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CAMMA-2 Cohort A1: Cevostamab in patients with RRMM and prior BCMA-targeted ADC or CAR T-cell therapy

By Jen Wyatt Green

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Aug 8, 2024

Learning objective: After reading this article, learners will be able to cite a new clinical development in relapsed/refractory MM.



CAMMA-2 (NCT05535244) is an ongoing phase I/II study evaluating the efficacy and safety of cevostamab (a FcRH5xCD3 bispecific antibody) in patients with relapsed/refractory multiple myeloma (RRMM) who are triple-class refractory and have received a prior BCMA-targeted agent.

Analysis of Cohort A1 (n=21), which enrolled patients with prior exposure to BCMA-targeted antibody–drug conjugate (ADC) or chimeric antigen receptor (CAR) T-cell therapy, was presented at EHA 2024 by Shaji Kumar.  


Key learnings:

In CAMMA-2, following treatment with cevostamab, the overall response rate (ORR) for Cohort A1 was 67%, with 38% achieving very good partial response (VGPR). 

Response rates were higher in the prior CAR T-cell group (ORR, 73%; VGPR, 55%; n=11) compared with the prior ADC group (ORR, 60%; VGPR, 20%; n=10). 

Adverse events (AEs) were consistent with the known safety profile of cevostamab, with no fatal AEs. 

All cytokine release events were Grade 12 and affected 71% of patients overall (90% who received prior ACD and 55% who received prior CAR T-cell therapy). 

Cevostamab shows efficacy in heavily pre-treated RRMM patients with prior BCMA-targeted ADC or CAR T-cell exposure, with a clinically manageable safety profile. These findings support further investigation and potential integration of cevostamab into clinical practice for this patient population. 

References

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