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MONDAY 14TH SEPTEMBER

14:00 - 14:15 Welcome 17:00 - 18:30 INDUSTRY SPONSORED SYMPOSIUM 1 - Pfizer Opening Remarks Joan Bladé, , A Deeper Look at ATTR-CM: An Under-recognized Giovanni Palladini, Pavia, and Life-threatening Illness Chair: Pablo García-Pavía, , Spain 14:15 - 14:35 OPENING LECTURE Mechanisms and Patterns of Cardiac Deposition in Amyloidosis Amyloidosis: Classification and Epidemiology Yukio Ando, Kumamoto, Japan Chair: Joan Bladé, Barcelona, Spain Recognition and Diagnosis of ATTR Cardiomyopathy Speaker: Per Westermark, Uppsala, Sweden Claudio Rapezzi, Bologna, Italy

Management of ATTR Cardiomyopathy 14:35 - 15:10 GIAMPAOLO MERLINI AWARD AND LECTURE Pablo García-Pavía, Madrid, Spain

Giampaolo Merlini: Aiming for the Cure of Amyloid Disease Panel Discussion and Q&A (Introduction by Robert A. Kyle) 18:30 - 18:40 Break 15:10 - 15:20 Break 18:40 - 19:50 PLENARY SESSION 2 15:20 - 16:50 PLENARY SESSION 1 AL amyloidosis: Diagnosis and Management in 2020 Basic Science: Amyloid Fibril Formation, Deposition and Clearance Chairs: Chairs: Ashutosh Wechalekar, , UK John Berk, Boston, MA, USA Stefan Schönland, Heidelberg, Francesca Lavatelli, Pavia, Italy Diagnosis work-up and typing Amyloid fibril structures using cryo EM and ssNMR Angela Dispenzieri, Rochester, MN, USA Marcus Fändrich, Ulm, Germany Red-flags for early diagnosis Structural basis of amyloidogenicity Ute Hegenbart, Heidelberg, Germany Marina Ramírez-Alvarado, Rochester, MN, USA New prognostic markers Drivers of amyloid organ tropism and deposition Efstathios Kastritis, , Greece Gunilla Westermark, Uppsala, Sweden Cytogenetics in AL amyloidosis Tissue based diagnosis and classification of amyloidosis by mass Stefan Schönland, Heidelberg, Germany spectrometry-based proteomics Ahmet Dogan, New York, NY, USA Hematologic and organ response criteria Giovanni Palladini, Pavia, Italy Proteotoxicity and organ damage Francesca Lavatelli, Pavia, Italy 19:30 - 19:50 Discussion Intrinsic mechanisms of amyloid tissue clearance Marianna Fontana, London, UK

Development of amyloid disruptors for ATTR amyloidosis Mitsuharu Ueda, Kumamoto, Japan

16:30 - 16:50 Discussion

16:50 – 17:00 Break TUESDAY 15TH SEPTEMBER

14:00 - 15:00 PLENARY SESSION 3 OP06 Membrane and soluble b-cell maturation antigen (BCMA) in systemic light- 19:10 - 20:10 PLENARY SESSION 5 chain amyloidosis ATTR amyloidosis: Genetics and Basic Science Ping Zhou, Boston, MA, USA Experts’ Discussion on ASCT in AL amyloidosis: burning questions Chairs: Chair: 15:52 - 16:10 Discussion Merrill D. Benson, Indianapolis, IN, USA Francesca Lavatelli, Pavia, Italy Laura Obici, Pavia, Italy 16:10 - 16:20 Break Panelists: Molecular mechanisms of ATTR amyloidosis Vaishali Sanchorawala, Boston, MA, USA Maria João Saraiva, Porto, Portugal 16:20 - 17:50 INDUSTRY SPONSORED SYMPOSIUM 2 - Eidos Therapeutics Heather Landau, New York, NY, USA Hasib Sidiqi, Rochester, MN, USA Driving forces in ATTR amyloidosis Wild-type Transthyretin Amyloidosis – An epidemic hiding in plain sight Carlos Fernández de Larrea, Barcelona, Spain Vittorio Bellotti, London, UK and Pavia, Italy Chair: Eli Muchtar, Rochester, MN, USA Genetic signatures associated with hereditary ATTR amyloidosis Pablo García-Pavía, Madrid, Spain Topics: Joel Buxbaum, La Jolla, CA, USA When the bright side of TTR breaks the heart • Patient selection Factors involved in increased susceptibility to TTR amyloidogenesis Maria João Saraiva, Porto, Portugal • Decreasing transplant-related mortality Teresa Coelho, Porto, Portugal • Pretransplant induction Diagnosis and management of wild type TTR amyloidosis • ASCT in patients with renal function impairment 14:40 - 15:00 Discussion Julian Gillmore, London, UK • Any role for consolidation or maintenance? • Is it time for CAR-T cell therapy in AL amyloidosis? 15:00 - 15:10 Break Where the Wild-Type Ones Are Esther González-López, Madrid, Spain

