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Trial · NCT04973137

A Study to Evaluate the Efficacy and Safety of Birtamimab in Mayo Stage IV Patients With AL Amyloidosis

NCT04973137, Phase 3, Terminated, Prothena Biosciences Ltd.; results first posted 2025-12-16

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study to Evaluate the Efficacy and Safety of Birtamimab in Mayo Stage IV Patients With AL Amyloidosis. Trials, record NCT04973137. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04973137

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study to Evaluate the Efficacy and Safety of Birtamimab in Mayo Stage IV Patients With AL Amyloidosis
NCT number
NCT04973137
Status
Terminated
Phases
Phase 3
Enrollment
208 participants, actual
Lead sponsor
Prothena Biosciences Ltd.
Conditions
Light Chain (AL) Amyloidosis
Interventions
Birtamimab, Placebo, Standard of Care Chemotherapy
First posted
2021-07-22
Last updated
2025-12-16
Results first posted
2025-12-16

Source ClinicalTrials.gov

Registered outcomes3

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryTime to All-cause Mortality for the Double Blind PhaseTime from the first dose of study drug until the pre-defined number of events (all-cause mortality) have been reached, assessed up to 39 months.Comparison of time to all-cause mortality for birtamimab and placebo control.
Secondary6MWT Distance at Month 9Month 9Change from baseline to Month 9 in the 6-Minute Walk Test (6MWT) distance calculated as the value at 9 months minus the value at baseline.
SecondaryPhysical Component Summary Score of the Short Form-36, Version 2 at Month 9Month 9
Change from baseline to Month 9 in the Short Form-36, version 2 (SF-36) calculated as the value at 9 months minus the value at baseline. SF-36 v2 is a 36-item self-administered quality-of-life questionnaire that measures health on functional status, well-being, and overall evaluation of health. The Physical Component Summary score ranges from 0 to 100 with higher scores indicating higher health-related quality of life. The Physical Component Summary is derived primarily from questions regarding physical functioning, physical problems, bodily pain, and general health questions.

Outcomes3

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYTime to All-cause Mortality for the Double Blind PhaseTime from the first dose of study drug until the pre-defined number of events (all-cause mortality) have been reached, assessed up to 39 months.ITT PopulationParticipantsCOUNT_OF_PARTICIPANTS
SECONDARY6MWT Distance at Month 9Month 9ITT PopulationMetersMEDIAN
SECONDARYPhysical Component Summary Score of the Short Form-36, Version 2 at Month 9Month 9ITT PopulationScoreMEDIAN

Results by group8

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Time to All-cause Mortality for the Double Blind PhaseBirtamimab (24 mg/kg) + Standard of CareEvent (Death) Occurred32Participants
Time to All-cause Mortality for the Double Blind PhasePlacebo + Standard of CareEvent (Death) Occurred17Participants
Time to All-cause Mortality for the Double Blind PhaseBirtamimab (24 mg/kg) + Standard of CareNumber of Subjects Censored107Participants
Time to All-cause Mortality for the Double Blind PhasePlacebo + Standard of CareNumber of Subjects Censored51Participants
6MWT Distance at Month 9Birtamimab (24 mg/kg) + Standard of Care4.5Inter-Quartile Range -52.00 to 50.50Meters
6MWT Distance at Month 9Placebo + Standard of Care7.75Inter-Quartile Range -33.00 to 36.00Meters
Physical Component Summary Score of the Short Form-36, Version 2 at Month 9Birtamimab (24 mg/kg) + Standard of Care1.710Inter-Quartile Range -2.695 to 6.920Score
Physical Component Summary Score of the Short Form-36, Version 2 at Month 9Placebo + Standard of Care4.205Inter-Quartile Range -0.430 to 10.320Score

Participant flow12

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Double Blind PhaseSTARTEDBirtamimab (24 mg/kg) + Standard of Care139
Double Blind PhaseSTARTEDPlacebo + Standard of Care68
Double Blind PhaseCOMPLETEDBirtamimab (24 mg/kg) + Standard of Care97
Double Blind PhaseCOMPLETEDPlacebo + Standard of Care49
Double Blind PhaseNOT COMPLETEDBirtamimab (24 mg/kg) + Standard of Care42
Double Blind PhaseNOT COMPLETEDPlacebo + Standard of Care19
Open Label Extension PhaseSTARTEDBirtamimab (24 mg/kg) + Standard of Care92
Open Label Extension PhaseSTARTEDPlacebo + Standard of Care44
Open Label Extension PhaseCOMPLETEDBirtamimab (24 mg/kg) + Standard of Care0
Open Label Extension PhaseCOMPLETEDPlacebo + Standard of Care0

Adverse events672

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersBirtamimab (24 mg/kg) + Standard of Care (Double-Blind Phase)34139
otherAnaemiaBlood and lymphatic system disordersPlacebo + Standard of Care (Double-Blind Phase)1668
otherAnaemiaBlood and lymphatic system disordersBirtamimab (24 mg/kg) + Standard of Care (Open Label Extension Phase)3136
otherNeutropeniaBlood and lymphatic system disordersBirtamimab (24 mg/kg) + Standard of Care (Double-Blind Phase)11139
otherNeutropeniaBlood and lymphatic system disordersPlacebo + Standard of Care (Double-Blind Phase)668
otherNeutropeniaBlood and lymphatic system disordersBirtamimab (24 mg/kg) + Standard of Care (Open Label Extension Phase)0136
otherThrombocytopeniaBlood and lymphatic system disordersBirtamimab (24 mg/kg) + Standard of Care (Double-Blind Phase)11139
otherThrombocytopeniaBlood and lymphatic system disordersPlacebo + Standard of Care (Double-Blind Phase)568
otherThrombocytopeniaBlood and lymphatic system disordersBirtamimab (24 mg/kg) + Standard of Care (Open Label Extension Phase)0136
otherCardiac failureCardiac disordersBirtamimab (24 mg/kg) + Standard of Care (Double-Blind Phase)19139

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityBirtamimab (24 mg/kg) + Standard of Care (Double-Blind Phase)32139
Total, all-cause mortalityPlacebo + Standard of Care (Double-Blind Phase)1768
Total, all-cause mortalityBirtamimab (24 mg/kg) + Standard of Care (Open Label Extension Phase)3136
Total, other adverse eventsBirtamimab (24 mg/kg) + Standard of Care (Double-Blind Phase)136139
Total, other adverse eventsPlacebo + Standard of Care (Double-Blind Phase)6668
Total, other adverse eventsBirtamimab (24 mg/kg) + Standard of Care (Open Label Extension Phase)53136
Total, serious adverse eventsBirtamimab (24 mg/kg) + Standard of Care (Double-Blind Phase)83139
Total, serious adverse eventsPlacebo + Standard of Care (Double-Blind Phase)3968
Total, serious adverse eventsBirtamimab (24 mg/kg) + Standard of Care (Open Label Extension Phase)17136

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
37366170DERIVEDPubMed
38600883DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04973137

GET https://conductscience.org/api/trials/v1/NCT04973137/events?page=2