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复发或难治性多发性骨髓瘤中,talquetamab之后基于B细胞成熟抗原的疗法

B-cell maturation antigen-based therapies post-talquetamab in relapsed or refractory multiple myeloma.

作者信息

Shrestha Asis, Alzubi Marah, Alrawabdeh Jawad, Schinke Carolina, Thanendrarajan Sharmilan, Zangari Maurizio, van Rhee Frits, Al Hadidi Samer

机构信息

Department of Hematology/Oncology Myeloma Center Winthrop P. Rockefeller Cancer Institute, University of Arkansas for Medical Sciences Little Rock Arkansas USA.

Department of Medicine, School of Medicine University of Jordan Amman Jordan.

出版信息

EJHaem. 2024 Apr 16;5(3):554-559. doi: 10.1002/jha2.896. eCollection 2024 Jun.

DOI:10.1002/jha2.896
PMID:38895072
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11182413/
Abstract

Talquetamab recently received approval for relapsed refractory multiple myeloma. However, there is currently no available data on how patients perform with BCMA based agents after progression on talquetamab. Herein, we present the outcome of 10 patients who received BCMA based therapies following talquetamab. The median follow-up was 9.5 months (range: 6-24 months). The median progression free survival was 5.5 months (range: 1-10 months). Patients had varying grades of cytokine release syndrome and Immune effector cell-associated neurotoxicity syndrome. Our results suggest that treatment with talquetamab followed by BCMA based therapies is feasible and can be considered as clinically indicated.

摘要

talquetamab最近获批用于复发难治性多发性骨髓瘤。然而,目前尚无关于患者在talquetamab治疗进展后使用基于BCMA的药物的表现的数据。在此,我们报告了10例在talquetamab治疗后接受基于BCMA治疗的患者的结果。中位随访时间为9.5个月(范围:6 - 24个月)。中位无进展生存期为5.5个月(范围:1 - 10个月)。患者出现了不同程度的细胞因子释放综合征和免疫效应细胞相关神经毒性综合征。我们的结果表明,先使用talquetamab治疗,随后使用基于BCMA的疗法是可行的,可作为临床指征考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a75b/11182413/2e466fc308df/JHA2-5-554-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a75b/11182413/2e466fc308df/JHA2-5-554-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a75b/11182413/2e466fc308df/JHA2-5-554-g001.jpg

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本文引用的文献

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2
Talquetamab, a T-Cell-Redirecting GPRC5D Bispecific Antibody for Multiple Myeloma.塔奎单抗,一种用于多发性骨髓瘤的靶向 GPRC5D 的 T 细胞双特异性抗体。
N Engl J Med. 2022 Dec 15;387(24):2232-2244. doi: 10.1056/NEJMoa2204591. Epub 2022 Dec 10.
3
Efficacy and safety of cilta-cel in patients with progressive multiple myeloma after exposure to other BCMA-targeting agents.
西达基奥仑赛治疗既往接受过其他 BCMA 靶向药物治疗的进展性多发性骨髓瘤患者的疗效和安全性。
Blood. 2023 Jan 19;141(3):219-230. doi: 10.1182/blood.2022015526.
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Sequencing T-cell redirection therapies leads to deep and durable responses in patients with relapsed/refractory myeloma.序贯 T 细胞重定向疗法可使复发/难治性骨髓瘤患者获得深度和持久缓解。
Blood Adv. 2023 Mar 28;7(6):1056-1064. doi: 10.1182/bloodadvances.2022007923.
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Outcomes of triple class (proteasome inhibitor, IMiDs and monoclonal antibody) refractory patients with multiple myeloma.三重耐药(蛋白酶体抑制剂、免疫调节药物及单克隆抗体)的多发性骨髓瘤患者的预后。
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