Subgroup analysis based on cytogenetic risk in patients with relapsed or refractory multiple myeloma in the CANDOR study

被引:5
作者
Landgren, Ola [1 ]
Weisel, Katja [2 ]
Rosinol, Laura [3 ]
Touzeau, Cyrille [4 ]
Turgut, Mehmet [5 ]
Hajek, Roman [6 ,7 ]
Mollee, Peter [8 ,9 ]
Kim, Jin Seok [10 ]
Shu, Natalie [11 ]
Hu, Xuguang [12 ]
Li, Chuang [12 ]
Usmani, Saad Z. [13 ]
机构
[1] Sylvester Comprehens Canc Ctr, Div Hematol, Miami, FL USA
[2] Univ Med Ctr Hamburg Eppendorf, Dept Oncol Hematol & BMT, Hamburg, Germany
[3] IDIBAPS, Hosp Clin, Barcelona, Spain
[4] Ctr Hosp Univ Nantes, Serv Hematol Clin, Nantes, France
[5] Ondokuz Mayis Univ, Div Hematol, Dept Internal Med, Fac Med, Samsun, Turkey
[6] Univ Hosp Ostrava, Dept Haematooncol, Ostrava, Czech Republic
[7] Univ Ostrava, Dept Haematooncol, Fac Med, Ostrava, Czech Republic
[8] Princess Alexandra Hosp, Dept Haematol, Brisbane, Qld, Australia
[9] Univ Queensland, Sch Med, Brisbane, Qld, Australia
[10] Yonsei Univ, Severance Hosp, Coll Med, Seoul, South Korea
[11] Parexel, Chengdu, Peoples R China
[12] Amgen Inc, Thousand Oaks, CA 91320 USA
[13] Mem Sloan Kettering Canc Ctr, 1275 York Ave, New York, NY 10021 USA
关键词
relapsed or refractory multiple myeloma; proteasome inhibitor; carfilzomib; cytogenetics; CARFILZOMIB; DEXAMETHASONE;
D O I
10.1111/bjh.18233
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
CANDOR compared the safety/efficacy of carfilzomib with dexamethasone and daratumumab (KdD) to carfilzomib with dexamethasone (Kd) in adults with relapsed/refractory multiple myeloma (RRMM). This CANDOR subgroup analysis evaluated outcomes based on cytogenetic risk. Overall response rates (KdD vs. Kd) were 81% versus 56% in high-risk and 87% versus 79% in standard-risk groups. Median progression-free survival was 11.2 versus 7.4 months in high-risk (hazard ratio, 0.56 [95% CI, 0.34, 0.93]) and not reached versus 16.6 months in standard-risk groups (0.56 [95% CI, 0.39, 0.80]). These data support the efficacy of KdD in RRMM treatment, including in patients with high-risk cytogenetics.
引用
收藏
页码:988 / 993
页数:6
相关论文
共 15 条
[1]   Cytogenetic abnormalities in multiple myeloma: association with disease characteristics and treatment response [J].
Abdallah, Nadine ;
Rajkumar, S. Vincent ;
Greipp, Patricia ;
Kapoor, Prashant ;
Gertz, Morie A. ;
Dispenzieri, Angela ;
Baughn, Linda B. ;
Lacy, Martha Q. ;
Hayman, Suzanne R. ;
Buadi, Francis K. ;
Dingli, David ;
Go, Ronald S. ;
Hwa, Yi L. ;
Fonder, Amie ;
Hobbs, Miriam ;
Lin, Yi ;
Leung, Nelson ;
Kourelis, Taxiarchis ;
Warsame, Rahma ;
Siddiqui, Mustaqeem ;
Lust, John ;
Kyle, Robert A. ;
Bergsagel, Leif ;
Ketterling, Rhett ;
Kumar, Shaji K. .
BLOOD CANCER JOURNAL, 2020, 10 (08)
[2]   Carfilzomib significantly improves the progression-free survival of high-risk patients in multiple myeloma [J].
Avet-Loiseau, Herve ;
Fonseca, Rafael ;
Siegel, David ;
Dimopoulos, Meletios A. ;
Spicka, Ivan ;
Masszi, Tamas ;
Hajek, Roman ;
Rosinol, Laura ;
Goranova-Marinova, Vesselina ;
Mihaylov, Georgi ;
Maisnar, Vladimir ;
Mateos, Maria-Victoria ;
Wang, Michael ;
Niesvizky, Ruben ;
Oriol, Albert ;
Jakubowiak, Andrzej ;
Minarik, Jiri ;
Palumbo, Antonio ;
Bensinger, William ;
Kukreti, Vishal ;
Ben-Yehuda, Dina ;
Stewart, A. Keith ;
Obreja, Mihaela ;
Moreau, Philippe .
BLOOD, 2016, 128 (09) :1174-1180
[3]   Relapsed refractory multiple myeloma: a comprehensive overview [J].
Bazarbachi, Abdul Hamid ;
Al Hamed, Rama ;
Malard, Florent ;
Harousseau, Jean-Luc ;
Mohty, Mohamad .
