Immune prognostic score predicts the risk of infection and survival outcomes in patients with relapsed multiple myeloma treated with bispecific antibodies

Author:

Akhtar Othman Salim1ORCID,Szabo Aniko2,Bhatlapenumarthi Vineel1,Forsberg Mark3,Balev Metodi4,Patwari Anannya1,Cheruvalath Heloise5,Bhutani Divaya4ORCID,Thanendrarajan Sharmilan6,Dhakal Binod1ORCID,Zangari Maurizio6ORCID,Patel Tanvi6,Shrestha Asis6,Al‐Hadidi Samer6ORCID,Cooper Dennis3,Lentzsch Suzanne4,van Rhee Frits6,Shah Mansi R.7,Bag Aishee7,D'Souza Anita1ORCID,Schinke Carolina6,Chakraborty Rajshekhar4,Shah Nishi3ORCID,Mohan Meera1ORCID

Affiliation:

1. Division of Hematology/Oncology, Department of Medicine Medical College of Wisconsin Milwaukee Wisconsin USA

2. Division of Biostatistics, Institute of Health and Equity Medical College of Wisconsin Milwaukee Wisconsin USA

3. Division of Hematological Malignancies, Department of Oncology Montefiore Medical Center and Albert Einstein College of Medicine New York New York USA

4. Multiple Myeloma and Amyloidosis Program, Herbert Irving Comprehensive Cancer Center Columbia University New York New York USA

5. Medical College of Wisconsin Medical School Milwaukee Wisconsin USA

6. Myeloma Center University of Arkansas for Medical Science Little Rock Arkansas USA

7. Division of Blood Disorders Rutgers Cancer Institute of New Jersey New Brunswick New Jersey USA

Abstract

SummaryThe Glasgow prognostic score (GPS) and CAR‐HEMATOTOX (CAR‐HT) score identify multiple myeloma (MM) patients at high risk for immune‐mediated toxicity and early mortality with cellular immunotherapy. However, their association with outcomes in patients receiving T‐cell redirecting bispecific antibodies (bsAb) is unclear. This multi‐centre retrospective study examines the association of baseline GPS and CAR‐HT scores with outcomes in 126 MM patients treated with bsAb. Overall, 19% were identified as GPS high risk but did not experience increased toxicity or mortality. Conversely, high‐risk CAR‐HT patients had a higher incidence of infections and inferior survival, suggesting a need for aggressive infection mitigation strategies.

Funder

Medical College of Wisconsin Cancer Center

Publisher

Wiley

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