Optimize First-line Treatment for AL Amyloidosis With t (11; 14)
NCT06192979 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 41
Last updated 2026-03-09
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.
Conditions
- Amyloidosis; Systemic
- AL Amyloidosis
Interventions
- DRUG
-
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
-
All patients received 1.0-1.3 mg/m2 subcutaneous bortezomib once weekly of 28 days each for at 6 cycles.
- DRUG
-
All patients received 20-40 mg oral or intravenous dexamethasone
- DRUG
-
All patients received venetoclax 400mg daily.
Sponsors & Collaborators
-
Jin Lu, MD
lead OTHER
Principal Investigators
-
Jin Lu · Peking University People's Hospital
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-01-05
- Primary Completion
- 2026-09-30
- Completion
- 2027-03-31
Countries
- China
Study Locations
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