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The Treatment of Lenalidomide in Patients With POEMS Syndrome

Phase 2
Conditions
POEMS Syndrome
Interventions
Registration Number
NCT00971685
Lead Sponsor
Istituto Clinico Humanitas
Brief Summary

Lenalidomide is a immunomodulatory drug derived from thalidomide, without neurotoxicity. Lenalidomide blocks the increased secretion of interleukin-6, tumor necrosis factor alpha and vascular endothelial growth factor (VEGF). The association with dexamethasone increased Lenalidomide response rate.

More recently the efficacy of Lenalidomide has been reported in a patient with POEMS (POEMS:polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes) syndrome with improvement of clinical condition and reduction of vascular endothelial growth factor (VEGF) and interleukin-6 (IL-6) level.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
16
Inclusion Criteria
  • Patients with a diagnosis of POEMS syndrome based on published diagnostic criteria
Exclusion Criteria
  • Any serious medical condition, laboratory abnormality, or psychiatric illness that would prevent the subject from signing the informed consent form

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Lenalidomide plus DexamethasoneLenalidomide and dexamethasoneRD regimen: Lenalidomide 25 mg/die for 21 days every month for 6 cycles, with once-weekly dexamethasone (40 mg).
Primary Outcome Measures
NameTimeMethod
Evaluation of clinical efficacy of Lenalidomide for 21 days every month for 6 cycles, with once-weekly dexamethasone (40 mg)) in patients with POEMS syndrome after 6 cycles.one year
Secondary Outcome Measures
NameTimeMethod
Evaluation of the safety and the activity.one year

Trial Locations

Locations (1)

Istituto Clinco Humanitas

🇮🇹

Rozzano, Milano, Italy

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