Teclistamab versus real-world physician’s choice of therapy in triple-class exposed relapsed/refractory multiple myeloma

Author:

Krishnan Amrita1,Nooka Ajay K2,Chari Ajai3,Garfall Alfred L4,Martin Thomas G5,Nair Sandhya6,Lin Xiwu7,Qi Keqin8,Londhe Anil8,Pei Lixia9,Ammann Eric10,Kobos Rachel9,Smit Jennifer7,Parekh Trilok11,Marshall Alexander10,Slavcev Mary10,Usmani Saad Z12

Affiliation:

1. Judy and Bernard Briskin Center for Multiple Myeloma Research, Department of Hematology and Hematopoietic Cell Transplantation, City of Hope Comprehensive Cancer Center, Duarte, CA 91010, USA

2. Department of Hematology and Medical Oncology, Winship Cancer Institute, Emory University, Atlanta, GA 30322, USA

3. Division of Hematology/Oncology, Mount Sinai School of Medicine, New York, NY 10029-5674, USA

4. Abramson Cancer Center, Division of Hematology/Oncology, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA

5. UCSF Helen Diller Family Comprehensive Cancer Center, Division of Hematology and Blood and Marrow Transplantation, Department of Medicine, San Francisco, CA 94143, USA

6. Janssen Pharmaceutica NV, Beerse, B-2340, Belgium

7. Janssen Global Services, Horsham, PA 19044, USA

8. Janssen Research & Development, Titusville, NJ 08560, USA

9. Janssen Research & Development, Raritan, NJ 08869, USA

10. Janssen Global Services, Raritan, NJ 08869, USA

11. Janssen Research & Development, Bridgewater, NJ 08869, USA

12. Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA

Abstract

Aim: We compared the effectiveness of teclistamab versus real-world physician’s choice of therapy (RWPC) in triple-class exposed relapsed/refractory multiple myeloma. Materials & methods: MajesTEC-1 eligibility criteria were applied to the RWPC cohort. Baseline covariate imbalances were adjusted using inverse probability of treatment weighting. Overall survival, progression-free survival and time to next treatment were compared. Results: After inverse probability of treatment weighting, baseline characteristics were similar between cohorts (teclistamab, n = 165; RWPC, n = 364 [766 observations]). Teclistamab treated patients had numerically better overall survival (hazard ratio [HR]: 0.82 [95% CI: 0.59–1.14]; p = 0.233) and significantly greater progression-free survival (HR: 0.43 [0.33–0.56]; p < 0.0001) and time to next treatment (HR: 0.36 [0.27–0.49]; p < 0.0001) versus the RWPC cohort. Conclusion: Teclistamab offered clinical benefit over RWPC in triple-class exposed relapsed/refractory multiple myeloma.

Funder

Janssen Global Services

Publisher

Becaris Publishing Limited

Subject

Health Policy

Reference25 articles.

1. Clinical management of triple-class refractory multiple myeloma: a review of current strategies and emerging therapies;Stalker ME;Curr. Oncol.,2022

2. American Cancer Society. Cancer Facts and Figures 2020. American Cancer Society, GA, USA (2020). www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2020/cancer-facts-and-figures-2020.pdf

3. Multiple myeloma;Kyle RA;Blood,2008

4. National Comprehensive Cancer Network (NCCN). Clinical Practice Guidelines in Oncology. Multiple myeloma. Version 5.2022. www.nccn.org/guidelines/guidelines-detail?category=1&id=1445

5. Treatment patterns and outcomes in triple-class exposed patients with relapsed and refractory multiple myeloma: findings from the multinational ITEMISE study;Dhanasiri S;Clin. Ther.,2021

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