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How is the CARES kappa subgroup data changing your approach to newly diagnosed kappa AL amyloidosis?

Wechalekar et al., PMID 42212672
4 Answers
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Medical Oncology · University of Chicago
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The CARES trial was a negative phase 3 trial comparing standard-of-care therapy with or without anselamimab (an anti-amyloid monoclonal antibody) for newly diagnosed amyloidosis.

While the overall results were negative, there was a subgroup analysis that was prespecified that showed a significant sur...

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Medical Oncology · Mayo Clinic
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These results are the first to demonstrate the potential impact of an anti-fibril therapy and are clearly an exciting advance for the field. However, clinical use of this approach is dependent on regulatory approval and further clarification of the results regarding its applicability outside of the ...

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Medical Oncology · Winship Cancer Institute of Emory University
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Anselamimab (originally CAEL-101 & 11-1F4) is a chimeric immunoglobulin IgG1 kappa monoclonal antibody (mAb) directed against the human kappa light chain fibril and has shown preclinical reactivity against both isotypes, even though these preclinical studies seem like nonsense. It targets only the k...

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Medical Oncology · University of Washington, Fred Hutchinson Cancer Research Center
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Agree 100% with @Dr. First Last and @Dr. First Last! The only word of caution I'd add to their excellent answers is that this story (a prespecified subgroup analysis showing a clear benefit in a biologically plausible way with an anti-amyloid fibril) is not new.

With a related anti-amyloid fibril cal...

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