Pharmacodynamic evaluation and safety assessment of treatment with antibodies to serum amyloid P component in patients with cardiac amyloidosis: an open-label Phase 2 study and an adjunctive immuno-PET imaging study.
Ashutosh D WechalekarGunnar AntoniWasfi Al AzzamMats BergströmSwethajit BiswasChao ChenJoseph CheriyanMatthew ClevelandLouise CooksonPaul GaletteRobert L JaniczekRaymond Y KwongMary Ann LukasHelen MillnsDuncan RichardsIan SchneiderScott D SolomonJens SörensenJames StoreyDouglas ThompsonGuus van DongenDanielle J VugtsAnders WallGerhard WikströmRodney H FalkPublished in: BMC cardiovascular disorders (2022)
Unlike previous observations of visceral amyloid reduction, there was no appreciable evidence of amyloid removal in patients with cardiac amyloidosis in this Phase 2 trial, potentially related to limited cardiac uptake of dezamizumab as demonstrated in the immuno-PET study. The benefit-risk assessment for dezamizumab in cardiac amyloidosis was considered unfavourable after the incidence of large-vessel vasculitis and development for this indication was terminated. Trial registration NCT03044353 (2 February 2017) and NCT03417830 (25 January 2018).