Treatment adherence and effectiveness in patients treated with carfilzomib-based therapy combinations for relapsed/refractory multiple myeloma in Germany: interim results from the non-interventional CARO study

被引:0
作者
Knauf, Wolfgang [1 ]
Uhlig, Jens [2 ]
von der Heyde, Eyck [3 ]
Losem, Christoph [4 ]
Ammon, Andreas [5 ]
Nusch, Arnd [6 ]
Schlag, Rudolf [7 ]
Schulz, Holger [8 ]
Janssen, Jan [9 ]
Welslau, Manfred [10 ]
Wilop, Stefan [11 ]
Vannier, Corinne [12 ]
Siebenbach, Hans Ulrich [12 ]
Serrer, Laura [12 ]
Schuch, Anita [12 ]
Woerner, Sandra Maria [12 ]
Engelhardt, Monika [13 ]
Potthoff, Karin [12 ]
机构
[1] Ctr Hamatol & Onkol Bethanien, Frankfurt, Germany
[2] Praxis Dr Med Jens Uhlig, Naunhof, Germany
[3] Onkol Schwerpunktpraxis, Hannover, Germany
[4] Rheinlandklinikum, Grevenbroich, Germany
[5] OSP Gottingen, Gottingen, Germany
[6] Praxis Hamatol & Internist Onkol, Ratingen, Germany
[7] Hamatol Onkol Schwerpunktpraxis Wurzburg, Wurzburg, Germany
[8] Praxis Internist Onkol & Hamatol PIOH, Frechen, Germany
[9] Gemeinschaftspraxis Hamatol & Onkol, Westerstede, Germany
[10] MVZ Klinikum Aschaffenburg, Aschaffenburg, Germany
[11] MVZ West GmbH Wurselen Hamatol Onkol, Wurselen, Germany
[12] iOMEDICO, Ellen Gottlieb Str 19, D-79106 Freiburg, Germany
[13] Univ Freiburg, Bernstein Ctr Freiburg, Freiburg, Germany
关键词
Carfilzomib; chemotherapeutic approaches; antibody-based immunotherapy; myeloma; OPEN-LABEL; DEXAMETHASONE; LENALIDOMIDE; DARATUMUMAB; NONADHERENCE; MULTICENTER; MORTALITY; SURVIVAL; OUTCOMES; RATES;
D O I
10.1080/10428194.2024.2436034
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Therapy adherence can significantly influence the outcome of cancer patients. The prospective, non-interventional CARO study (NCT02970747) investigated adherence, effectiveness, and safety of carfilzomib in patients with relapsed/refractory multiple myeloma (RRMM) in the German real-world setting. In total, 359 patients were included at 69 sites. Data on carfilzomib combination regimens were evaluated for three treatment cohorts: carfilzomib with lenalidomide and dexamethasone (KRd), with dexamethasone only (Kd) or with daratumumab and dexamethasone (KdD). Encouragingly, patients maintained levels of treatment adherence >= 95% to carfilzomib across cohorts. The effectiveness outcomes of CARO were in line with previous data. Median PFS (95% CI) was 17.5 months (14.5, 24.7 [KRd]), 13.4 months (7.0, 18.1 [Kd]), and 15.6 months (9.9, NA [KdD]), respectively. Median OS was 38.9 months (31.5, 53.9 [KRd]), 24.2 months (17.3, 36.8 [Kd]), and not reached (KdD). Overall, the CARO study impressively demonstrates efficacy and safety of KRd, Kd, and KdD regimen in real-world.
引用
收藏
页码:691 / 701
页数:11
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