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A multicenter, randomized phase III study of bortezomib and ...

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HOVON 104 AL AMYLOIDOSIS Clinical trial protocol version 7, 27 November 2012<br />

1 Scheme <strong>of</strong> <strong>study</strong><br />

Newly diagnosed AL Amyloidosis, age 18-70 years inclusive<br />

Arm A<br />

Induction<br />

R<br />

1 : 2<br />

Arm B<br />

3 cycles q 4 weeks<br />

Dexamethasone 40 mg<br />

days 1-4, 9-12 <strong>and</strong> 17-20<br />

4 cycles, q 3 weeks<br />

Bortezomib 1.3 mg/m 2 ,<br />

days 1,4,8,11<br />

Dexamethasone 20 mg<br />

days 1-2, 4-5, 8-9, 11-12<br />

Eligible for<br />

stem cell mobilization<br />

no<br />

Off protocol<br />

treatment<br />

yes<br />

Stem cell mobilization with<br />

G-CSF<br />

Eligible for<br />

HDM with auto-SCT<br />

no<br />

Off protocol<br />

treatment<br />

yes<br />

High Dose Melphalan with autologous<br />

Stem Cell Transplantation<br />

Off protocol<br />

treatment<br />

Page 4 <strong>of</strong> 75 EudraCT-No: 2010-021445-42

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