Table 3.

Ongoing studies of novel therapies in AL amyloidosis

DrugMechanism of actionTrial identifierPhasePopulationEnrollment target
Cael-101 Fibril-directed therapy
Anti–light chain antibody 
NCT04304144 2 (part A with VCD; part B with DVCD) NDAL 25 
Cael-101 Fibril-directed therapy
Anti–light chain antibody 
NCT04512235 3 (randomized, double blind) NDAL (IIIA) 267 
Cael-101 Fibril-directed therapy
Anti–light chain antibody 
NCT04504825 3 (randomized, double blind) NDAL (IIIB) 111 
Doxycycline Fibril-directed therapy
Fibril stabilizer 
NCT03474458 2/3 NDAL 120 
Isatuximab Plasma cell–directed therapy
Anti-CD38 monoclonal antibody 
NCT04754945 NDAL (high risk = Mayo 2012 stage IV, Mayo 2004 IIIB BUMC 2019 3B) 25 
Isatuximab Plasma cell–directed therapy NCT03499808 R/R 43 
Venetoclax Plasma cell–directed therapy
BCL2 inhibitor 
NCT02994784 R/R 24 
Belantamab Plasma cell–directed therapy
Anti-BCMA antibody drug conjugate 
NCT04617925 R/R 35 
Melflufen Plasma cell–directed therapy
Alkylating agent 
NCT04115956 1/2 R/R (after 1L) 46 
STI-6129 Plasma cell–directed therapy
Anti-CD38 antibody drug conjugate 
NCT04316442 R/R (≥2) 60 
DrugMechanism of actionTrial identifierPhasePopulationEnrollment target
Cael-101 Fibril-directed therapy
Anti–light chain antibody 
NCT04304144 2 (part A with VCD; part B with DVCD) NDAL 25 
Cael-101 Fibril-directed therapy
Anti–light chain antibody 
NCT04512235 3 (randomized, double blind) NDAL (IIIA) 267 
Cael-101 Fibril-directed therapy
Anti–light chain antibody 
NCT04504825 3 (randomized, double blind) NDAL (IIIB) 111 
Doxycycline Fibril-directed therapy
Fibril stabilizer 
NCT03474458 2/3 NDAL 120 
Isatuximab Plasma cell–directed therapy
Anti-CD38 monoclonal antibody 
NCT04754945 NDAL (high risk = Mayo 2012 stage IV, Mayo 2004 IIIB BUMC 2019 3B) 25 
Isatuximab Plasma cell–directed therapy NCT03499808 R/R 43 
Venetoclax Plasma cell–directed therapy
BCL2 inhibitor 
NCT02994784 R/R 24 
Belantamab Plasma cell–directed therapy
Anti-BCMA antibody drug conjugate 
NCT04617925 R/R 35 
Melflufen Plasma cell–directed therapy
Alkylating agent 
NCT04115956 1/2 R/R (after 1L) 46 
STI-6129 Plasma cell–directed therapy
Anti-CD38 antibody drug conjugate 
NCT04316442 R/R (≥2) 60 

DVCD, daratumumab, bortezomib, cyclophosphamide, dexamethasone; NDAL, newly diagnosed AL amyloidosis; R/R, relapsed/refractory; 1L, first line.

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