Quad‐class exposed/refractory myeloma is associated with short survival

Author:

Piron Bénédicte1ORCID,Costes‐Tertrais Domitille1,Gastinne Thomas1,Fourmont Aude Marie1,Dubruille Viviane1,Blin Nicolas1,Moreau Philippe123ORCID,Touzeau Cyrille123ORCID,Tessoulin Benoit12ORCID

Affiliation:

1. Department of Hematology University Hospital Nantes France

2. CRCINA, INSERM, CNRS Université d'Angers, Université de Nantes Nantes France

3. Site de Recherche Intégrée sur le Cancer (SIRIC) «ILIAD» INCA‐DGOS‐Inserm_12558 Nantes France

Abstract

SummaryVery scarce data exist about outcomes of relapsed multiple myeloma patients who have failed proteasome inhibitor, immunomodulatory drug, anti‐CD38 monoclonal antibody and therapies targeting B‐cell maturation antigen (BCMA) (Quad‐class exposed [QCE]). In this retrospective single‐centre study, we determined progression‐free survival (PFS) and overall survival (OS) from anti‐BCMA failure in 45 QCE patients. Seven (16%) patients received antibody‐drug conjugate, 20 (44%) bispecific antibodies and 18 (40%) CAR‐T cell. Thirty patients (67%) received ≥1 subsequent line of treatment. PFS was 4.4 months (95% CI = 2.4–12.5) and OS 6.3 months (95% CI = 3.9–14.4). Having an adverse prognosis, QCE myeloma patients remain an unmet medical need.

Publisher

Wiley

Subject

Hematology

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