LEUKEMIA, 2019, 33 (10) :2343-2357
[4]   Carfilzomib-dexamethasone vs bortezomib-dexamethasone in relapsed or refractory multiple myeloma by cytogenetic risk in the phase 3 study ENDEAVOR [J].
Chng, W-J ;
Goldschmidt, H. ;
Dimopoulos, M. A. ;
Moreau, P. ;
Joshua, D. ;
Palumbo, A. ;
Facon, T. ;
Ludwig, H. ;
Pour, L. ;
Niesvizky, R. ;
Oriol, A. ;
Rosinol, L. ;
Suvorov, A. ;
Gaidano, G. ;
Pika, T. ;
Weisel, K. ;
Goranova-Marinova, V. ;
Gillenwater, H. H. ;
Mohamed, N. ;
Feng, S. ;
Aggarwal, S. ;
Hajek, R. .
LEUKEMIA, 2017, 31 (06) :1368-1374
[5]   Multiple myeloma: EHA-ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up [J].
Dimopoulos, M. A. ;
Moreau, P. ;
Terpos, E. ;
Mateos, M., V ;
Zweegman, S. ;
Cook, G. ;
Delforge, M. ;
Hajek, R. ;
Schjesvold, F. ;
Cavo, M. ;
Goldschmidt, H. ;
Facon, T. ;
Einsele, H. ;
Boccadoro, M. ;
San-Miguel, J. ;
Sonneveld, P. ;
Mey, U. .
ANNALS OF ONCOLOGY, 2021, 32 (03) :309-322
[6]  
Dimopoulos M, 2020, LANCET, V396, P186, DOI 10.1016/S0140-6736(20)30734-0
[7]   Daratumumab, lenalidomide, and dexamethasone versus lenalidomide and dexamethasone alone in newly diagnosed multiple myeloma (MAIA): overall survival results from a randomised, open-label, phase 3 trial [J].
Facon, Thierry ;
Kumar, Shaji K. ;
Plesner, Torben ;
Orlowski, Robert Z. ;
Moreau, Philippe ;
Bahlis, Nizar ;
Basu, Supratik ;
Nahi, Hareth ;
Hulin, Cyrille ;
Quach, Hang ;
Goldschmidt, Hartmut ;
O'Dwyer, Michael ;
Perrot, Aurore ;
Venner, Christopher P. ;
Weisel, Katja ;
Mace, Joseph R. ;
Raje, Noopur ;
Tiab, Mourad ;
Macro, Margaret ;
Frenzel, Laurent ;
Leleu, Xavier ;
Ahmadi, Tahamtan ;
Wang, Jianping ;
Van Rampelbergh, Rian ;
Uhlar, Clarissa M. ;
Tromp, Brenda ;
Delioukina, Maria ;
Vermeulen, Jessica ;
Usmani, Saad Z. .
LANCET ONCOLOGY, 2021, 22 (11) :1582-1596
[8]   Next Generation Sequencing-based Validation of the Revised International Staging System for Multiple Myeloma: An Analysis of the MMRF CoMMpass Study [J].
Goldsmith, Scott R. ;
Fiala, Mark A. ;
Dukeman, James ;
Ghobadi, Armin ;
Stockerl-Goldstein, Keith ;
Schroeder, Mark A. ;
Tomasson, Michael ;
Wildes, Tanya M. ;
Vij, Ravi .
CLINICAL LYMPHOMA MYELOMA & LEUKEMIA, 2019, 19 (05) :285-289
[9]   Carfilzomib for relapsed and refractory multiple myeloma [J].
Groen, K. ;
van de Donk, N. W. C. J. ;
Stege, C. A. M. ;
Zweegman, S. ;
Nijhof, I. S. .
CANCER MANAGEMENT AND RESEARCH, 2019, 11 :2663-2675
[10]   Daratumumab, lenalidomide, and dexamethasone in relapsed/refractory myeloma: a cytogenetic subgroup analysis of POLLUX [J].
Kaufman, Jonathan L. ;
Dimopoulos, Meletios A. ;
White, Darrell ;
Benboubker, Lotfi ;
Cook, Gordon ;
Leiba, Merav ;
Morton, James ;
Joy Ho, P. ;
Kim, Kihyun ;
Takezako, Naoki ;
Moreau, Philippe ;
Sutherland, Heather J. ;
Magen, Hila ;
Iida, Shinsuke ;
Kim, Jin Seok ;
Miles Prince, H. ;
Cochrane, Tara ;
Oriol, Albert ;
Bahlis, Nizar J. ;
Chari, Ajai ;
O'Rourke, Lisa ;
Trivedi, Sonali ;
Casneuf, Tineke ;
Krevvata, Maria ;
Ukropec, Jon ;
Kobos, Rachel ;
Avet-Loiseau, Herve ;
Usmani, Saad Z. ;
San-Miguel, Jesus .
BLOOD CANCER JOURNAL, 2020, 10 (11)