Trial Outcomes & Findings for The Impact of Velcade(TM)on Antibody Secreting Cells in Sensitized Renal Allograft Candidates (NCT NCT00722722)

NCT ID: NCT00722722

Last Updated: 2016-05-09

Results Overview

Response to treatment with Bortezomib (BTZ) alone was defined as a reduction in serum Donor Specific Alloantibody (DSA) levels following treatment. DSA levels were measured prior to treatment and after treatment. A good response occurred if all DSA were reduced. A partial response when a reduction was observed in at least one DSA, but not all DSA. No response occurred when no reduction of any DSA was attained.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

18 participants

Primary outcome timeframe

6 months

Results posted on

2016-05-09

Participant Flow

Participant milestones

Participant milestones
Measure
4 Dose Group
4 doses of bortezomib (1.3mg/m\^2 of body surface area) Bortezomib: Velcade given in four-dose cycles intravenously (through a vein).
16 Dose Group
16 doses of bortezomib (1.3mg/m\^2 of body surface area) Bortezomib: Velcade given in four-dose cycles intravenously (through a vein).
32 Dose Group
32 doses of bortezomib (1.3mg/m\^2 of body surface area) Bortezomib: Velcade given in four-dose cycles intravenously (through a vein).
Overall Study
STARTED
3
5
10
Overall Study
COMPLETED
3
5
10
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The Impact of Velcade(TM)on Antibody Secreting Cells in Sensitized Renal Allograft Candidates

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
4 Dose Group
n=3 Participants
4 doses of bortezomib (1.3mg/m\^2 of body surface area) Bortezomib: Velcade given in four-dose cycles intravenously (through a vein).
16 Dose Group
n=5 Participants
16 doses of bortezomib (1.3mg/m\^2 of body surface area) Bortezomib: Velcade given in four-dose cycles intravenously (through a vein).
32 Dose Group
n=10 Participants
32 doses of bortezomib (1.3mg/m\^2 of body surface area) Bortezomib: Velcade given in four-dose cycles intravenously (through a vein).
Total
n=18 Participants
Total of all reporting groups
Age, Continuous
35.3 years
STANDARD_DEVIATION 3.5 • n=99 Participants
40.4 years
STANDARD_DEVIATION 11.4 • n=107 Participants
39.5 years
STANDARD_DEVIATION 6.6 • n=206 Participants
39.1 years
STANDARD_DEVIATION 7.6 • n=7 Participants
Sex: Female, Male
Female
2 Participants
n=99 Participants
5 Participants
n=107 Participants
7 Participants
n=206 Participants
14 Participants
n=7 Participants
Sex: Female, Male
Male
1 Participants
n=99 Participants
0 Participants
n=107 Participants
3 Participants
n=206 Participants
4 Participants
n=7 Participants
Region of Enrollment
United States
3 participants
n=99 Participants
5 participants
n=107 Participants
10 participants
n=206 Participants
18 participants
n=7 Participants

PRIMARY outcome

Timeframe: 6 months

Population: In the 32 dose group, one patient received a kidney transplant with a B-cell flow cytometric crossmatch channel shift of less than 300 after dose 20 and was transplanted with a positive crossmatch donor. This patient was then excluded from further DSA analysis.

Response to treatment with Bortezomib (BTZ) alone was defined as a reduction in serum Donor Specific Alloantibody (DSA) levels following treatment. DSA levels were measured prior to treatment and after treatment. A good response occurred if all DSA were reduced. A partial response when a reduction was observed in at least one DSA, but not all DSA. No response occurred when no reduction of any DSA was attained.

