Consensus guidelines for the conduct and reporting of clinical trials in systemic light-chain amyloidosis

被引:311
作者
Comenzo, R. L. [1 ]
Reece, D. [2 ]
Palladini, G. [3 ]
Seldin, D. [4 ]
Sanchorawala, V. [4 ]
Landau, H. [5 ]
Falk, R. [6 ]
Wells, K. [7 ]
Solomon, A. [7 ]
Wechalekar, A. [8 ]
Zonder, J. [9 ]
Dispenzieri, A. [10 ]
Gertz, M. [10 ]
Streicher, H. [11 ]
Skinner, M. [4 ]
Kyle, R. A. [10 ]
Merlini, G. [3 ]
机构
[1] Tufts Med Ctr, Blood Bank, Div Hematol Oncol, Boston, MA 02111 USA
[2] Princess Margaret Hosp, Toronto, ON M4X 1K9, Canada
[3] Univ Pavia, Fdn IRCCS Policlin San Matteo, I-27100 Pavia, Italy
[4] Boston Univ, Sch Med, Boston, MA 02118 USA
[5] Mem Sloan Kettering Canc Ctr, New York, NY 10021 USA
[6] Brigham & Womens Hosp, Boston, MA 02115 USA
[7] Univ Tennessee, Grad Sch Med, Knoxville, TN USA
[8] UCL, London, England
[9] Barbara Ann Karmanos Canc Inst, Detroit, MI USA
[10] Mayo Clin, Rochester, MN USA
[11] NCI, Washington, DC USA
关键词
amyloidosis; free light chains; clinical trials; clinical research; STEM-CELL TRANSPLANTATION; BRAIN NATRIURETIC PEPTIDE; HIGH-DOSE MELPHALAN; TWICE-WEEKLY BORTEZOMIB; AL AMYLOIDOSIS; UNDETERMINED SIGNIFICANCE; MONOCLONAL GAMMOPATHIES; INTRAVENOUS MELPHALAN; MOLECULAR-MECHANISMS; CARDIAC BIOMARKERS;
D O I
10.1038/leu.2012.100
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
This manuscript summarizes the recommendations that emerged from the first Roundtable on Clinical Research in Immunoglobulin Light-chain Amyloidosis (AL), a meeting sponsored by the Amyloidosis Foundation (Clarkston, MI, USA) to develop a consensus of experts on a modern framework for clinical trial design and drug development in AL. Recent diagnostic and technical advances in AL, and updated consensus guidelines for assessing hematologic and organ responses, enable us to define study populations, appropriate end points, and other criteria for all phases of clinical research. This manuscript provides a framework for the design and conduct of systematic collaborative clinical research in AL to encourage more rapid testing of therapies and to expedite new drug development and approval.
引用
收藏
页码:2317 / 2325
页数:9
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