ORPHA:314701
Primary systemic amyloidosis
Also known as: Systemic AL amyloidosis
Publications
8,867
93.9th percentile
Trials
56
Interventional, condition-specific
Researchers
1,141
Distinct authors in sample
Gene link
—
Readiness
2/6
Stages with a signal
How rare: 1-5 / 10 000 — about one to five people per ten thousand (still uncommon, but less ultra-rare).
Cross-references
Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.
- MONDO:0017816
- UMLS:C0281479
- NCIT:C8299
Additional Mondo synonyms (3)
systemic AL amyloidosis · systemic Immunoglobulin Light chain amyloidosis · systemic amyloidosis
Research stages
Trial readiness signals
Where this condition sits on an open-data research pipeline — not how close a treatment is, and not medical advice. Empty stages often mean “not in these databases under this Mondo ID,” not “impossible.”
2/6 stages with a signal
An interventional trial matched this condition name on ClinicalTrials.gov — see trials below.
- Gene identifiedNot found
No GenCC disease–gene assertion in this build
- LiteraturePresent
8,867 matched papers (4,258 in last 10 years) Source
- Phenotype characterisedNot found
No HPO disease–phenotype associations via Monarch for these Mondo IDs
- Animal modelNot found
No Alliance genotype “model of” associations via Monarch for these Mondo IDs
- Orphan designationNot found
No FDA or EMA orphan-drug designation matched this disease via UMLS or preferred name Source
- Interventional trialPresent
56 matched on ClinicalTrials.gov (7 recruiting in sample)
Biology
Genes and phenotypes
Gene–disease validity from GenCC, plus phenotypes and animal models joined from Monarch Initiative via Mondo ID — not a clinical diagnosis aid.
Do we know what causes it?
Not yet — the cause hasn't been pinned down in GenCC.
No strong gene–disease assertion joined for this Orphanet entity.
Phenotypes (Monarch / HPO)
None returned for this Mondo ID. That often means “not linked under this ID,” not “no clinical features.”
Animal models (Monarch / Alliance)
None returned for this Mondo ID. Empty here is not proof that no model organism work exists under another name or gene.
Monarch fetch 2026-07-29
Therapies
Designations, candidates, and chemicals
FDA OOPD and EMA orphan designations, Open Targets clinical candidates, and CTD chemical associations via MyDisease.info. These never change the interventional-trial headline.
Orphan designation (FDA · EMA)
No designation matched this disease via UMLS or preferred name on the FDA OOPD mirror or EMA orphan register. Absence here is not proof that none exists under another wording.
Open Targets candidates
21
Drugs / clinical candidates · MONDO_0017816
- DEXAMETHASONE·phase 3
- FILGRASTIM·phase 3
- MELPHALAN·phase 3
- BORTEZOMIB·phase 2
- BUSULFAN·phase 2
- CYCLOPHOSPHAMIDE·phase 2
- DOXORUBICIN·phase 2
- INTERFERON ALFA·phase 2
- LENALIDOMIDE·phase 2
- SARGRAMOSTIM·phase 2
- SILTUXIMAB·phase 2
- THALIDOMIDE·phase 2
- AMIFOSTINE·phase 1
- DEZAMIZUMAB·phase 1
- GSK-294·phase 1
CTD chemicals (MyDisease.info)
No CTD chemical associations returned for this Mondo ID.
Literature
Is anyone studying this?
8,867
8,867 papers — among the better-studied rare conditions, though still a fraction of common-disease literature (breast cancer: over 700,000). Median papers in the last 10 years for a rare disease in this dataset (publications denominator n=3967) is 59.
8,867 papers since the earliest indexed year in this search — median last-10-year count for a rare disease in this dataset is 59 (publications denominator n=3967).
4,258 in the last 10 years · high confidence · 93.9th percentile (publications denominator)
Phrase hits: 8,867 · MeSH hits: 0
Who's working on it?
1,141
Distinct author names in 200 sampled papers — named people below.
Who's working on it?
