A Study of Daratumumab-Based Therapies in Participants With Amyloid Light Chain (AL) Amyloidosis

Last updated: July 18, 2025
Sponsor: Janssen Research & Development, LLC
Overall Status: Active - Recruiting

Phase

2

Condition

Amyloidosis

Treatment

Bortezomib

Cyclophosphamide

Dexamethasone

Clinical Study ID

NCT05250973
CR109160
54767414AMY2009
2021-002639-48
2023-507069-25-00
  • Ages > 18
  • All Genders

Study Summary

The purpose of this study is to characterize cardiac safety of Daratumumab, Cyclophosphamide, Bortezomib, and Dexamethasone (D-VCd) treatment regimens (Arm A: daratumumab + immediate VCd treatment and Arm B: daratumumab + deferred VCd) in newly diagnosed systemic amyloid light chain (AL) amyloidosis with cardiac involvement and to identify potential mitigation strategies for cardiac toxicity (cohort 1); to characterize the pharmacokinetics of subcutaneous (SC) daratumumab, among racial and ethnic minorities, including Black or African American, with newly diagnosed AL amyloidosis treated with D-VCd (cohort 2).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Cohort 1: Cardiac involvement (amyloid light chain [AL] amyloidosis Mayo CardiacStage II and Stage IIIa) with or without other organ(s) involved; Cohort 2: One ormore organs impacted by systemic AL amyloidosis according to consensus guidelines

  • Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0, 1 or 2

  • A female participant of childbearing potential must have a negative serum or urinetest at screening and within 72 hours of the first dose of study treatment and mustagree to further serum or urine pregnancy tests during the study

  • A male participant must agree not to donate sperm for the purpose of reproductionduring the study and for a minimum of 6 months after receiving the last dose ofcyclophosphamide or 100 days after discontinuation of daratumumab, whichever islonger

  • Cohort 2 only: self-identified racial and ethnic minorities, including Black orAfrican American

  • Measurable disease at screening defined by one of the following:

Difference between iFLC and uninvolved FLC (dFLC) >= 40mg/L per central laboratory Serum involved free light chain (iFLC) >= 40 mg/L with an abnormal kappa:lambda ratio Serum M-protein >= 0.5 g/dL

Exclusion

Exclusion Criteria:

  • Prior therapy for systemic AL amyloidosis or multiple myeloma including medicationsthat target cluster of differentiation 38 (CD38), with the exception of 160milligrams(mg) dexamethasone or equivalent corticosteroid maximum exposure prior torandomization/enrollment

  • Previous or current diagnosis of symptomatic multiple myeloma, including thepresence of lytic bone disease, plasmacytomas, >=60% plasma cells in the bonemarrow, or hypercalcemia related to myeloma.

  • Participant received any of the following therapies:

  1. treatment with an investigational drug or used an invasive investigationalmedical device within 14 days or at least 5 half-lives, whichever is less;

  2. vaccinated with an investigational vaccine (except for COVID-19) live,attenuated or replicating viral vector vaccines less than (<) 4 weeks prior torandomization/enrollment. Participants who are taking strong Cytochrome P450 3A4(CYP3A4) inducers must discontinue their use at least 5 half-lives prior tothe first dose of bortezomib

  • Stem cell transplantation -Planned stem cell transplant during the first 9 cycles ofprotocol therapy are excluded. Stem cell collection during the first 9 cycles ofprotocol therapy is permitted

  • Grade 2 sensory or Grade 1 painful peripheral neuropathy

Study Design

Total Participants: 150
Treatment Group(s): 4
Primary Treatment: Bortezomib
Phase: 2
Study Start date:
March 01, 2022
Estimated Completion Date:
December 31, 2027

