About this trial
This study aims to evaluate the use of teclistamab in systemic AL amyloidosis and answer whether teclistamab can improve the rate of complete hematological response.
This is a single-arm, multi-center, prospective study. Participants will receive the single drug teclistamab, which the investigator deems the best choice.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosis of systemic AL amyloidosis;
Patients must have received standard-of-care daratumumab, bortezomib, they do not have at least one organ response, and have not get complete hematological response;
Life expectancy greater than 12 weeks;
HGB ≥70g/L;
Disqualifiers
Fulfill with the criteria of active multiple myeloma or active lymphoplasmacytic lymphoma.
Presence of other tumors which is/are in advanced malignant stage and has/have systemic metastasis;
Severe or persistent infection that cannot be effectively controlled;
Presence of severe autoimmune diseases or immunodeficiency disease;
Trial design
Single group
Treatments tested in this trial
Teclistamab (Tec)
DrugTeclistamab is administered subcutaneously with higher step-up doses (SUDs). Patients receive teclistamab with SUDs: 0.2 and 0.7 mg/kg and 1.5 mg/kg in Cycle 1 (2-4 days between doses). 3 mg/kg every 4 weeks will be used in subsequent cycles.
Treatment groups
Trial outcomes
Primary outcomes
Complete hematological response
Complete hematological response using ISA criteria
Secondary outcomes
Minimal residual disease
Bone marrow minimal residual disease detected by multi-flow cytometry at the sensitivity of at least 10\^-5.
Stringent dFLC response
dFLC ≤ 10 mg/L
TRAE
Treatment realted adverse events
MOD-PFS
The time from the beginning of treatment to death, clinical manifestation of end-stage cardiac or renal failure, or hematologic progression, whichever occurs first.
Sponsors and contacts
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Peking University People's Hospital
Lead sponsor
Peking University
Sponsor institution