Amyloid light-chain amyloidosis Nutritional, Metabolic, Endocrine Amyloidosis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Biopsy proven systemic AL amyloidosis 2. Cardiac involvement with septum thickness >12 mm (without other causes as published by Gertz et al) 3. Hypertension or other potential causes of left ventricular hypertrophy 4. Previously treated with chemotherapy 5. Induced at least a very good partial remission of the underlying monoclonal plasma cell or B cell disorder
Exclusion criteria
Exclusion criteria: 1. Age 6 months 5. Chronic liver disease 6. Bilirubin > 1,5 mg/dl 7. Not able to visit Amyloidosis Clinic in Heidelberg every 3 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Left ventricular mass, measured by cardiac MRI | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Quality of life, measured using the EORTC-QLQ-C30 2. Left ventricle (LV) end diastolic and end systolic volumes with resulting ejection fraction, measured by cardiac MRI 3. Cardiac function parameters (calculated left ventricular mass, Tissue DI, TAPSE, MAPSE) 4. Cardiac biomarkers (cardiac troponin T hsTNT, NTproBNP) 5. 6-minute walk distance 6. Organ response in other affected organs, Gertz et al., 2005; standard criteria 7. Improvement of hematological remission 8. Overall survival 9. Correlation of epigallocatechin gallate (EGCG) serum levels with organ response 10. Number of adverse events according to Common Toxicity Criteria (CTC) version 4.0 Measured 12 months after the start of treatment | — |
Countries
Germany