15:10 - 16:10 SELECTED ABSTRACT PRESENTATIONS I 17:50 - 18:00 Break Chairs: Mitsuharu Ueda, Kumamoto, Japan 18:00 - 19:00 PLENARY SESSION 4 Tomás Ripoll-Vera, , Spain Organ Transplantation in Systemic Amyloidosis BASIC SCIENCE I Chairs: OP01 High resolution cryo-EM structure of a transthyretin-derived amyloid fibril Claudio Rapezzi, Bologna, Italy from a patient with hereditary val30met ATTR amyloidosis Pablo García-Pavía, Madrid, Spain Matthias Schmidt, Ulm, Germany Heart transplantation in AL amyloidosis OP02 Defining the cardiac amyloid proteome and its association with patient Arnt V. Kristen, Heidelberg, Germany clinical characteristics and outcomes Taxiarchis Kourelis, Rochester, MN, USA Heart transplantation in ATTR amyloidosis Mathew Maurer, NY, USA OP03 Immunogenetic profile of purified pathological plasma cells of patients with light chain amyloidosis Liver transplantation in hereditary ATTR amyloidosis Isabel Cuenca, Madrid, Spain TBC

OP04 From protein-protein interaction to protein co-expression networks: a Kidney transplant in AL amyloidosIs and monoclonal immunoglobulin systems biology-based perspective to investigate amyloidosis diseases deposition disease: who and when? Dario Di Silvestre, Milano, Italy Nelson Leung, Rochester, MN, USA

OP05 Targeting deubiquitylating enzymes USP14 and UCHL5 in systemic 18:40 - 19:00 Discussion immunoglobulin light chain (AL) amyloidosis 19:00 – 19:10 Break Mario Nuvolone, Pavia, Italy WEDNESDAY 16TH SEPTEMBER

13:00 - 14:00 ISA Members Meeting 15:40 - 17:10 INDUSTRY SPONSORED SYMPOSIUM 3 – Janssen 18:30 - 19:20 SELECTED ABSTRACT PRESENTATIONS III Multidisciplinary treatment approach in the management Chairs: 14:00 - 15:30 SELECTED ABSTRACT PRESENTATIONS II of patients with AL amyloidosis Matthias Schmidt, Ulm, Germany Francesca Lavatelli, Pavia, Italy Chairs: Chair: Joel Buxbaum, La Jolla, CA, USA Giovanni Palladini, Pavia, Italy BASIC SCIENCE II Violaine Plante-Bordeneuve, Créteil, France Diagnostic pit-falls and risk stratification in AL amyloidosis OP16 Hepatic expression of mutant transthyretin remodels proteostasismachinery ATTR AMYLOIDOSIS Efstathios Kastritis, Athens, Greece in hereditary ATTR amyloidosis Richard Giadone, Boston, MA, USA OP 07 Skin biopsy in hereditary transthyretin amyloidosis with polyneuropathy in France Monoclonal antibody treatment for AL amyloidosis TBC Ashutosh Wechalekar, London, UK OP17 Diagnostic potential of a novel RT-QPCR-based assay to measure CCND1MRNA expression levels in bone marrow plasma cells from al OP08 Long-term safety and efficacy of patisiran: Global open-label extension Novel targets and drugs for AL amyloidosis amyloidosis patients 24-month data in patients with hereditary transthyretin-mediated amyloidosis Giovanni Palladini, Pavia, Italy Alice Nevone, Pavia, Italy David Adams, Le Kremlin Bicêtre, France OP18 Machine learning predicts immunoglobulin light chain toxicity through OP09 Long-term impact of tafamidis in patients with late-onset hereditary 17:10 - 17:20 Break somatic mutations transthyretin amyloidosis with stage I polyneuropathy Maura Garofalo, Bellinzona, Roberta Mussinelli, Pavia, Italy 17:20 - 18:20 PLENARY SESSION 6 OP19 Drosophila melanogaster as a model organism for ATTR amyloidosis OP10 External validation of the national amyloidosis center score in an Experts’ discussion on the Treatment of Patients with AL myloidosis Xiaohong Gu, Uppsala, Sweden international cohort of patients with transthyretin cardiac amyloidosis non-eligible for ASCT: burning questions Adrián Rivas-Pérez, Madrid, Spain OP20 Eleven different amyloid types identified in cutaneous amyloidosis by Chair: proteomics-based typing OP11 Evaluation of patisiran with concomitant or prior use of transthyretin Morie A. Gertz, Rochester, MN, USA Surendra Dasari, Rochester, MN, USA stabilizers in patients with hereditary transthyretin-mediated amyloidosis Panelists: Hollis Lin, Cambridge, MA, USA Shaji Kumar, Rochester, MN, USA 19:05 - 19:20 Discussion OP12 Open-label study of patisiran in patients with hereditary transthyretin- Monique C. Minnema, Utrecht, the Netherlands mediated amyloidosis with polyneuropathy post-orthotopic liver transplant Paolo Milani, Pavia, Italy Julian Gillmore, London, UK Maria Teresa Cibeira, Barcelona, Spain Arnaud Jaccard, Limoges, France OP13 High resolution nerve ultrasound as a diagnostic tool for differential Maria Gavriatopoulou, Athens, Greece diagnosis and progression recognition in TTR-related familial amyloidosis Topics: Natalie Winter, Tübingen, Germany • Best initial therapy for fit patients OP14 Origin of val30met in familial amyloid polyneuropathy (TTR-FAP) in Portugal: • Best inicial therapy for unfit patients a walk through the mutational path • When to start therapy at relapse or progression Carolina Lemos, Porto, Portugal • Treatment at first relapse • Treatment at later relapses or refractory disease OP15 99mTc-DPD scintigraphy predicts amyloid fibril type in hereditary • Best novel emerging agents transthyretin amyloidosis • Role of anti-amyloid therapy Jonas Wixner, Umeå, Sweden