Connect with a study center

  • Tom Baker Cancer Center

    Calgary, Alberta T2N 4N2
    Canada

    Completed

  • Cross Cancer Institute

    Edmonton, Alberta T6G 1Z2
    Canada

    Active - Recruiting

  • University Health Network (UHN) Princess Margaret Cancer Centre

    Toronto, Ontario M5G 2M9
    Canada

    Active - Recruiting

  • University Health Network UHN Princess Margaret Cancer Centre

    Toronto, Ontario M5G 2M9
    Canada

    Completed

  • Peking University First Hospital

    Beijing, 100034
    China

    Active - Recruiting

  • Peking University People s Hospital

    Beijing, 100044
    China

    Active - Recruiting

  • Peking University People's Hospital

    Beijing, 100044
    China

    Active - Recruiting

  • West China Hospital Si Chuan University

    Chengdu, 610041
    China

    Active - Recruiting

  • West China Hospital, Si Chuan University

    Chengdu, 610041
    China

    Active - Recruiting

  • First affiliated Hospital of Zhejiang University

    Hangzhou, 310020
    China

    Active - Recruiting

  • Ruijin Hospital Shanghai Jiao Tong University

    Shanghai, 200025
    China

    Active - Recruiting

  • Ruijin Hospital, Shanghai Jiao Tong University

    Shanghai, 200025
    China

    Active - Recruiting

  • CHU de Limoges

    Limoges Cedex, 87042
    France

    Completed

  • Centre hospitalier Lyon-Sud

    Pierre Benite cedex, 69495
    France

    Active - Recruiting

  • CHU De Poitiers

    Poitiers, 86000
    France

    Active - Recruiting

  • CHU Rangueil

    Toulouse, 31400
    France

    Active - Recruiting

  • Charite Campus Benjamin Franklin

    Berlin, 12203
    Germany

    Completed

  • Universitatsklinikum Essen

    Essen, 45122
    Germany

    Completed

  • Universitaetsklinikum Heidelberg Medizinische Klinik V

    Heidelberg, 69120
    Germany

    Completed

  • Alexandra General Hospital of Athens

    Athens, 11528
    Greece

    Active - Recruiting

  • Università Degli Studi Di Napoli Federico Ii

    Napoli, 80131
    Italy

    Active - Recruiting

  • Fondazione IRCCS Policlinico San Matteo

    Pavia, 27100
    Italy

    Active - Recruiting

  • DIPARTIMENTO DI BIOTECNOLOGIE CELLULARI ED EMATOLOGIA - UNIVERSITà ''LA SAPIENZA''

    Roma, 00161
    Italy

    Completed

  • A.O.Citta della Salute e della Scienza di Torino

    Torino, 10126
    Italy

    Site Not Available

  • University Medical Center Groningen

    Groningen, 9713 GZ
    Netherlands

    Active - Recruiting

  • Hospital Maastricht University Medical Center

    Maastricht, 6229 HX
    Netherlands

    Completed

  • UMC Utrecht

    Utrecht, 3584 CX
    Netherlands

    Active - Recruiting

  • Hosp. Univ. Germans Trias I Pujol

    Badalona, 08916
    Spain

    Completed

  • Hosp Clinic de Barcelona

    Barcelona, 08036
    Spain

    Active - Recruiting

  • Hosp Univ Vall D Hebron

    Barcelona, 08035
    Spain

    Active - Recruiting

  • Hosp. Clinic I Provincial de Barcelona

    Barcelona, 08036
    Spain

    Active - Recruiting

  • Hosp. Clinic de Barcelona

    Barcelona, 08036
    Spain

    Active - Recruiting

  • Hosp. Univ. Vall D Hebron

    Barcelona, 08035
    Spain

    Active - Recruiting

  • Clinica Univ. de Navarra

    Madrid, 28027
    Spain

    Active - Recruiting

  • Clinica Univ. de Navarra

    Pamplona, 31008
    Spain

    Active - Recruiting

  • Hosp Clinico Univ de Salamanca

    Salamanca, 37007
    Spain

    Active - Recruiting

  • Hosp. Clinico Univ. de Salamanca

    Salamanca, 37007
    Spain

    Active - Recruiting

  • Leicester Royal Infirmary - Haematology

    Leicester, LE1 5WW
    United Kingdom

    Active - Recruiting

  • University College Hospital

    London, NW1 2PG
    United Kingdom

    Active - Recruiting

  • City of Hope

    Duarte, California 91010
    United States

    Completed

  • Smilow Cancer Hospital/Yale Cancer Center

    New Haven, Connecticut 06510
    United States

    Active - Recruiting

  • Moffitt Cancer Center

    Tampa, Florida 33612
    United States

    Active - Recruiting

  • Winship Cancer Institute Emory University

    Atlanta, Georgia 30322
    United States

    Active - Recruiting

  • Augusta University

    Augusta, Georgia 30912
    United States

    Site Not Available

  • Johns Hopkins University School of Medicine (JHUSOM)

    Baltimore, Maryland 21231
    United States

    Site Not Available

  • Boston University Medical Center

    Boston, Massachusetts 02118
    United States

    Active - Recruiting

  • Tufts Medical Center

    Boston, Massachusetts 02111
    United States

    Active - Recruiting

  • Barbara Ann Karmanos Cancer Institute

    Detroit, Michigan 48201
    United States

    Active - Recruiting

  • Washington Univ School of Meds - Div of Oncology

    Saint Louis, Missouri 63110
    United States

    Site Not Available

  • Roswell Park Comprehensive Cancer Center

    Buffalo, New York 14203
    United States

    Site Not Available

  • Memorial Sloan Kettering

    New York, New York 10021
    United States

    Active - Recruiting

  • Levine Cancer Institute

    Charlotte, North Carolina 28204
    United States

    Active - Recruiting

  • Wake Forest University - Baptist Medical Center

    Winston-Salem, North Carolina 27157
    United States

    Completed

  • University Hospital of Cleveland

    Cleveland, Ohio 44106
    United States

    Completed

  • Ohio Health Research Institute

    Columbus, Ohio 43214
    United States

    Active - Recruiting

  • The Ohio State University

    Columbus, Ohio 43210
    United States

    Active - Recruiting

  • Thomas Jefferson University

    Philadelphia, Pennsylvania 19107-4215
    United States

    Site Not Available

  • West Penn Hospital

    Pittsburgh, Pennsylvania 15224
    United States

    Completed

  • Sarah Cannon Research Institute

    Nashville, Tennessee 37203
    United States

    Site Not Available

  • UT Southwestern Medical Center

    Dallas, Texas 75390
    United States

    Active - Recruiting

  • Houston Methodist Cancer Center

    Houston, Texas 77030
    United States

    Site Not Available

  • VCU Medical Center

    Richmond, Virginia 23219
    United States

    Active - Recruiting

  • University of Washington

    Seattle, Washington 90805
    United States

    Completed

  • Medical College Of Wisconsin

    Milwaukee, Wisconsin 53226
    United States

    Site Not Available

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