Optimize First-line Treatment for AL Amyloidosis With t (11; 14)
Optimize First-line Treatment for Systemic Light Chain Amyloidosis With t (11; 14)
About This Trial
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.
Who May Be Eligible (Plain English)
Original Eligibility Criteria
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Treatments Being Tested
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.
Bortezomib
All patients received 1.0-1.3 mg/m2 subcutaneous bortezomib once weekly of 28 days each for at 6 cycles.
Dexamethasone
All patients received 20-40 mg oral or intravenous dexamethasone
Venetoclax
All patients received venetoclax 400mg daily.