15:03 – 15:30 Discussion 18:20 - 18:30 Break

15:30 - 15:40 Break THURSDAY 17TH SEPTEMBER

14:00 - 15:00 SELECTED ABSTRACT PRESENTATIONS IV 15:10 - 16:20 PLENARY SESSION 7 18:10 - 19:30 PLENARY SESSION 8 Chairs: Hereditary ATTR Amyloidosis: Clinical Features and Follow-up AA and other forms of Amyloidosis Raymond Comenzo, Boston, MA, USA Chairs: Chairs: Isabel Krsnik, Madrid, Spain Rodney H. Falk, Boston, MA, USA Martha Skinner, Boston, MA, USA AL AMYLOIDOSIS I Lucía Galán, Madrid, Spain Julian Gillmore, London, UK

OP21 New organ response criteria for light chain amyloidosis: An international Clinical features of polyneuropathy in hereditary amyloidosis AA amyloidosis: current incidence and clinical presentation validation study Yukio Ando, Kumamoto, Japan Alberto Martinez-Vea, Tarragona, Spain Eli Muchtar, Rochester, MN, USA Red-flags for early diagnosis in hereditary amyloidosis AA amyloidosis: management OP22 The quest for indicators of profound hematologic response in AL Yoshiki Sekijima, Matsumoto, Japan Luís Quintana, Barcelona, Spain amyloidosis: Complete response remains the optimal goal of therapy Paolo Milani, Pavia, Italy The global prevalence of ATTR amyloidosis AA amyloidosis associated with autoinflammatory diseases Hartmut Schmidt, Münster, Germany Helen Lachmann, London, UK OP23 Minimal residual disease positivity by multiparameter flow cytometry hinders organ involvement recovery in AL amyloidosis patients in complete Other manifestations in ATTR amyloidosis Localized amyloidosis response Jonas Wixner, Umeå, Sweden Eli Muchtar, Rochester, MN, USA Giovanni Palladini, Pavia, Italy Follow-up, polyneuropathy detection, de novo manifestations and treatment Hereditary non-transthyretin amyloidosis OP24 In systemic light-chain amyloidosis the best hematologic response for long- after domino liver transplantation Julian Gillmore, London, UK Laura Obici, Pavia, Italy term survival is iFLC < 10mg/L LECT2-associated renal amyloidosis Amandeep Godara, Boston, MA, USA Tamer Rezk, London, UK 16:00 – 16:20 Discussion OP25 Comparison of measures of complete hematologic response after high dose 19:10 - 19:30 melphalan and autologous stem cell transplantation for AL amyloidosis 16:20 - 16:30 Break Discussion Shayna Sarosiek, Boston, MA, USA

OP26 The impact and importance of post-renal transplantation hematological 16:30 - 18:00 INDUSTRY SPONSORED SYMPOSIUM 4 - Akcea Therapeutics response assessment in AL amyloidosis Oliver C. Cohen, London, UK 18:00 - 18:10 Break

