Actively Recruiting

Age: 18Years - 99Years
All Genders
NCT06627309

Rapid dFLC Response Predict CHR in AL Amyloidosis

Led by Peking University People's Hospital · Updated on 2026-03-09

50

Participants Needed

8

Research Sites

113 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Light chain amyloidosis (AL amyloidosis) is a rare plasma cell dyscrasia characterized by the deposition of insoluble amyloid fibrils in multiple organ systems. The treatment of amyloidosis primarily relies on anti-plasma cell therapy and supportive care. The application of anti-plasma cell therapy has significantly improved outcomes in patients with AL amyloidosis. Standard first-line therapy typically includes daratumumab, bortezomib, cyclophosphamide, and dexamethasone (Dara-BCD), achieving a complete hematologic response in nearly 60% of patients.The depth and speed of the hematologic response are strongly correlated with organ response and overall survival. An early achievement of a complete hematologic response is particularly crucial in cases of AL amyloidosis characterized by significant organ involvement. The median time to a hematologic response for the daratumumab based treatment is only 7-9 days. The retrospective data showed that the hematologic response in Day 7 in Cycle 1 (C1D7) may predict the complete hematologic response rate. In order to validate the conclusion, the investigator design this prospective study.

CONDITIONS

Official Title

Rapid dFLC Response Predict CHR in AL Amyloidosis

Who Can Participate

Age: 18Years - 99Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosis of systemic AL amyloidosis
  • Treatment includes daratumumab, bortezomib, and dexamethasone
  • Patient has given informed consent after explanation
  • Difference in free light chains (dFLC) is 50 mg/L or higher
Not Eligible

You will not qualify if you...

  • Active multiple myeloma or active lymphoplasmacytic lymphoma
  • Advanced malignant tumors with systemic metastasis
  • Severe or persistent uncontrolled infections
  • Severe autoimmune or immunodeficiency diseases
  • Active hepatitis B or C infection, HIV infection, or syphilis infection
  • Any condition increasing risk or affecting study results as judged by researchers

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 8 locations

1

Peking University People's Hospital

Beijing, Beijing Municipality, China, 100044

Actively Recruiting

2

Fuxing Hospital affiliated to Capital Medical University

Beijing, Beijing Municipality, China, 100045

Actively Recruiting

3

Beijing Anzhen Hospital

Beijing, Beijing Municipality, China, 101118

Actively Recruiting

4

Peking University First Hospital

Beijing, Beijing Municipality, China

Actively Recruiting

5

First Affiliated Hospital of Harbin Medical University

Harbin, Heilongjiang, China

Actively Recruiting

6

Chinese PLA Eastern Theater General Hospital

Nanjing, Jiangsu, China

Actively Recruiting

7

Shengjing Hospital of China Medical University

Shenyang, Liaoning, China

Actively Recruiting

8

The First Affiliated Hospital of Xi'an Jiao Tong University

Xi'an, China

Actively Recruiting

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Research Team

Y

Yang Liu, M.D.

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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Rapid dFLC Response Predict CHR in AL Amyloidosis | DecenTrialz