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
NEXICART-3
1 other identifier
interventional
260
0 countries
N/A
Brief Summary
The purpose of this study is to evaluate the efficacy and safety of NXC-201 compared with Dara-CyBorD (daratumumab-cyclophosphamide-bortezomib-dexamethasone) in the treatment of newly diagnosed amyloid light chain (AL) amyloidosis participants.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
Started Jan 2027
Longer than P75 for phase_3
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 12, 2026
CompletedFirst Posted
Study publicly available on registry
July 16, 2026
CompletedStudy Start
First participant enrolled
January 1, 2027
ExpectedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2028
Study Completion
Last participant's last visit for all outcomes
December 1, 2032
July 16, 2026
July 1, 2026
1.9 years
July 12, 2026
July 12, 2026
Conditions
Outcome Measures
Primary Outcomes (2)
Overall complete hematologic response (CHR) rate using consensus recommendations for AL amyloidosis treatment response criteria per protocol
CHR rate is defined as percentage of participants who achieved CHR
24 months
Major Organ Deterioration Progression-Free Survival (MOD-PFS)
MOD-PFS is defined as duration from the date of randomization to either hematologic progression, or major organ deterioration (clinical manifestation of cardiac failure or renal failure), or death, whichever occurs first
60 months
Study Arms (2)
NXC-201
EXPERIMENTALNXC-201 CAR-T
Daratumumab plus CyBorD
ACTIVE COMPARATORDaratumumab plus CyBorD
Interventions
NXC-201 CAR-T is defined as autologous T cells transduced ex-vivo with anti-BCMA CAR retroviral vector encoding a proprietary chimeric antigen receptor (CAR) targeted to human BCMA.
Eligibility Criteria
You may qualify if:
- Eastern Cooperative Oncology Group performance status score ≤2
- Newly diagnosed AL Amyloidosis per consensus criteria as defined in the protocol
- Measurable disease as defined in the protocol
- One or more organs impacted by AL amyloidosis
You may not qualify if:
- Prior therapy for AL amyloidosis or multiple myeloma
- Diagnosis of multiple myeloma
- Cardiac stage IIIb patients
- History of malignancy (other than AL amyloidosis) within 3 years
- Stroke or seizure within 6 months of signing ICF
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Nexcella Inc.lead
- Immix Biopharma, Inc.collaborator
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 12, 2026
First Posted
July 16, 2026
Study Start (Estimated)
January 1, 2027
Primary Completion (Estimated)
December 1, 2028
Study Completion (Estimated)
December 1, 2032
Last Updated
July 16, 2026
Record last verified: 2026-07
Data Sharing
- IPD Sharing
- Will not share