Isatuximab and Bendamustine in Systemic Light Chain Amyloidosis
NCT04943302 · Status: WITHDRAWN · Phase: PHASE2 · Type: INTERVENTIONAL
Last updated 2024-10-18
Summary
Patients with systemic light chain (AL) amyloidosis, particularly those who are ineligible for transplant or have relapsed/refractory disease, have limited treatment options. The combination of bendamustine and dexamethasone is well-tolerated and efficacious in patients with relapsed/refractory AL amyloidosis. Anti-CD38 antibodies have recently demonstrated great efficacy in AL amyloidosis. Adding isatuximab, a monoclonal antibody targeting CD38, to bendamustine would combine two mechanisms of targeting the clonal plasma cell without significant overlap in toxicity. This would provide a steroid minimizing and neurotoxic-free regimen for patients with AL amyloidosis. This study is a phase II clinical trial of isatuximab and bendamustine in newly diagnosed or relapsed/refractory AL amyloidosis. It is hypothesized that this combination will result in a high number of deep hematologic responses.
Conditions
- Amyloidosis
- Light Chain (AL) Amyloidosis
Interventions
- DRUG
-
Bendamustine Hydrochloride
To be given by IV at 70mg/m2 on cycle days 1 and 8 for up to 6 cycles
- DRUG
-
Isatuximab
To be given by IV at10mg/kg IV on cycle 1 days 1,8,15, and 22; cycle 2-6 days 1,8; and cycle 7-12 days 1
Sponsors & Collaborators
- collaborator INDUSTRY
-
Tufts Medical Center
lead OTHER
Principal Investigators
-
Cindy Varga, MD · Tufts Medical Center
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SEQUENTIAL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-09-01
- Primary Completion
- 2024-09-30
- Completion
- 2026-01-31
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