14:42-15:00 Discussion

15:00 - 15:10 Break FRIDAY 18TH SEPTEMBER

14:00 - 15:20 SELECTED ABSTRACT PRESENTATIONS V 15:30 - 16:30 SELECTED ABSTRACT PRESENTATIONS VI 18:20 - 19:05 HOT TOPICS IN AL AMYLOIDOSIS Chairs: Chairs: Chair: Giovanni Palladini, Pavia, Italy María Teresa Cibeira, Barcelona, Spain Giampaolo Merlini, Pavia, Italy Carlos Fernández de Larrea, Barcelona, Spain Rámon Lecumberri, , Spain Panelists: CARDIAC AMYLOIDOSIS AND OTHER FORMS AL AMYLOIDOSIS II Stefan Schönland, Heidelberg, Germany Vaishali Sanchorawala, Boston, MA, USA OP27 Prevalence and survival impact of atrial fibrillation in patients with OP35 A phase II study of isatuximab (SAR650984) (NSC-795145) for patients with Arnaud Jaccard, Limoges, France transthyretin cardiac amyloidosis. Analysis from a large international cohort previously treated AL amyloidosis (SWOG S1702; NCT#03499808) Bouke Hazenberg, Groningen, The Netherlands Adrián Rivas Pérez, Madrid, Spain Terri Parker, CT, USA Bruno Paiva, Pamplona, Spain Ramón Lecumberri, Pamplona, Spain OP28 Impact on survival of N-terminal Pro-B-type natriuretic peptide (NT-proBNP) OP36 Ixazomib-dexamethasone versus physician’s choice in relapsed/refractory increase after diagnosis for cardiac transthyretin amyloidosis systemic AL amyloidosis: Results from the phase 3 tourmaline-AL1 trial Topics: Silvia Oghina, Créteil, France Giampaolo Merlini, Pavia, Italy • When to suspect AL amyloidosis during MGUS follow-up? • New response criteria needed? OP29 Diagnostic value of subcutaneous abdominal fat tissue aspirates in cardiac OP37 Subcutaneous daratumumab + cyclophosphamide/bortezomib/ • Is there a role for MRD assessment? amyloidosis dexamethasone in newly diagnosed AL amyloidosis: Updated safety run-in • Are we curing AL amyloidosis in 2020? TBC results of ANDROMEDA • Amyloid deposition in organ transplant recipients? Vaishali Sanchorawala, Boston, MA, USA OP30 Describing the echocardiographic phenotype of transthyretin cardiac amyloidosis - What are the predictors of prognosis? OP38 Assessment of minimal residual disease using multiparametric flow 19:05 - 19:15 Break TBC cytometry in treated patients with AL amyloidosis Andrew Staron, Boston, MA, USA OP31 Cardiac transthyretin wild type amyloidosis (ATTRwt): A prospective study of 19:15 - 20:00 HOT TOPICS IN ATTR AMYLOIDOSIS 400 patients followed at the Italian referral center OP39 One-year evaluation of the incidence and distribution of amyloidosis Chair: Paolo Milani, Pavia, Italy diseases in Germany: National Clinical Amyloidosis Registry Hartmut Schmidt, Münster, Germany Ute Hegenbart, Heidelberg, Germany OP32 Regional cardiac uptake of 99-Tc-DPD is a novel powerful and independent Panelists: prognostic marker in cardiac ATTR wild type amyloidosis OP40 Localised laryngeal amyloid – A series of 100 cases Ole Suhr, Umeå, Sweden Paolo Milani, Pavia, Italy Helen Lachmann, London, UK Violaine Plante-Bordeneuve, Créteil, France Esther González-López, Madrid, Spain OP33 Finnish gelsolin amyloidosis causes significant disease burden but does not 16:12 - 16:30 Discussion Joel Buxbaum, La Jolla, CA, USA affect survival Juan González-Moreno, Palma de Mallorca, Spain 16:30 - 16:40 Break Sari Atula, , Finland Philip Hawkins, London, UK OP34 Excellent outcomes of isolated renal transplantation for hereditary Topics: 16:40 - 18:10 INDUSTRY SPONSORED SYMPOSIUM 5 - Alnylam Fibrinogen (AFib) amyloidosis • What is the real prevalence of wild type ATTR amyloidosis? TBC ATTR Amyloidosis: Unlocking the potential of RNAi therapeutics • What are the critical endpoints in ATTR polyneuropathy? • Best treatment approach at lack of response to patisiran or inotersen? 14:56 – 15:20 Discussion Chair: Mathew Maurer, New York, USA • Is it time for combination therapy trials? 15:20 - 15:30 Break • What is the best approach to ATTR mutant carriers? Mechanisms of organ damage in ATTR amyloidosis Julian Gillmore, London, UK 20:00 - 20:15 The next ISA Symposium Controlling gene expression with RNAi in ATTR amyloidosis Laura Obici, Pavia, Italy

Interfering with hereditary ATTR amyloidosis using RNAi David Adams, , France 18:10 - 18:20 Break SPONSORS

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