Winship Cancer Institute, Emory University, Atlanta, Georgia, USA.
Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Br J Haematol. 2024 Jun;204(6):2227-2232. doi: 10.1111/bjh.19386. Epub 2024 Mar 19.
Due in part to racial disparities and underrepresentation in clinical studies, optimal therapies for Black patients with multiple myeloma remain undefined. This final analysis of GRIFFIN by race showed that the addition of daratumumab (D) to lenalidomide/bortezomib/dexamethasone (RVd) provides clinical benefit among both Black and White transplant-eligible newly diagnosed patients compared with RVd alone. However, Black patients were more likely to discontinue ≥1 drug due to treatment-emergent adverse events. In summary, these findings suggest a benefit of D-RVd front-line therapy among Black and White patients and underscore the importance of equitable treatment access for all patients.
由于种族差异和在临床研究中代表性不足,最佳治疗方法仍未确定多发性骨髓瘤的黑人患者。GRIFFIN 研究的最终种族分析表明,与单独使用 RVd 相比,在接受自体造血干细胞移植的新诊断多发性骨髓瘤的黑人和白人患者中,添加达雷妥尤单抗(D)可使 lenalidomide/bortezomib/dexamethasone(RVd)治疗方案具有临床获益。然而,由于治疗相关不良事件,黑人患者更有可能停止使用≥1 种药物。总之,这些发现表明 D-RVd 一线治疗对黑人和白人患者均有益处,并强调了为所有患者提供公平治疗机会的重要性。