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Amyloid Light-chain AmyloidosisPhase 2NCT07110844

Teclistamab-Daratumumab in AL Amyloidosis

A Phase 2 study testing Teclistamab and Daratumumab and Hyaluronidase-fihj in people with Amyloid Light-chain Amyloidosis, run by Rajshekhar Chakraborty, MD at 3 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The purpose of this study is to investigate whether teclistamab-daratumumab combination is effective and safe in AL amyloidosis. The study treatment is divided into cycles (C) and each cycle is 28 days (D). Study treatment is expected to last 6 months. Read more about this study

Who is it for?
Ages 18 to 100 years
Conditions the study is for
Amyloid Light-chain Amyloidosis
What is being tested?
Teclistamab and Daratumumab and Hyaluronidase-fihj
Could I receive a placebo?
No, everyone receives an active treatment
How many people
25 participants
Where
3 sitesUnited States
Study dates
7 Nov 2025to Oct 2033
Phase
Phase 2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 100 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age >18 years and able to sign Informed Consent Form (ICF). If the individual being considered for participation in this study is unable to provide informed consent due to medical, cognitive, or other conditions, a legally authorized representative (LAR) may consent on their behalf.
  • Ability to comply with the study protocol, in the investigator's judgment.
  • Confirmed histopathological diagnosis of systemic AL amyloidosis by mass spectrometry or immunohistochemistry (IHC) or Immunofluorescence (IF) on a tissue biopsy that is positive for Congo Red.
  • Patient must not have received any prior plasma cell clone-directed therapy.
  • Measurable hematologic disease, defined as one of the following:
  • Difference between involved and uninvolved serum free light chain (dFLC) ≥50 mg/L and/or 5 mg/dL
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  • Serum M-protein ≥0.5 g/dL on protein electrophoresis
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2.
  • One or more organs involved by AL amyloidosis as per consensus guidelines
  • Pre-treatment clinical laboratory values meeting the following criteria during the screening phase:
  • Absolute neutrophil count ≥0.75 × 10^9/L
  • Hemoglobin level ≥8.0 g/dL; red blood cell transfusion allowed until 7 days before C1D0.
  • Platelet count ≥50 × 10^9/L; Platelet transfusions are acceptable without restriction during the Screening period
  • Alanine aminotransferase level (ALT) ≤2.5 times the Upper Limit of Normal (ULN)
  • Aspartate aminotransferase (AST) ≤2.5 times the ULN
  • Total bilirubin level ≤1.5 × ULN except for subjects with Gilbert syndrome, in which case direct bilirubin ≤2 × ULN
  • Estimated glomerular filtration rate (eGFR) ≥20 mL/min/1.73 m^2, measured by using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation.
  • For women of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraception and agreement to refrain from donating eggs.
  • For men: Agreement to remain abstinent (refrain from heterosexual intercourse) or use a condom, and agreement to refrain from donating sperm.

Who cannot join

  • Prior therapy for AL amyloidosis or multiple myeloma with the exception of 160 mg dexamethasone (or equivalent corticosteroid) maximum exposure prior to C1D0.
  • Patients meeting criteria for symptomatic multiple myeloma by any one of the following: (a) Lytic lesions on imaging (Skeletal survey, whole body CT or MRI, or PET/CT) (b) Plasmacytoma, (c) Hypercalcemia without any alternate etiology, (d) Bone marrow plasma cell infiltrate of greater than 60%.
  • Patients with involved/uninvolved serum FLC ratio>100 as the sole myeloma-defining event will be allowed.
  • Evidence of significant cardiovascular conditions as specified below:
  • NT-Pro BNP > 8500 pg/mL, and/or
  • NYHA Class IIIb or IV functional class
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  • History of other malignancy that could affect compliance with the protocol or interpretation of results.
  • Patients with a history of curatively treated basal or squamous cell carcinoma of the skin, in situ carcinoma of the cervix, breast cancer, or Hodgkin's Lymphoma are generally eligible. Patients with a malignancy that has been treated, but not with curative intent, will be excluded, unless the malignancy has been in remission without treatment for ≥ 2 years prior to enrollment.
  • Evidence of other clinically significant uncontrolled condition(s) including, but not limited to, uncontrolled systemic infection (viral, bacterial, or fungal).
  • Patients on renal replacement therapy
  • Patients with HIV who are not on HAART or those with active hepatitis A, B, or C infection.
  • Planned stem cell transplant during the first 6 cycles of protocol therapy are excluded. Stem cell collection during the first 6 cycles of protocol therapy is permitted, as per investigators' discretion.
  • Known hypersensitivity to any of the agents
  • Patients who are receiving any other investigational agent concurrently.

