HOVON HO104 MM

Closed

Main info

Identifier:
HO104 AL Amyloidosis
Sponsor:
HOVON
Working group party:
Lymphoma
Age:
18-70
Stage:
1st Line
Echelon:
Limited Site Selection
Included patients:
57
(of 114)
Active sites:
18
(of 22)
Title:

A multicenter, prospective 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.

Timeline

Scheduled
Actual
2009
31 Jan
Opportunity
2010
01 Jan
Development
2010
11 May
Development
2010
17 Nov
Submission in Progress
2010
17 Nov
Submission in Progress
2011
17 Jan
Activated
2011
31 Aug
EC Approval
2011
31 Aug
EC Approval
2011
30 Sep
First Site
2012
12 Jan
First Site
2012
12 Jan
Activated
2012
12 Feb
FPI
2012
23 Mar
FPI
2016
23 Mar
ClosedForInclusionScheduledStart
2016
01 Apr
ClosedForInclusionActualStart
2018
01 Jan
Endpoint Analysis
2018
01 Jan
Endpoint Analysis
2021
04 Jan
CloseoutInProgressLastPtOutScheduledStart
2021
29 Jan
CloseoutInProgressLastPtOutActualStart
2022
01 Apr
Archived

News

29JAN2021: Last patient's last visit. Close-outs and closure of study are in progress.

01APR2016: The study is closed for inclusion of new patients because the target number has been reached. Included patients will be followed until 5 years after registration.

21JUL2015: Please note that the target of study patients is 57 (50 patients registered for Bortezemib, 7 'arm A' patients of the primary phase III study). Sites will be notified by email once the study is almost closed.

2012: Please be aware that there is a restriction on the number of sites that can participate in this study, due to study-specific monitoring. At the moment, no extra sites can be added. If you have any questions, please contact the HOVON Data Center.

New documents:

22MAR2017: new version CRFs (v7)

15JUL2015: All mentioned documents are updated in relation to amendment 05

  • Protocol (clean + summary of changes)
  • ICF (clean + summary of changes)
  • Pre-study ICF
  • Echo review information
  • Belgium specific portfolio

Flow

Flow

Details

Phase:
Prospective Phase III study
Monitoring Type:
Study Specific
Objectives:
  • To determine the efficacy of bortezomib plus dexamethasone induction therapy followed by HDM and auto-SCT in patients with newly diagnosed AL amyloidosis who are 18-70 years inclusive.
  • To asses the safety of bortezomib plus dexamethasone as induction treatment followed by HDM and auto-SCT in patients with newly diagnosed AL amyloidosis who are 18-70 years inclusive.

Eligibility

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 stage 1-2,
  • Negative pregnancy test at inclusion for women of childbearing potential,
  • Written informed consent.

Inclusion criteria for stem cell mobilization and HDM with auto-SCT
Inclusion criteria

  • Life expectancy > 3 months,
  • WHO performance status 0-2,
  • NYHA stage 1-2,
  • Cardiac ejection fraction > 45% (only before HDM),
  • Negative pregnancy test in female patients of childbearing potential.
Exclusion Criteria:
  • Multiple Myeloma stage II and III (Durie and Salmon, see appendix K),
  • 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 orthostatic hypotension defined as a decrease in systolic blood pressure on standing of >20 mmHg 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 (screening obligatory),
  • Bilirubin > 2x upper limit of normal,
  • Creatinine clearance < 30 ml/min (after rehydration),
  • Absolute neutrophil count < 1.0 × 10^9/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-cell NHL or B-CLL,
  • Previous organ transplantation,
  • Unwilling or unable to use adequate contraception

Exclusion criteria for stem cell mobilization and HDM with auto-SCT:

  • Symptomatic effusions, defined as pleural effusion or ascites needing drainage therapy,
  • Uncontrolled infection,
  • Symptomatic orthostatic hypotension defined as a decrease in systolic blood pressure on standing of >20 mm Hg combined with symptoms like dizziness, cerebral and/or cardial ischemia. Anti-hypotensive medication is allowed,
  • Absolute neutrophil count < 1.0 × 10^9/L,
  • Bilirubin > 2x upper limit of normal.
  • Stem cell mobilization started > 12 weeks after the start of the last course of bortezomib and dexamethasone

Registration Details

Eligible patients should be registered before start of treatment. Patients need to be registered at the HOVON Data Center by one of the following options:

  • Trial Online Process (TOP, https://www.hdc.hovon.nl/top). A logon to TOP can be requested at the HOVON Data Center for participants.
  • By faxing the completed registration/randomization CRF +31.10.7041028 Monday through Friday, from 09:00 to 17:00 CET
  • By phone +31.10.7041560 Monday through Friday, from 09:00 to 17:00 CET

The following information will be requested at registration:

  • Protocol number
  • Institution name
  • Name of caller/responsible investigator
  • Local patient code (optional)
  • Sex
  • Date of birth and “Age in years”
  • Date written informed consent
  • Specific items patient gives consent for (see ICF)
  • Eligibility criteria

Participating Sites

Ziekenhuizen die deelnemen aan het onderzoek staan benoemd op de HOVON website bij het onderzoek. Het kan zijn dat uw ziekenhuis niet genoemd wordt, maar wel aan het onderzoek deelneemt. Informeer hiernaar bij uw arts.

Site
18 results
Order by
Accrual rate
Activation date
NL-Utrecht-UMCUTRECHT
8
12 Jan 2012
NL-Rotterdam-ERASMUSMC
8
24 Jul 2012
DE-Heidelberg-UNIHEIDELBERG
7
03 Aug 2012
NL-Den Haag-HAGA
6
04 Mar 2013
NL-Amsterdam-VUMC
5
26 Jun 2012
NL-Nieuwegein-ANTONIUS
3
01 Feb 2013
BE-Gent-UZGENT
3
19 Feb 2013
NL-Eindhoven-MAXIMAMC
3
26 Feb 2013
NL-Maastricht-MUMC
3
23 Aug 2012
NL-Rotterdam-EMCDANIEL
3
12 Jun 2012
NL-Amsterdam-AMC
2
03 Jul 2012
NL-Groningen-UMCG
2
28 Dec 2012
NL-Nijmegen-RADBOUDUMC
1
05 Jul 2013
BE-Antwerpen-ZNASTUIVENBERG
1
21 Sep 2012
DE-Hamburg-UKE
1
14 Jan 2013
NL-Enschede-MST
1
30 Sep 2013
NL-Leiden-LUMC
06 Aug 2012
BE-Yvoir-MONTGODINNE
14 Jan 2013
= Active hospitals
= Inactive hospitals

Participating Parties

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