Evidence map›Paper›PMID 31978210›Full record

Trial reportBlood2020

Safety, tolerability, and response rates of daratumumab in relapsed AL amyloidosis: results of a phase 2 study.

Vaishali Sanchorawala, Shayna Sarosiek, Amanda Schulman, Meredith Mistark, Mary Ellen Migre, Ramon Cruz, J Mark Sloan, Dina Brauneis, Anthony C Shelton

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Blood, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02841033 (A Phase I-II Trial of Daratumumab for the Treatment of Patients With AL Amyloidosis), which is not on this map. Cited by 68 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 1 pooled it
9.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02841033 phase1 / phase2completednot on this map

A Phase I-II Trial of Daratumumab for the Treatment of Patients With AL Amyloidosis

TypeinterventionalSponsorBoston Medical CenterRan2017 to 2020Enrolled22ConditionsAL AmyloidosisArmsdaratumumab
3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 1 synthesis or guideline pooled it, 151 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
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  16. Article
  17. The molecular landscape of AL amyloidosis.British journal of haematology · 2025
    Review
  18. Review
  19. Review
  20. Observational

8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Vaishali SanchorawalaAmyloidosis Center, School of Medicine, Boston University, Boston, MA; and.
Shayna SarosiekAmyloidosis Center, School of Medicine, Boston University, Boston, MA; and.
Amanda SchulmanAmyloidosis Center, School of Medicine, Boston University, Boston, MA; and.
Meredith MistarkAmyloidosis Center, School of Medicine, Boston University, Boston, MA; and.
Mary Ellen MigreAmyloidosis Center, School of Medicine, Boston University, Boston, MA; and.
Ramon CruzAmyloidosis Center, School of Medicine, Boston University, Boston, MA; and.
J Mark SloanAmyloidosis Center, School of Medicine, Boston University, Boston, MA; and.
Dina BrauneisAmyloidosis Center, School of Medicine, Boston University, Boston, MA; and.
Anthony C SheltonAmyloidosis Center, School of Medicine, Boston University, Boston, MA; and.
Boston University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Daratumumab, a monoclonal CD38 antibody, is approved in the treatment of myeloma, but its efficacy and safety in light-chain (AL) amyloidosis has not been formally studied. This prospective phase 2 trial of daratumumab monotherapy for the treatment of AL amyloidosis was designed to determine the safety, tolerability, and hematologic and clinical response. Daratumumab 16 mg/kg was administered by IV infusion once weekly for weeks 1 to 8, every 2 weeks for weeks 9 to 24, and every 4 weeks thereafter until progression or unacceptable toxicity, for up to 24 months. Twenty-two patients with previously treated AL amyloidosis were enrolled. The majority of the patients had received high-dose melphalan and stem cell transplantation and/or treatment with a proteasome inhibitor. The median time between prior therapy and trial enrollment was 9 months (range, 1-180 months). No grade 3-4 infusion-related reactions occurred. The most common grade ≥3 adverse events included respiratory infections (n = 4; 18%) and atrial fibrillation (n = 4, 18%). Hematologic complete and very-good-partial response occurred in 86% of patients. The median time to first and best hematologic response was 4 weeks and 3 months, respectively. Renal response occurred in 10 of 15 patients (67%) with renal involvement and cardiac response occurred in 7 of 14 patients (50%) with cardiac involvement. In summary, daratumumab is well tolerated in patients with relapsed AL amyloidosis and leads to rapid and deep hematologic responses and organ responses. This trial was registered at www.clinicaltrials.gov as #NCT02841033.

Indexed as

AdultAgedAged, 80 and overAntibodies, MonoclonalBiomarkersFemaleHumansImmunoglobulin Light-chain AmyloidosisMaleMiddle AgedPrognosisRecurrenceTreatment OutcomeAntibodies, MonoclonalBiomarkersdaratumumab

Identifiers

PMID31978210
PMCPMC7193185
OpenAlexW3002626743

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.