中文摘要
在既往接受过治疗的多发性骨髓瘤中,尤其是抗B细胞成熟抗原(BCMA)治疗后的治疗序贯缺乏共识。早期关于selinexor(X)方案的报道显示,在早期治疗中以及抗BCMA靶向CAR-T 细胞治疗后具有显著疗效。在此,我们呈现了11例重度经治患者的数据,这些患者主要接受了BCMA-抗体药物偶联物治疗。我们观察到,含X方案效力强,可实现持久缓解,与患者既往抗BCMA治疗相比,总体缓解率和临床获益率以及中位无进展生存期在数值上更高,尽管其在治疗过程中使用得更晚。在一个未满足需求不断演变的领域,这些数据再次证实了在更广泛的抗BCMA治疗后基于X方案的疗效。
展开英文摘要原文
There is a lack of consensus on therapy sequencing in previously treated multiple myeloma, particularly after anti-B-cell maturation antigen (BCMA) therapy. Earlier reports on selinexor (X) regimens demonstrated considerable efficacy in early treatment, and after anti-BCMA-targeted chimeric antigen receptor-T cell therapy.
Here, we present data from 11 heavily pretreated patients who predominantly received BCMA-antibody-drug conjugate therapy.
We observe that X-containing regimens are potent and achieve durable responses with numerically higher overall response and clinical benefit rates, as well as median progression free survival compared to patients' prior anti-BCMA therapies, despite being used later in the treatment course. In an area of evolving unmet need, these data reaffirm the efficacy of X-based regimens following broader anti-BCMA therapy.
论文信息
- 作者
- Baljevic M、Gasparetto C、Schiller GJ、Tuchman SA、Callander NS、Lentzsch S、Monge J、Kotb R
- 第一作者单位
- Vanderbilt-Ingram Cancer Center Vanderbilt University Medical Center Nashville Tennessee USA.United States
- 通讯作者单位
- Wilmot Cancer Institute University of Rochester Medical Center Rochester New York USA.United States
- 期刊
- EJHaem2022 Nov