Trial locations and contacts

3 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Central Nurse Navigator, RN contact

(212) 342 5162

cancerclinicaltrials@cumc.columbia.edu

United States3 sites, 3 recruiting
  • Boston Medical Center

    Boston, Massachusetts, 02118

    Not yet recruiting
  • Medical College of Wisconsin

    Milwaukee, Wisconsin, 53226

    Anita D'Souza, MD, MS

    Recruiting
  • Columbia University Irving Medical Center

    New York, New York, 10032

    Research Nurse Navigator, RN, 646-317-4840, cancerclinicaltrials@cumc.columbia.edu

    Rajshekhar Chakraborty, MD

    Recruiting

Other trials in United States

About this study

Official title: A Phase 2 Clinical Trial of Teclistamab and Daratumumab in Previously Untreated AL Amyloidosis

The purpose of this study is to investigate whether teclistamab-daratumumab combination is effective and safe in AL amyloidosis.

The study treatment is divided into cycles (C) and each cycle is 28 days (D). Study treatment is expected to last 6 months.

Read the detailed description

The purpose of this study is to assess the effectiveness and safety of teclistamab-daratumumab combination in newly diagnosed AL amyloidosis. The study aims to evaluate whether this combination is able to effectively decrease the level of toxic amyloid-producing light chains circulating in the participants' blood, with the overarching goal of avoiding organ damage, improving organ function, and prolonging life.

Being tested
Teclistamab, Daratumumab and Hyaluronidase-fihj
Keywords
Untreated AL Amyloidosis, untreated light chain amyloidosis, light chain amyloidosis, AL Amyloidosis
Medical subject headings
Immunoglobulin Light-chain Amyloidosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TeclistamabDrug

    Also called TECVAYLI, teclistamab-cqyv

    Teclistamab is a T-cell redirecting bispecific antibody (BsAb) targeting CD3 on T-cells and B-cell maturation antigen (BCMA) on plasma cells.

  • Daratumumab and Hyaluronidase-fihjDrug

    Also called DARZALEX FASPRO, Daratumumab

    Daratumumab is an monoclonal antibody that targets the CD38 protein on the surface of myeloma cells.

Study groups in NCT07110844
Study groupRoleWhat they receive
Teclistamab-DaratumumabExperimentalAll participants in this study will receive teclistamab and daratumumab.
Receives: Drug: Teclistamab; Drug: Daratumumab and Hyaluronidase-fihj

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Hematologic Complete Response (Heme-CR) rate

    Heme-CR will be defined as: involved free light-chain level less than the upper limit of the normal range with negative serum and urine immunofixation; normalization of the uninvolved free light-chain level or free light-chain ratio will not be required to determine a complete response.

    Measured: 6 months from treatment initiation

Secondary outcomes (25)
  1. Minimal Residual Disease (MRD) negativity rate by Free Light Chain Mass Spectrometry (FLC-MS) in serum

    Secondary outcome is to assess the rate of minimal residual disease (MRD)-negativity and sustained MRD-negativity with Teclistamab-Daratumumab

    Measured: 1 month, 3 months, 6 months, and 18 months

  2. MRD-negativity rate by multiparameter flow cytometry (MFC) in bone marrow

    The MRD-negativity rate by 6 and 18 months will be reported descriptively.

    Measured: 6 months and 18 months

  3. Time to heme-CR

    Time to heme-CR will be calculated from the day of treatment initiation (C1D0), and will be reported as median (range).

    Measured: Day 1 of each cycle, and every 6 weeks after treatment cessation (up to 1 year)

  4. Major organ deterioration-progression-free survival (MOD-PFS) rate

    MOD-PFS will be calculated as a time-to-event endpoint using Kaplan-Meier method.

    Measured: From Cycle 2 to Cycle 6 Day 1 (Each cycle is 28 days), End of treatment visit (up to 6 months from treatment initiation), and up to 18 months from treatment initiation

  5. Overall survival rate

    Overall survival frequency from initiation of study drug, including cause of death for patients who die on study

    Measured: Through study completion, up to 18 months from treatment initiation

  6. Frequency of Cytokine Release Syndrome (CRS)

    Frequency of CRS (all-grade and grade ≥3) events

    Measured: Throughout Cycle 1 (each cycle is 28 days), Day 0, Day 1, Day 3, Day 8, Day 15, Day 22; Throughout Cycle 2 and Cycle 6 on Day 1 and Day 15; End of treatment visit (up to 6 months from treatment initiation), Post treatment follow-up (up to 18 months)

  7. Rate of infections

    Frequency rate of infections (all-grade and grade ≥3) will be reported descriptively.

