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RECRUITING
NCT06192979
NA

Optimize First-line Treatment for AL Amyloidosis With t (11; 14)

Sponsor: Jin Lu, MD

View on ClinicalTrials.gov

Summary

Achievement of complete hematologic response (CHR) is vital for systemic AL amyloidosis. Currently, the CHR rate of daratumumab, bortezomib, and dexamethasone (DBD) is close to 60%. Considering that Bcl-2 inhibitor is effective for AL amyloidosis with t(11; 14) and the median hematologic onset time of DBD is 7 days. We design a a prospective study on AL amyloidosis with t(11; 14). All patients receive DBD at the beginning. Patient will receive DBD for at least 6 cycles if achieve rapid hematologic response at day 7, while other patients will receive daratumumab, venetoclax and dexamethasone.

Official title: Optimize First-line Treatment for Systemic Light Chain Amyloidosis With t (11; 14)

Key Details

Gender

All

Age Range

Any - Any

Study Type

INTERVENTIONAL

Enrollment

41

Start Date

2024-01-05

Completion Date

2027-03-31

Last Updated

2026-03-09

Healthy Volunteers

No

Interventions

DRUG

Daratumumab

Daratumumab 16 mg/kg was administered intravenously weekly in cycles one and two, every two weeks for cycles three to six, for at least 6 cycles. Daratumumab and hyaluronidase-fihj 1800mg is allowed according to the patients' choice.

DRUG

Bortezomib

All patients received 1.0-1.3 mg/m2 subcutaneous bortezomib once weekly of 28 days each for at 6 cycles.

DRUG

Dexamethasone

All patients received 20-40 mg oral or intravenous dexamethasone

DRUG

Venetoclax

All patients received venetoclax 400mg daily.

Locations (6)

Peking University People's Hospital

Beijing, Beijing Municipality, China

Capital Medical University Affiliated Fuxing Hospital

Beijing, Beijing Municipality, China

Beijing Anzhen Hospital

Beijing, Beijing Municipality, China

Chinese PLA Eastern Theater General Hospital

Nanjing, Jiangsu, China

Qingdao Municipal Hospital

Qingdao, Shandong, China

The First Affiliated Hospital of Xi'an Jiao Tong University

Xi’an, Shanxi, China