Document Detail


Phase I study of atacicept in relapsed/refractory multiple myeloma (MM) and Waldenström's macroglobulinemia.
MedLine Citation:
PMID:  21454215     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Atacicept, a specific inhibitor of BLys and APRIL, was used in a phase I study for 14 patients with myeloma (MM) and 4 with Waldenström's macroglobulinemia (WM). They received 1 cycle of 5 once-weekly s.c. injections, followed by an extension if in stable disease or in response. The maximum tolerated dose was not identified. Of 11 patients with MM who completed initial treatment, 5 patients were progression-free after cycle 1 and 4 patients were progression-free after extended therapy. Of 4 patients with WM, 3 patients were progression-free after cycle 1. Polyclonal immunoglobulin isotypes and total B cells were reduced. Plasma concentrations of soluble CD 138 decreased. Biological effect was more pronounced in WM. Of the 16 patients tested at baseline, 13 had measurable levels of free APRIL (≥25 ng/mL). In this small series, no correlations were apparent between baseline levels of free APRIL and biological or clinical response criteria.
Authors:
Jean-François Rossi
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Publication Detail:
Type:  Clinical Trial, Phase I; Journal Article    
Journal Detail:
Title:  Clinical lymphoma, myeloma & leukemia     Volume:  11     ISSN:  2152-2669     ISO Abbreviation:  Clin Lymphoma Myeloma Leuk     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-04-01     Completed Date:  2011-08-30     Revised Date:  2011-10-03    
Medline Journal Info:
Nlm Unique ID:  101525386     Medline TA:  Clin Lymphoma Myeloma Leuk     Country:  United States    
Other Details:
Languages:  eng     Pagination:  136-8     Citation Subset:  IM    
Affiliation:
Department of Haematology, University Hospital, CHU Saint Eloi, Montpellier, France. jf-rossi@chu-montpellier.fr
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MeSH Terms
Descriptor/Qualifier:
Aged
Female
Humans
Male
Middle Aged
Multiple Myeloma / drug therapy*
Recombinant Fusion Proteins / administration & dosage*,  adverse effects*
Recurrence
Waldenstrom Macroglobulinemia / drug therapy*
Chemical
Reg. No./Substance:
0/Recombinant Fusion Proteins; 0/TACI receptor-IgG Fc fragment fusion protein

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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