Can a new injection outperform standard care for a rare protein disease?
NCT ID NCT07793422
First seen Aug 28, 2026 · Last updated Aug 28, 2026
Summary
This phase 3 trial compares an investigational drug called etentamig against a standard combination therapy (daratumumab, cyclophosphamide, bortezomib, and dexamethasone) in people newly diagnosed with AL amyloidosis, a rare disease where abnormal proteins build up in organs. About 370 participants will receive either etentamig or the standard regimen. Researchers will measure how well each treatment controls the disease, delays organ failure, and affects quality of life.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- etentamig (ABBV-383), an investigational drug given by injection
- What this could lead to
- If etentamig works better than the standard combination, it could become a new first-line treatment for AL amyloidosis, potentially slowing organ damage and improving survival.
- What could go wrong
- This is an early-stage comparison in a rare disease, and etentamig may not prove more effective or safe than existing therapy. Side effects and treatment burden could be higher.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 370 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Nov 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2034
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Histopathological diagnosis of amyloidosis based on detection by immunohistochemistry and polarizing light microscopy of green bi-refringent material in congo red-stained tissue specimens (in an organ other than bone marrow) or characteristic electron microscopy appearance. * Evidence of a monoclonal plasma cell proliferative disorder (serum or urine monoclonal protein, abnormal free light-chain ratio, or clonal plasma cells in the bone marrow). * Measurable disease of amyloid light chain (AL) amyloidosis as defined by difference in free light chains (dFLC) \>= 50 mg/L * No history of treatment with anti-amyloidosis therapy. * Presence of an amyloid-related systemic syndrome with at least 1 organ impacted by AL amyloidosis according to International Myeloma Working Group (IMWG) diagnostic criteria. * Considered AL amyloidosis cardiac risk stage 1, 2, or 3a (or 3b \[randomized portion only\]). * Eastern Cooperative Oncology Group performance status \<= 2. Exclusion Criteria: * Known allergic reaction, significant sensitivity, or intolerance to constituents of the study treatments. * Active hepatitis B or hepatitis C infection. * History of other active malignancies within the past 3 years (with specified exceptions).
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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