This study will include patients with previously treated systemic relapsed or refractory light-chain (AL) amyloidosis who require further therapy and will be aimed at determining the safety profile and the maximum tolerated dose/recommended phase 2 dose of MLN9708 administered orally.
Inclusion Criteria:
- Male or female patients 18 years or older
- Biopsy-proven systemic relapsed or refractory light-chain (AL) amyloidosis, which after at least 1 prior therapy, in the investigator's opinion, requires further treatment
- If received stem cell transplant, must be at least 3 months posttransplantation and recovered from side effects
- Must have measurable disease defined as serum differential free light chain concentration ≥ 40mg/L
- Must have objective measurable organ (heart or kidney) amyloid involvement
- Must have cardiac biomarker risk stage I or II disease
- Must have adequate hematologic, hepatic, and renal function
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2
- Female patients who are post menopausal, surgically sterile, or agree to practice 2 effective methods of contraception or agree to abstain from heterosexual intercourse
- Male patients who agree to practice effective barrier contraception or agree to abstain from heterosexual intercourse
- Voluntary written consent
Exclusion Criteria
- Peripheral neuropathy that is greater or equal to Grade 2
- Cardiac status as described in protocol
- Severe diarrhea (≥ Grade 3) not controllable with medication or requires administration of total parenteral nutrition
- Known gastrointestinal condition or procedure that could interfere with swallowing or the oral absorption of tolerance of MLN9708
- Uncontrolled infection requiring systematic antibiotics
- Known human immunodeficiency virus (HIV) positive, hepatitis B surface antigen-positive status, or known or suspected active hepatitis C infection
- Presence of other active malignancy with the exception of nonmelanoma skin cancer, cervical cancer, treated early-stage prostate cancer provided that prostate-specific antigen is within normal limit, or any completely resected carcinoma in situ
- Female patients who are lactating or pregnant
- Major surgery within 14 days before the first dose of study drug
- Serious medical or psychiatric illness that could, in the investigator's opinion, potentially interfere with the completion of treatment according to the protocol
Last updated: 01/23/2013