People publishing on this condition (sampled Europe PMC records). Affiliation is the most recent found in that sample.
- 01Cuddy SAM4 papers · 2026
Cardiac Amyloidosis Program, Brigham and Women's Hospital, Boston, MA, USA.
Papers in Europe PMC - 02Dispenzieri A4 papers · 2026
Division of Hematology, Mayo Clinic, Rochester, MN, USA. Electronic address: dispenzieri.angela@mayo.edu.
Papers in Europe PMC - 03Dorbala S4 papers · 2026
Department of Medicine and Radiology, CV Imaging Program, Cardiovascular Division, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Papers in Europe PMC - 04Hegenbart U4 papers · 2026
Medizinische Klinik V: Hämatologie, Onkologie und Rheumatologie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland. ute.hegenbart@med.uni-heidelberg.de.
Papers in Europe PMC - 05Khouri J4 papers · 2026
Department of Hematology and Medical Oncology, Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio, USA.
Papers in Europe PMC - 06
- 07Raza S4 papers · 2026
Department of Hematology and Medical Oncology, Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio, USA.
Papers in Europe PMC - 08Sanchorawala V4 papers · 2026
Amyloidosis Center, Boston University Chobanian & Avedisian School of Medicine and Boston Medical Center, Boston, MA, USA.
Papers in Europe PMC - 09Aus dem Siepen F3 papers · 2026
Amyloidose-Zentrum, Universitätsklinikum Heidelberg, Heidelberg, Deutschland.
Papers in Europe PMC - 10Bianchi G3 papers · 2026
Amyloidosis Program, Brigham and Women's Hospital, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Papers in Europe PMC
Clinical research
Is a treatment being tested?
56
interventional trials for this specific condition
56 interventional trials matched this specific condition name; 7 currently recruiting in our sample. 313 trials are registered for amyloidosis, the broader category — shown separately because they may or may not enrol this specific subtype.
Data as of 11 September 2026
56 interventional trials — more than 77.2% of diseases in the trials denominator have none at all (5501 of 7126; this disease is at the 97.4th percentile).
high confidence · 97.4th percentile (trials denominator)
Recruiting interventional trials
From the matched ClinicalTrials.gov set
56 interventional trials matched after quoted-phrase search and title/condition post-filter.
- NCT06699394·RECRUITING·Prospective Study of Teclistamab in the Treatment of Systemic AL Amyloidosis
Not reviewed·Conditions: AL Amyloidosis·Matched via name phrase
- NCT06342466·RECRUITING·Bortezomib, Pomalidomide, Dexamethasone for Systemic AL Amyloidosis
Not reviewed·Conditions: Systemic Amyloidosis·Matched via name phrase
- NCT07687004·NOT YET RECRUITING·Sonrotoclax and BCMA Bispecific Antibody in Newly Diagnosed Systemic AL Amyloidosis Based on t(11;14) Genetic Stratification
Not reviewed·Conditions: Multiple Myeloma (MM)·Matched via name phrase
- NCT05951816·RECRUITING·A Phase 1 Study of 99mTc-p5+14 in Healthy Volunteers and Patients With AL or ATTR Systemic Amyloidosis
Not reviewed·Conditions: Systemic Amyloidosis·Matched via name phrase
- NCT05758493·RECRUITING·Characterizing Iodine-124 Evuzumitide (AT-01) in Systemic Amyloidosis
Not reviewed·Conditions: Amyloidosis · Transthyretin Amyloidosis·Matched via name phrase
- NCT07709715·NOT YET RECRUITING·A Randomized Phase 3 Study to Evaluate the Efficacy and Safety of NXC-201 Compared With Daratumumab With Cyclophosphamide, Bortezomib and Dexamethasone (CyBorD) in Newly Diagnosed Systemic AL Amyloidosis
Not reviewed·Conditions: Light Chain (AL) Amyloidosis·Matched via name phrase
- NCT07624760·NOT YET RECRUITING·Early Detection of Amyloidosis in Monoclonal Gammopathy Using Nuclear Medicine Imaging
Not reviewed·Conditions: Monoclonal Gammopathy · Monoclonal Gammopathy of Undetermined Significance (MGUS) · Multiple Myeloma · AL Amyloidosis·Matched via name phrase
Broader category: amyloidosis
313
Interventional trials for the parent category, exclusive of NCT IDs already counted above. Eligibility for this subtype is not guaranteed.
