproliferative Disorders
Immune System Diseases
Paraproteinemias
Lenalidomide
Immunologic Factors
Physiological Effects of Drugs
Angiogenesis Inhibitors
Angiogenesis Modulating Agents
Growth Substances
Growth Inhibitors
Antineoplastic Agents