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How to sequence BCMA-directed therapies in early relapsed/ refractory multiple myeloma
At the ESH 7th Translational Research Conference:
Multiple Myeloma
with Martin Kaiser, Mohamad Mohty, and Rakesh Popat
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May 12, 2020 saw the early release of results from the phase III IKEMA (NCT03275285) trial following recommendation from an Independent Data Monitoring Committee.1 The randomized, open label, multicenter study evaluated the clinical benefit of the anti-CD38 agent, isatuximab, in combination with carfilzomib and dexamethasone vs carfilzomib and dexamethasone alone in patients with relapsed and/or refractory (RR) multiple myeloma (MM; RRMM) following 1 ‒ 3 prior lines of therapy.2
In this first planned interim analysis of the IKEMA trial, the addition of isatuximab to the carfilzomib plus dexamethasone regimen was associated with significantly improved progression-free survival (PFS) rates in patients with RRMM when compared to carfilzomib and dexamethasone alone. These data fulfil the primary endpoint for this study and no new safety concerns were observed.
Isatuximab recently received approval in Europe and the US for the treatment of RRMM in combination with pomalidomide and dexamethasone.
Sanofi. Sarclisa® (isatuximab) Phase 3 IKEMA trial meets primary endpoint early in patients with relapsed multiple myeloma Paris Stock Exchange:SAN. globenewswire. https://www.globenewswire.com/news-release/2020/05/12/2031604/0/en/Sarclisa-isatuximab-Phase-3-IKEMA-trial-meets-primary-endpoint-early-in-patients-with-relapsed-multiple-myeloma.html. Published May 12, 2020. Accessed May 12, 2020.
Clinicaltrials.gov. Multinational Clinical Study Comparing Isatuximab, Carfilzomib And Dexamethasone To Carfilzomib And Dexamethasone In Relapse And/Or Refractory Multiple Myeloma Patients . https://clinicaltrials.gov/ct2/show/NCT03275285. Updated March 10, 2020. Accessed May 12, 2020.
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