Worth raising with a clinician. How we count trials.
Recruiting under the broader category
- NCT05019027·ENROLLING BY INVITATION·N-of-1 for Beta-Blockers in Cardiac Amyloidosis
Not reviewed·Conditions: Cardiac Amyloidosis · Heart Diseases · TTR Cardiac Amyloidosis·Matched via name phrase
- NCT06022939·RECRUITING·Comparing Dara-VCD Chemotherapy Plus Stem Cell Transplant to Dara-VCD Chemotherapy Alone for People Who Have Newly Diagnosed AL Amyloidosis
Not reviewed·Conditions: AL Amyloidosis·Matched via name phrase
- NCT07266116·RECRUITING·Assessment of the Efficacy and Safety of Injectable TQB2934 (Subcutaneous Injection) in Systemic Light Chain Amyloidosis Patients
Not reviewed·Conditions: Systemic Light Chain Amyloidosis·Matched via name phrase
- NCT07055724·NOT YET RECRUITING·Study of Eque-cel CAR-T Therapy in Newly Diagnosed Severe AL Amyloidosis
Not reviewed·Conditions: AL Amyloidosis·Matched via name phrase
- NCT07052903·RECRUITING·TRITON-CM: A Study to Evaluate Nucresiran in Patients With Transthyretin Amyloidosis With Cardiomyopathy
Not reviewed·Conditions: Transthyretin Amyloidosis With Cardiomyopathy·Matched via name phrase
- NCT06629818·RECRUITING·Daratumumab Combined With Venetoclax and Dexamethasone for Newly Diagnosed Light-Chain Amyloidosis With Translocation (11;14)
Not reviewed·Conditions: Light Chain (AL) Amyloidosis·Matched via name phrase
- NCT07638683·RECRUITING·A Phase II Study to Evaluate the Efficacy and Safety of Teclistamab in Combination With Daratumumab (Tec-Dara) in Newly Diagnosed Multiple Myeloma With Concurrent Light Chain Amyloidosis (MM+AL).
Not reviewed·Conditions: Multiple Myeloma · AL Amyloidosis·Matched via name phrase
- NCT07504289·NOT YET RECRUITING·CAR-NK Therapy for Cardiac Amyloidosis
Not reviewed·Conditions: Light Chain Cardiac Amyloidosis·Matched via name phrase
- NCT06907186·RECRUITING·An Interventional Pilot Study to Investigate the Feasibility and Acceptance of a Structured Psychological Support Program for Patients, Caregivers, and Presymptomatic Carriers in Hereditary Transthyretin Amyloidosis With Cardiomyopathy
Not reviewed·Conditions: Hereditary Transthyretin Amyloidosis·Matched via name phrase
- NCT06998875·RECRUITING·A Prospective Cohort Study on Primary Cutaneous Amyloidosis
Not reviewed·Conditions: Primary Cutaneous Amyloidosis·Matched via name phrase
- NCT04991103·RECRUITING·Minimal Residual Disease Response-adapted Deferral of Transplant in Dysproteinemia (MILESTONE)
Not reviewed·Conditions: Multiple Myeloma · Amyloidosis·Matched via name phrase
- NCT04935021·RECRUITING·Clinical Study of ATTR-CM
Not reviewed·Conditions: Transthyroxine Amyloidosis Cardiomyopathy·Matched via name phrase
- NCT04535349·RECRUITING·Quantitative Analysis of Myocardial Uptake of Bone Radiopharmaceuticals in Patients With Cardiac ATTR Amyloidosis
Not reviewed·Conditions: Amyloidosis Transthyretin·Matched via name phrase
- NCT07250269·RECRUITING·Study of GC012F, CAR-T Therapy Targeting CD19 and BCMA in Chinese Participants With Relapsed or Refractory AL Amyloidosis
Not reviewed·Conditions: Relapsed/Refractory AL Amyloidosis·Matched via name phrase
- NCT04667494·RECRUITING·Ultrasound Therapy In Cardiac Amyloidosis
Not reviewed·Conditions: Amyloidosis Cardiac·Matched via name phrase
Observational and natural-history studies
13 observational studies match this condition. These do not test a treatment and are not counted in the interventional-trial headline, but they are genuine research: natural-history work often defines the endpoints needed for a future rare-disease trial, and families may be able to enroll.
