Multiple Myeloma Clinical Trial
Official title:
Therapeutic Potential of Human Immune Globulin Intravenous (IGIV) in Patients With Cardiac-Associated Light Chain (AL) Amyloidosis
RATIONALE: Antibodies, such as human immune globulin, can block the growth of abnormal cells
in different ways. Some block the ability of abnormal cells to grow and spread. Others find
abnormal cells and help kill them or carry cell-killing substances to them. Giving human
immune globulin may be effective in treating patients with primary amyloidosis that is
causing heart dysfunction.
PURPOSE: This phase I/II trial is studying the side effects and best dose of human immune
globulin and to see how well it works in treating patients with primary amyloidosis that is
causing heart dysfunction.
OBJECTIVES:
- Establish the maximum tolerated dose of human immune globulin intravenous (IGIV) given
weekly for the first 3 months and then bi-weekly for 9 additional months in patients
with cardiac-associated primary light chain-associated (AL) amyloidosis.
- Determine the safety, pharmokinetics, and therapeutic efficacy as evidenced by titers
of serum fibril-reactive immunoglobulin G (IgG) antibodies pre- and post-IGIV
infusions.
- Demonstrate stable or improved organ function.
OUTLINE: Patients receive human immune globulin IV (IGIV) once weekly for 3 months and then
once biweekly for 9 months, for a total of 12 months in the absence of disease progression
or unacceptable toxicity.
Patients undergo blood sample collection to measure serum anti-fibril antibody titers pre-
and post- IGIV infusion for assessing safety and response to treatment.
;
Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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