Primary Amyloidosis Clinical Trials

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An Open-label Phase I/II Trial of Venetoclax-Dexamethasone in Relapsed and/or Refractory t(11;14) Systemic Light-Chain Amyloidosis

Status: Recruiting
Location: See all (6) locations...
Intervention Type: Drug, Device
Study Type: Interventional
Study Phase: Phase 1/Phase 2
SUMMARY

The purpose of this study is assess safety, safest dose, and effectiveness of venetoclax in combination with dexamethasone in participants with t(11;14) positive relapsed (comes back) or refractory (did not get better) light chain amyloidosis.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Age ≥ 18 years at time of signing Informed Consent Form

• Ability to comply with the study protocol, in the investigator's judgment

• Confirmed diagnosis of systemic AL amyloidosis by mass spectrometry or immunohistochemistry (IHC) on a tissue biopsy

• Has received ≥1 prior lines of therapy, including an anti-cluster of differentiation 38 (CD 38) monoclonal antibody

• Participants with a history of autologous hematopoietic cell transplantation must have recovered from any transplant-related toxicities

• Presence of t(11;14) on FISH at any time since diagnosis (Eligibility must confirmed by FISH testing at Columbia University Irving Medical Center (CUIMC)

• Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2

Locations
United States
Alabama
The University of Alabama at Birmingham Hospital
WITHDRAWN
Birmingham
Massachusetts
Boston Medical Center
RECRUITING
Boston
Minnesota
Mayo Clinic Rochester
RECRUITING
Rochester
Missouri
Washington University School of Medicine
ACTIVE_NOT_RECRUITING
St Louis
New York
New York Presbyterian Hospital/Columbia University Irving Medical Center
RECRUITING
New York
Wisconsin
Froedtert Hospital & the Medical College of Wisconsin
RECRUITING
Milwaukee
Contact Information
Primary
Research Nurse Navigator
cancerclinicaltrials@cumc.columbia.edu
212-342-5162
Time Frame
Start Date: 2022-10-26
Estimated Completion Date: 2027-09
Participants
Target number of participants: 53
Treatments
Experimental: Phase 1: Venetoclax 200 mg
Cohort 1: Venetoclax 200 mg tablet, once daily for up to 2 cycles after achieving best response, for a maximum of 6 cycles (1 cycle = 28 days)
Experimental: Phase 1: Venetoclax 400mg
Cohort 2: Venetoclax 400 mg tablet, once daily for up to 2 cycles after achieving best response, for a maximum of 6 cycles (1 cycle = 28 days)
Experimental: Phase 1: Venetoclax 400mg + Dexamethasone 10 mg
Cohort 3: Venetoclax 400 mg tablet, once daily and Dexamethasone 10 mg tablet once weekly, for up to 2 cycles after achieving best response, for a maximum of 6 cycles (1 cycle = 28 days)
Experimental: Phase 1: Venetoclax 400mg + Dexamethasone 20 mg
Cohort 4: Venetoclax 400 mg tablet, once daily and Dexamethasone 20 mg tablet once weekly, for up to 2 cycles after achieving best response, for a maximum of 6 cycles (1 cycle = 28 days)
Experimental: Phase 2: Venetoclax MTD with Dexamethasone
Venetoclax MTD (200 mg or 400 mg) with Dexamethasone (10 mg or 20 mg) as determined by the phase I results
Active_comparator: Phase 2: Control Arm (Investigator's Choice)
Participants will receive one of the following as determined by the investigator:~Daratumumab, Pomalidomide, Bendamustine, or Ixazomib (+/- dexamethasone)
Related Therapeutic Areas
Sponsors
Collaborators: Genentech, Inc.
Leads: Columbia University

This content was sourced from clinicaltrials.gov