Recruiting or not-yet-recruiting
- NCT06866912·RECRUITING·Observational Epidemiological Study of Patients Suffering From Systemic Amyloidosis
Not reviewed·Conditions: Cardiomyopathy·Matched via name phrase
- NCT07689331·RECRUITING·Hungarian National Systemic Amyloidosis Registry
Not reviewed·Conditions: Systemic Amyloidosis · ATTR Amyloidosis · AL Amyloidosis · Amyloid Cardiomyopathy·Matched via name phrase
- NCT06627309·RECRUITING·Rapid dFLC Response Predict CHR in AL Amyloidosis
Not reviewed·Conditions: Systemic AL Amyloidosis·Matched via name phrase
Other registries (secondary)
Broader net from EU CTIS, ISRCTN, and ICTRP when available — deduped against ClinicalTrials.gov IDs already counted above. Dual-model LLM relevance gates what we keep. These rows are not added to the interventional headline.
raw 22 · after dedupe 22 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 22 · dropped 0 · fetched 2026-07-30
Source notes: ictrp: Error: ICTRP public search unavailable (WHO portal is SPA-only; SOAP needs partnership). Tried: https://apps.who.int/tri
No secondary-registry studies passed dual-model relevance for this condition name (after dedupe).
Uncertain / not reviewed (22)
- ctis·2024-511967-26-00·Cancelled·A Randomized Phase 3 Study to Evaluate the Efficacy and Safety of Daratumumab in Combination with Cyclophosphamide, Bortezomib and Dexamethasone (CyBorD) Compared With CyBorD Alone in Newly Diagnosed Systemic AL Amyloidosis
skipped — LLM skipped (--skip-llm)
- ctis·2023-507069-25-00·Cancelled·A Phase 2, Multicohort Study of Daratumumab-Based Therapies in Participants with Amyloid Light Chain (AL) Amyloidosis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN98606172·Recruiting·Personalising treatment for myeloma patients based on initial response to NHS treatment and their overall fitness level
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN80147609·Recruiting·A study comparing JNJ-79635322 and an anti-B-cell maturation antigen (BCMA)xCD3 bispecific antibody in participants with relapsed or refractory multiple myeloma (Trilogy-4)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN99312021·Recruiting·A clinical study to evaluate the long-term safety of daratumumab in combination with standard bone marrow cancer treatment regiments
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN13185938·No longer recruiting·A study of JNJ-79635322 in participants with relapsed or refractory multiple myeloma or previously treated amyloid light-chain (AL) amyloidosis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN26168155·No longer recruiting·Study evaluating the safety and activity of cevostamab (BFCR4350A) given by subcutaneous injection in participants with relapsed or refractory multiple myeloma
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN16847817·No longer recruiting·MUK Nine b: OPTIMUM
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN16308011·No longer recruiting·CATALYST: Carfilzomib-Thal-Dex in relapsed AL Amyloidosis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN05622749·No longer recruiting·The MM5 trial: evaluation of two regimens of bortezomib-based induction therapy and of lenalidomide consolidation followed by lenalidomide maintenance treatment in patients with multiple myeloma
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN05745813·No longer recruiting·The GMMG-HD5 trial: bortezomib-based induction prior to high dose therapy and autologous stem cell transplantation followed by lenalidomide-based consolidation and maintenance therapy in patients with multiple myeloma
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN34235460·No longer recruiting·A randomised, multi-centre trial to assess the feasibility of conducting a future phase III randomised trial in primary amyloidosis, comparing cyclophosphamide, thalidomide and dexamethasone with stem cell transplantation in patients with low risk of treatment related mortality and cyclophosphamide, thalidomide and dexamethasone with Mel-Dex in patients with high risk of treatment related mortality
