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OncoMatch/Clinical Trials/NCT06649695

A Phase II Trial of Teclistamab in Participants With Previously Treated Immunoglobulin Light-chain (AL) Amyloidosis

Is NCT06649695 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Teclistamab for al amyloidosis.

Phase 2RecruitingEuropean Myeloma Network B.V.NCT06649695Data as of May 2026

Treatment: TeclistamabThis is a multicenter open-label, phase 2 study in participant with previously treated immunoglobulin light-chain (AL) Amyloidosis to evaluate the benefit of teclistamab

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Extracted eligibility criteria

Cancer type

Multiple Myeloma

Biomarker criteria

Required: TTR mutation (negative for transthyretin mutations associated with hereditary amyloidosis)

Genetic testing must be negative for transthyretin mutations associated with hereditary amyloidosis

Required: IGK overexpression (clear evidence of κ light chains in amyloid deposits)

clear evidence of κ or λ light chains in patients who present with peripheral neuropathy or heart as the dominant organ involvement

Required: IGL overexpression (clear evidence of λ light chains in amyloid deposits)

clear evidence of κ or λ light chains in patients who present with peripheral neuropathy or heart as the dominant organ involvement

Disease stage

Required: Stage MAYO STAGE I, MAYO STAGE II, MAYO STAGE IIIA (Mayo)

Excluded: Stage MAYO STAGE IIIB

Mayo stage I-IIIA cardiac disease at Screening; Mayo stage IIIB cardiac disease at Screening [excluded]

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Min 1 prior line

Must have received: antibody-drug conjugate (daratumumab)

Relapsed patients must have received at least 1 line of treatment, including Dara and bortezomib

Must have received: proteasome inhibitor (bortezomib)

Relapsed patients must have received at least 1 line of treatment, including Dara and bortezomib

Cannot have received: BCMA-targeted therapy

Previous anti-BCMA targeted therapy (including, but not limited to, bispecifics)

Lab requirements

Blood counts

Absolute neutrophils ≥1,000/mm3; Platelets ≥75,000/mm3; Hemoglobin ≥8.5 g/dL

Kidney function

Serum creatinine clearance (CKD-EPI formula) ≥20 mL/min

Liver function

Serum SGPT/ALT <5.0 x ULN; Serum total bilirubin <2.0 mg/dL or direct bilirubin ≤30% of the total, unless the patient has Gilbert's syndrome, where direct bilirubin should then be <2.0 mg/dL

Adequate bone marrow function, without transfusion or growth factors within 5 days prior to the first drug intake (C1D1), defined as: Absolute neutrophils ≥1,000/mm3, Platelets ≥75,000/mm3, Hemoglobin ≥8.5 g/dL. Adequate organ function, defined as: Serum creatinine clearance (CKD-EPI formula) ≥20 mL/min, Serum SGPT/ALT <5.0 x ULN, Serum total bilirubin <2.0 mg/dL or direct bilirubin ≤30% of the total, unless the patient has Gilbert's syndrome, where direct bilirubin should then be <2.0 mg/dL, Serum albumin ≥<2.5 gr/dl (medication to correct serum albumin levels is permitted).

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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