Scientific article
OA Policy
English

Updated recommendations for the treatment of light-chain amyloidosis from the Swiss Amyloidosis Network

Published inSwiss medical weekly, vol. 155, 4219
Publication date2025-07-17
First online date2025-07-17
Abstract

Since the publication of the first Swiss recommendations on systemic light-chain amyloidosis in 2020, treatment strategies have evolved. As a result of the third joint meeting of the Swiss Amyloidosis Network, a multidisciplinary and multicentre Swiss clinical consortium, in 2024, recommendations for the treatment of light-chain amyloidosis were updated. They discuss the role of the new standard first-line protocol Daratumumab, Cyclophosphamide, Bortezomib, Dexamethasone (Dara-CyBorD), the timing and indication of high-dose treatment and potential second-line strategies as well as emerging treatment options, with a special focus on multidisciplinary supportive care measures. The update represents a synopsis of current evidence and expert consensus and intends to provide general treatment guidance tailored to the Swiss healthcare system. Nonetheless, treatment decisions should always be personalised and involve a multidisciplinary approach. This update replaces the previous "therapeutic recommendations" while the previous "diagnostic recommendations" remain valid.

Keywords
  • Humans
  • Switzerland
  • Immunoglobulin Light-chain Amyloidosis / therapy
  • Immunoglobulin Light-chain Amyloidosis / drug therapy
  • Bortezomib / therapeutic use
  • Dexamethasone / therapeutic use
  • Cyclophosphamide / therapeutic use
  • Antibodies, Monoclonal / therapeutic use
  • Practice Guidelines as Topic
Citation (ISO format)
RIEGER, Max J et al. Updated recommendations for the treatment of light-chain amyloidosis from the Swiss Amyloidosis Network. In: Swiss medical weekly, 2025, vol. 155, p. 4219. doi: 10.57187/s.4219
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Article (Published version)
Identifiers
Additional URL for this publicationhttps://smw.ch/index.php/smw/article/view/4219
Journal ISSN1424-3997
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