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December 8, 2025Blood

Impact-AL: A phase 2 clinical trial of teclistamab and daratumumab in previously untreated AL amyloidosis

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Authors

RCRajshekhar ChakrabortySWShikun WangSVSanjay Vara

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Overview

Phase 2 trial evaluates teclistamab-daratumumab's efficacy and safety in previously untreated AL amyloidosis, indicating potential for improved hematologic responses.

Key Points

  • To assess the efficacy and safety of teclistamab-daratumumab combination therapy in newly diagnosed AL amyloidosis patients.
  • Open-label multicenter phase 2 clinical trial
  • Enrolled patients with previously untreated Mayo 2004 stage I-IIIa AL amyloidosis
  • Administered six cycles of subcutaneous teclistamab and daratumumab-hyaluronidase
  • Primary endpoint: hematologic complete response rate at 6 months with target of 80%
  • Secondary endpoints: minimal residual negativity and safety outcomes including cytokine release syndrome
  • Evaluated overall survival and organ responses in heart, liver, and kidneys

Cite This Study

Chakraborty et al. (2025) studied this question.

synapsesocial.com/papers/69362f694fa91c937236de91https://doi.org/10.1182/blood-2025-2197
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