Factors associated with refractoriness or early progression after idecabtagene vicleucel in patients with relapsed/ refractory multiple myeloma: US Myeloma Immunotherapy Consortium real world experience
Title: | Factors associated with refractoriness or early progression after idecabtagene vicleucel in patients with relapsed/ refractory multiple myeloma: US Myeloma Immunotherapy Consortium real world experience |
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Authors: | Hamza Hashmi, Doris K. Hansen, Lauren C. Peres, Omar Castaneda Puglianini, Ciara Freeman, Gabriel De Avila, Surbhi Sidana, Leyla Shune, Douglas W. Sborov, James Davis, Charlotte Wagner, Mehmet H. Kocoglu, Shebli Atrash, Peter Voorhees, Gary Simmons, Christopher Ferreri, Nilesh Kalariya, Larry D. Anderson Jr., Aimaz Afrough, Danai Dima, Jack Khouri, Joseph McGuirk, Fred Locke, Rachid Baz, Krina K. Patel, Melissa Alsina |
Source: | Haematologica, Vol 109, Iss 5 (2023) |
Publisher Information: | Ferrata Storti Foundation, 2023. |
Publication Year: | 2023 |
Collection: | LCC:Diseases of the blood and blood-forming organs |
Subject Terms: | Diseases of the blood and blood-forming organs, RC633-647.5 |
More Details: | While response rates and survival outcomes have been very promising for idecabtagene vicleucel (ide-cel), a proportion of patients do not respond or relapse early after this B-cell maturation antigen (BCMA) targeted chimeric antigen receptor (CAR) T-cell therapy. Understanding the characteristics of these patients is important for patient selection and development of novel strategies to improve outcomes. We evaluated factors associated with early progression (progression or death due to myeloma ≤3 months after CAR T-cell infusion) in patients treated with standard of care ide-cel at 11 US academic centers. Among 211 patients that received ide-cel, 43 patients had a progressive event ≤3 months of infusion. Patients with a history of extramedullary disease, prior BCMA targeted therapy, elevated ferritin at lymphodepletion, use of bridging therapy, Hispanic ethnicity, plasma cell leukemia and t(4;14) were more likely to progress ≤3 months of infusion (P |
Document Type: | article |
File Description: | electronic resource |
Language: | English |
ISSN: | 0390-6078 1592-8721 |
Relation: | https://haematologica.org/article/view/11312; https://doaj.org/toc/0390-6078; https://doaj.org/toc/1592-8721 |
DOI: | 10.3324/haematol.2023.283888 |
Access URL: | https://doaj.org/article/75a53724d8354ceda7fc08c876125b9e |
Accession Number: | edsdoj.75a53724d8354ceda7fc08c876125b9e |
Database: | Directory of Open Access Journals |
ISSN: | 03906078 15928721 |
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DOI: | 10.3324/haematol.2023.283888 |
Published in: | Haematologica |
Language: | English |