    Measured: Throughout Cycle 1 (each cycle is 28 days), Day 0, Day 1, Day 3, Day 8, Day 15, Day 22; Throughout Cycle 2 and Cycle 6 on Day 1 and Day 15; End of treatment visit (up to 6 months from treatment initiation), Post treatment follow-up (up to 18 months)

  8. Number of participants with a heart response after treatment

    Heart response is defined as N-terminal pro Brain Natriuretic Peptide (NT-ProBNP) response (>30% and >300 ng/l decrease in subjects with baseline NT-proBNP>650 ng/l) or New York Heart Association (NYHA) class response (>2 class decrease in subjects with baseline NYHA class 3 or 4)

    Measured: 6 months and 18 months

  9. Number of No Responses in the heart after treatment

    No response in the heart is defined as ≤30% reduction in NT-proBNP from baseline

    Measured: 6 months and 18 months

  10. Number of Partial Responses (PR) in participants who experienced a heart response after treatment

    Partial Response in the heart is defined as 31-60% reduction in NT-proBNP from baseline.

    Measured: 6 months and 18 months

  11. Number of Very Good Partial Responses (VGPR) in participants who experienced a heart response after treatment

    VGPR in the heart is defined as >60% reduction in NT-proBNP from baseline to a nadir of >350 ng/L

    Measured: 6 months and 18 months

  12. Number of Complete Response (CR) in participants who experienced a heart response after treatment

    Complete Response in the heart is defined as Nadir NT-proBNP≤350 ng/L

    Measured: 6 months and 18 months

  13. Number of participants with heart progression after treatment

    Heart progression is defined as NT-proBNP progression (>30% and >300 ng/l increase) or cardiac troponin progression (>33% increase) or ejection fraction progression (>10% decrease). Subjects with progressive worsening renal function cannot be scored for NT-proBNP progression.

    Measured: 6 months and 18 months

  14. Number of participants with a kidney response after treatment

    Kidney response is defined as 50% decrease (at least 0.5 g/day) of 24-h urine protein (urine protein must be >0.5g/day pretreatment). Creatinine and creatinine clearance must not worsen by 25% over baseline.

    Measured: 6 months and 18 months

  15. Number of No Responses in the kidneys after treatment

    No response in the kidneys is defined as ≤30% reduction in proteinuria from baseline

    Measured: 6 months and 18 months

  16. Number of Partial Responses (PR) in participants who experienced a kidney response after treatment

    Partial Response in the kidneys is defined as 31-60% reduction in proteinuria from baseline

    Measured: 6 months and 18 months

  17. Number of Very Good Partial Responses (VGPR) in participants who experienced a kidney response after treatment

    VGPR in the kidneys is defined as >60% reduction in proteinuria from baseline level to a nadir level >200 mg/24 hours

    Measured: 6 months and 18 months

  18. Number of Complete Response (CR) in participants who experienced a kidney response after treatment

    Complete Response in the kidneys is defined as Nadir proteinuria ≤200 mg/24 hours

    Measured: 6 months and 18 months

  19. Number of participants with kidney progression after treatment

    Kidney progression is defined as 50% increase (at least 1 g/day) of 24-h urine protein to >1 g/day or 25% worsening of serum creatinine or creatinine clearance.

    Measured: 6 months and 18 months

  20. Number of participants with liver response after treatment

    Liver response is defined as 50% decrease in abnormal alkaline phosphatase value.

    Measured: 6 months and 18 months

  21. Number of No Responses in the liver after treatment

    No response in the liver is defined as ≤30% reduction in alkaline phosphatase (ALP) from baseline.

    Measured: 6 months and 18 months

  22. Number of Partial Responses (PR) in participants who experienced liver response after treatment

    Partial Response in the liver is defined as 31-60% reduction in ALP from baseline.

    Measured: 6 months and 18 months

  23. Number of Very Good Partial Responses (VGPR) in participants who experienced liver response after treatment

    VGPR in the liver is defined as >60% reduction in ALP from baseline to a nadir >2x lower limit of normal (LLN)

    Measured: 6 months and 18 months

  24. Number of Complete Response (CR) in participants who experienced liver response after treatment

    Complete Response in the liver is defined as Nadir ALP ≤2X LLN

    Measured: 6 months and 18 months

  25. Number of participants with liver progression after treatment

    Liver progression is defined as 50% increase of ALP from nadir value

    Measured: 6 months and 18 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Aug 2025
  2. Study start7 Nov 2025
  3. Primary completionOct 2031 (estimated)
  4. Study completionOct 2033 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
25 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07110844
Sponsor's protocol ID
AAAV8827
Other IDs
1452862
Status last verified
Jul 2026
First submitted
25 Jul 2025
Last updated
13 Jul 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Teclistamab and Daratumumab and Hyaluronidase-fihj in people with Amyloid Light-chain Amyloidosis, run by Rajshekhar Chakraborty, MD at 3 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 19 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 13 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Central Nurse Navigator, RN ((212) 342 5162, cancerclinicaltrials@cumc.columbia.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Hematologic Complete Response (Heme-CR) rate (time frame: 6 months from treatment initiation). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Jul 2026.

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