Sorbonne University, Hôpital Saint-Antoine, and INSERM UMRS 938, Paris, France.
Arnie Charbonneau Cancer Institute, University of Calgary, Calgary, Alberta, Canada.
Br J Haematol. 2024 May;204(5):1801-1810. doi: 10.1111/bjh.19346. Epub 2024 Feb 29.
The physical and emotional burden of relapsed or refractory multiple myeloma (RRMM) has been strongly correlated with declining health-related quality of life (QOL) in the patients it affects. This analysis evaluated patient-reported outcomes (PROs) from B-cell maturation antigen (BCMA)-naive (n = 123) and -exposed (n = 64) patients with RRMM enrolled in the MagnetisMM-3 study (NCT04649359) and treated with the humanized, bispecific BCMA-CD3 antibody elranatamab. Patients received two step-up doses of elranatamab (12 mg on day 1, 32 mg on day 4) before starting the full dose of 76 mg on day 8 (each cycle = 28 days). Global health status, functioning and symptom data were collected electronically using validated and myeloma-specific questionnaires. Improvements in PROs occurred early, with marked reductions in pain and disease symptoms and notable improvements in patients' outlook for their future health. Additionally, 40.2% of BCMA-naive and 52.6% of BCMA-exposed patients perceived their disease as 'a little better' or 'much better' by Cycle 1, Day 15. The results from this analysis demonstrated that elranatamab maintained or improved symptomology and general health status, regardless of prior BCMA-directed therapy. Thus, in addition to its clinical benefits, elranatamab therapy may sustain or improve QOL in heavily pretreated patients with RRMM.
复发或难治性多发性骨髓瘤 (RRMM) 的身体和情感负担与受其影响的患者健康相关生活质量 (QOL) 的下降密切相关。这项分析评估了 MagnetisMM-3 研究 (NCT04649359) 中入组的 RRMM 且既往未接受过 (n=123) 和接受过 B 细胞成熟抗原 (BCMA) 治疗的患者(n=64)的患者报告结局 (PRO),这些患者接受了人源化双特异性 BCMA-CD3 抗体 elranatamab 的治疗。患者在第 8 天开始全剂量 76mg 之前,先接受两次递增剂量的 elranatamab(第 1 天 12mg,第 4 天 32mg)(每个周期=28 天)。使用经过验证的和多发性骨髓瘤特异性问卷以电子方式收集总体健康状况、功能和症状数据。PRO 的改善发生得很早,疼痛和疾病症状明显减轻,患者对未来健康的前景明显改善。此外,40.2%的 BCMA-初治患者和 52.6%的 BCMA-经治患者在第 1 周期,第 15 天认为自己的疾病“好一点”或“好很多”。这项分析的结果表明,elranatamab 维持或改善了症状和总体健康状况,无论既往是否接受过 BCMA 靶向治疗。因此,除了临床获益外,elranatamab 治疗可能在接受过大量预处理的 RRMM 患者中维持或改善 QOL。