A Phase II Trial of the Immunomodulatory Drug CC-5013 for Patients With AL Amyloidosis
- Determine the tolerability of CC-5013 in patients with primary systemic (AL)
- Determine the objective hematologic response rate in patients treated with this drug.
- Determine amyloid organ disease response in patients treated with this drug.
- Determine hematologic and amyloid organ disease response in patients who do not achieve
a response to CC-5013 alone and are subsequently treated with CC-5013 and
- Determine the toxicity of CC-5013 in combination with dexamethasone in these patients.
OUTLINE: Patients receive oral CC-5013 once daily on days 1-21. Courses repeat every 28 days
in the absence of disease progression or unacceptable toxicity. Patients not achieving a
hematologic response continue to receive CC-5013 as before and also receive oral
dexamethasone twice daily on days 1-4, 9-12, and 17-20 of every other 28-day course for up
to 6 courses of combination therapy. Patients who maintain a hematologic response after 6
courses of combination therapy may receive CC-5013 alone in the absence of disease
progression or unacceptable toxicity. Patients not achieving a hematologic response after
the initiation of dexamethasone are removed from the study.
Patients are followed annually.
PROJECTED ACCRUAL: A total of 15-25 patients will be accrued for this study within 5-12.5
Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Tolerability and objective hematologic response with CC-5013 every 3 months
David C. Seldin, MD, PhD
Boston Medical Center
United States: Federal Government
|Cancer Research Center at Boston Medical Center
|Boston, Massachusetts 02118