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临床试验/NL-OMON52317
NL-OMON52317撤回2 期

Multicenter, open*label, phase II study in patients with monoclonal gammopathy of unknown significance (MGUS) and anti Myelin Associated Gycoproteine (MAG) Neuropathy and Zanubrutinib Treatment * MAGNAZ trial - Magnaz

niversitair Medisch Centrum Utrecht0 个研究点目标入组 40 人开始时间: 待定最近更新:

试验速览

阶段
2 期
状态
撤回
发起方
入组人数
40

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 99(—)

入选标准

  • - Able to provide written informed consent and understand and comply with the
  • requirements of
  • - Demyelinating polyneuropathy defined by electrophysiological criteria
  • according to EFNS/PNS
  • PDN guideline, 201019
  • - Some functional impairment; defined as an iRODS * 44 at baseline
  • - Age * 18 years
  • - IgM MGUS, defined as the presence of an IgM M protein (detectable but < 30
  • g/L) AND elevated total IgM level in serum
  • - Presence of anti MAG antibodies * 10.000 titer units, measured with the
  • Bühlmann ELISA
  • - ECOG performance score 0, 1, or 2
  • - Adequate hematological laboratory values defined as
  • hemoglobin * 5.0 mmol/L neutrophils > 1.0 × 10^9/L and platelets > 100 × 10^9/L
  • - Adequate hepatic and renal function laboratory values defined as ASAT/ALAT
  • < 3 × ULN, bilirubin < 2.0 × ULN and creatinine clearance * 30 ml/min
  • - No history of severe bleeding disorder such as hemophilia A, hemophilia B,
  • von Willebrand
  • disease, or history of spontaneous bleeding requiring blood transfusion or
  • other medical intervention
  • - Previous treatment with intravenous immunoglobulins is allowed if > 3
  • months before inclusion
  • - Previous treatment for PNP with Anti CD20 MoAb and/or cyclophosphamide is
  • allowed only if
  • given > 6 months before inclusion

排除标准

  • - Hematological malignancy e.g known Multiple Myeloma or confirmed Waldenstrom*s
  • Macroglobulinemia based on bone marrow analysis
  • - Any history of malignancy of any organ system (other than localized basal or
  • squamous cell
  • carcinoma of the skin, superficial bladder cancer or carcinoma in situ of the
  • cervix or breast),
  • treated or untreated within the last 3 years
  • - History of ischemic stroke within 180 days before first dose of Zanubrutinib.
  • - History of CNS hemorrhage.
  • - History of inherited or acquired hemorrhagic disorder
  • - Prior treatment with purine analogues (fludarabine or cladribine)
  • - Prior treatment with a BTK inhibitor
  • - Major surgery within 4 weeks of study treatment
  • - Participation in another interventional clinical trial
  • - Women with child*bearing potential (WOCBP) not able or willing to prevent
  • pregnancy and
  • lactating women as well. WOCBP will agree to use highly effective contraception
  • for the duration of the trial treatment and for 120 days after treatment stop
  • - Other known concomitant causes of chronic (demyelinating) PNP, including
  • Charcot Marie Tooth Disease, other hereditary neuropathies, diabetes mellitus,
  • use of amiodarone, past or current dependence on alcohol, other lymphoma or
  • malignant blood dyscrasias, previous Guillain*Barré syndrome
  • - Currently active, clinically significant cardiovascular disease such as
  • uncontrolled arrhythmia,
  • congestive heart failure, any Class 3 or 4 cardiac disease (congestive heart
  • failure) as defined by
  • the New York Heart Association (NYHA) Functional Classification, or history of
  • infarction within 6 months of screening
  • - A history of clinically significant ECG abnormalities, or any of the
  • following ECG abnormalities
  • at screening:
  • o QTcF >450 msec (males)
  • o QTcF >460 msec (females)
  • o History of familial long QT syndrome or known family history of Torsades de
  • o Use of agents known to prolong the QT interval unless they can be permanently
  • discontinued for the duration of the study
  • o second degree atrioventricular (AV) block Type II, or third*degree AV block
  • * Controlled atrial fibrillation is allowed
  • - Unable to swallow capsules or disease significantly affecting
  • gastrointestinal function such as
  • malabsorption syndrome, resection of the stomach or small bowel, symptomatic
  • inflammatory
  • bowel disease, or partial or complete bowel obstruction
  • - Uncontrolled active systemic infection or recent infection requiring
  • parenteral anti*microbial
  • therapy that was completed * 14 days before the first dose of study drug.
  • Active tuberculosis
  • - Known infection with human immunodeficiency virus (HIV), or serologic status
  • reflecting active
  • hepatitis B or hepatitis C infection as follows: Presence of hepatitis B
  • 另有 12 项未显示

研究者

发起方
niversitair Medisch Centrum Utrecht

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