Evidence map›Paper›PMID 40809950›Full record

ArticleEJHaem2025

Concurrent Immunoglobulin Light Chain and Transthyretin Cardiac Amyloidosis Patient Treated With Daratumumab and Tafamidis: A Case Report.

Taiki Nishihara, Yawara Kawano, Masayoshi Tasaki, Ayuko Naito, Hiromichi Yuki, Yasuhiro Nagayoshi, Seiji Takashio, Nao Nishimura, Mitsuharu Ueda, Kenichi Tsujita and 1 more

Abstract read
In one paragraph

Article in EJHaem, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Taiki NishiharaDepartment of Cardiovascular Medicine Amakusa Medical Center Amakusa Japan.ORCID https://orcid.org/0009-0008-2694-3783
Yawara KawanoDepartment of Hematology Rheumatology, and Infectious Diseases Graduate School of Medical Sciences Kumamoto University Kumamoto Japan.ORCID https://orcid.org/0000-0002-8269-440X
Masayoshi TasakiDepartment of Neurology Graduate School of Medical Sciences Kumamoto University Kumamoto Japan.
Ayuko NaitoDepartment of Hematology Rheumatology, and Infectious Diseases Graduate School of Medical Sciences Kumamoto University Kumamoto Japan.
Hiromichi YukiDepartment of Hematology Amakusa Medical Center Amakusa Japan.
Yasuhiro NagayoshiDepartment of Cardiovascular Medicine Amakusa Medical Center Amakusa Japan.
Seiji TakashioDepartment of Cardiovascular Medicine Graduate School of Medical Sciences Kumamoto University Kumamoto Japan.
Nao NishimuraDepartment of Hematology Rheumatology, and Infectious Diseases Graduate School of Medical Sciences Kumamoto University Kumamoto Japan.
Mitsuharu UedaDepartment of Neurology Graduate School of Medical Sciences Kumamoto University Kumamoto Japan.
Kenichi TsujitaDepartment of Cardiovascular Medicine Graduate School of Medical Sciences Kumamoto University Kumamoto Japan.
Jun-Ichirou YasunagaDepartment of Hematology Rheumatology, and Infectious Diseases Graduate School of Medical Sciences Kumamoto University Kumamoto Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immunoglobulin light chain (AL) and wild-type transthyretin (ATTRwt) amyloidosis, while sharing similar clinical presentations, require distinct treatments. We report a rare case of a 75-year-old man with heart failure diagnosed with concurrent AL and ATTRwt cardiac amyloidosis. Immunohistochemistry and liquid chromatography-tandem mass spectrometry confirmed both AL and ATTR amyloid deposits in the heart. The patient was safely and effectively treated with daratumumab-based chemotherapy followed by tafamidis. This case underscores the necessity of precise amyloid typing for tailored therapy, suggesting sequential daratumumab and tafamidis as a viable strategy for this complex overlap.

Indexed as

AL amyloidosisATTR amyloidosiscase reportdaratumumabtafamidis

Identifiers

PMID40809950
PMCPMC12345594

What OpenQuestion holds

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Registered trials

None linked

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.