Outcome measures

Outcome measures
Measure
4 Dose Group
n=3 Participants
4 doses of bortezomib (1.3mg/m\^2 of body surface area) Bortezomib: Velcade given in four-dose cycles intravenously (through a vein).
16 Dose Group
n=5 Participants
16 doses of bortezomib (1.3mg/m\^2 of body surface area) Bortezomib: Velcade given in four-dose cycles intravenously (through a vein).
32 Dose Group
n=9 Participants
32 doses of bortezomib (1.3mg/m\^2 of body surface area) Bortezomib: Velcade given in four-dose cycles intravenously (through a vein).
Response to Bortezomib Monotherapy
Good Response
0 participants
0 participants
0 participants
Response to Bortezomib Monotherapy
Partial Response
1 participants
1 participants
6 participants
Response to Bortezomib Monotherapy
No Response
2 participants
4 participants
3 participants

Adverse Events

4 Dose Group

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

16 Dose Group

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

32 Dose Group

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
4 Dose Group
n=3 participants at risk
4 doses of bortezomib (1.3mg/m\^2 of body surface area) Bortezomib: Velcade given in four-dose cycles intravenously (through a vein).
16 Dose Group
n=5 participants at risk
16 doses of bortezomib (1.3mg/m\^2 of body surface area) Bortezomib: Velcade given in four-dose cycles intravenously (through a vein).
32 Dose Group
n=10 participants at risk
32 doses of bortezomib (1.3mg/m\^2 of body surface area) Bortezomib: Velcade given in four-dose cycles intravenously (through a vein).
Blood and lymphatic system disorders
Anemia Grade 1
66.7%
2/3 • Number of events 2 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
20.0%
1/5 • Number of events 1 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
40.0%
4/10 • Number of events 4 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
Blood and lymphatic system disorders
Anemia Grade 2
0.00%
0/3 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
80.0%
4/5 • Number of events 4 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
60.0%
6/10 • Number of events 6 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
Blood and lymphatic system disorders
Thrombocytopenia Grade 1
33.3%
1/3 • Number of events 1 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
60.0%
3/5 • Number of events 3 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
70.0%
7/10 • Number of events 7 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
Blood and lymphatic system disorders
Thrombocytopenia Grade 2
0.00%
0/3 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
0.00%
0/5 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
10.0%
1/10 • Number of events 1 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
Blood and lymphatic system disorders
Leukopenia Grade 1
0.00%
0/3 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
0.00%
0/5 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
10.0%
1/10 • Number of events 1 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
Blood and lymphatic system disorders
Leukopenia Grade 2
0.00%
0/3 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
0.00%
0/5 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
20.0%
2/10 • Number of events 2 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
Gastrointestinal disorders
Nausea/Vomiting Grade 1
0.00%
0/3 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
60.0%
3/5 • Number of events 3 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
50.0%
5/10 • Number of events 5 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
Gastrointestinal disorders
Diarrhea Grade 1
33.3%
1/3 • Number of events 1 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
20.0%
1/5 • Number of events 1 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
40.0%
4/10 • Number of events 4 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
Gastrointestinal disorders
Diarrhea Grade 2
0.00%
0/3 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
20.0%
1/5 • Number of events 1 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
20.0%
2/10 • Number of events 2 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
General disorders
Flu-like symptoms Grade 1
0.00%
0/3 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
40.0%
2/5 • Number of events 2 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
60.0%
6/10 • Number of events 6 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
Musculoskeletal and connective tissue disorders
Myalgias Grade 1
0.00%
0/3 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
40.0%
2/5 • Number of events 2 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
70.0%
7/10 • Number of events 7 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
General disorders
Chills Grade 1
0.00%
0/3 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
0.00%
0/5 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
50.0%
5/10 • Number of events 5 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
General disorders
Fatigue Grade 1
0.00%
0/3 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
0.00%
0/5 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
30.0%
3/10 • Number of events 3 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
General disorders
Fatigue Grade 2
0.00%
0/3 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
0.00%
0/5 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).
10.0%
1/10 • Number of events 1 • Subjects were followed for 6 months. Before each drug dose, subjects were evaluated for possible toxicities that may have occurred after the previous doses(s).

Additional Information

Mark Stegall, MD

Mayo Clinic

Phone: 507-266-2812

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place