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN64455289·No longer recruiting·A randomised phase III study on the effect of bortezomib combined with adriamycin, dexamethasone (AD) for induction treatment, followed by high dose melphalan and bortezomib alone during maintenance in patients with multiple myeloma
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN18175685·No longer recruiting·Stratification of clinically vulnerable people for COVID-19 risk using antibody testing
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN40735896·Stopped·A randomised trial of daratumumab to remove myeloma cells from blood stem cells before an autograft for patients with multiple myeloma
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN13400668·No longer recruiting·Targeted radiotherapy for AL-Amyloidosis – TRALA
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN68399350·No longer recruiting·Treatment of cardiac amyloid light-chain amyloidosis with the green tea compound epigallocatechin-3-galiate
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN01207094·No longer recruiting·Autologous stem cell transplantation for patients with amyloid light chain (AL) amyloidosis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN16345835·No longer recruiting·Lenalidomide and dexamethasone with or without high-dose melphalan and autologous blood stem cell transplantation followed by lenalidomide maintenance in the treatment of relapsed multiple myeloma
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN33283585·Stopped·Velcade™ (bortezomib) combination chemotherapy in AL amyloidosis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN90692740·No longer recruiting·Randomised phase III study in elderly patients with a multiple myeloma on the value of Thalidomide added to Melphalan plus Prednisone
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN06413384·No longer recruiting·A randomised phase III study on the effect of thalidomide combined with Adriamycin®, dexamethasone and high dose melphalan in patients with multiple myeloma
skipped — LLM skipped (--skip-llm)
Where to find support
Condition-specific patient organisations, when Orphanet lists them, are on the disease’s Orphanet page. We also link umbrella groups that support undiagnosed and ultra-rare families.
Orphanet entry for Primary systemic amyloidosis — check Associations / patient organisations on that page.
India — NPRD
Last verified 2026-07-26This ORPHAcode is not on our curated NPRD list (direct or Mondo-parent match). That does not decide clinical eligibility; families in India should ask a notified Centre of Excellence about current coverage.
Hand-curated for this project. ORPHAcode mappings are best-effort and may be incomplete or imprecise for umbrella categories. Parent (Mondo) matches mean the policy lists a broader category — confirm eligibility with a Centre of Excellence. Financial entitlements summarised from public policy statements and may change. This is not official government guidance.
How we counted this
Europe PMC query (preferred label + any corrected label + Orphanet and Mondo exact synonyms, stoplisted; unioned with resolved MeSH labels when available). UMLS / OMIM / NCIT cross-references are stored on the overview but are not added to the query string.
"Primary systemic amyloidosis" OR "Systemic AL amyloidosis" OR "systemic Immunoglobulin Light chain amyloidosis" OR "systemic amyloidosis"
ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"Primary systemic amyloidosis" OR "Systemic AL amyloidosis" OR "systemic Immunoglobulin Light chain amyloidosis" OR "systemic amyloidosis"
Interventional trials matched via: phrase (mesh = registered under a MeSH descriptor no name phrase would catch; recall-expansion = gene / selected parent terms used only for trials).
Study-type breakdown: 56 interventional · 13 observational · 0 expanded access. Only interventional studies enter the trial headline.
Parent-category trials query:
"amyloidosis"
Query health: ok — strategies attempted: phrase; with hits: phrase
Run this search on ClinicalTrials.gov
Confidence reasoning
- Preferred label is multi-word and distinctive
- No synonyms dropped by stoplist
- No label/synonym collisions with other diseases in this corpus
Ingested 2026-07-27T13:12:39.259Z
