关键词: carfilzomib cytogenetics proteasome inhibitor relapsed or refractory multiple myeloma

Mesh : Adult Antineoplastic Combined Chemotherapy Protocols / adverse effects Cytogenetic Analysis Dexamethasone / therapeutic use Humans Multiple Myeloma / drug therapy genetics Prognosis Treatment Outcome

来  源:   DOI:10.1111/bjh.18233

Abstract:
CANDOR compared the safety/efficacy of carfilzomib with dexamethasone and daratumumab (KdD) to carfilzomib with dexamethasone (Kd) in adults with relapsed/refractory multiple myeloma (RRMM). This CANDOR subgroup analysis evaluated outcomes based on cytogenetic risk. Overall response rates (KdD vs. Kd) were 81% versus 56% in high-risk and 87% versus 79% in standard-risk groups. Median progression-free survival was 11.2 versus 7.4 months in high-risk (hazard ratio, 0.56 [95% CI, 0.34, 0.93]) and not reached versus 16.6 months in standard-risk groups (0.56 [95% CI, 0.39, 0.80]). These data support the efficacy of KdD in RRMM treatment, including in patients with high-risk cytogenetics.
摘要:
CANDOR比较了卡非佐米联合地塞米松和达拉图单抗(KdD)与卡非佐米联合地塞米松(Kd)在成人复发/难治性多发性骨髓瘤(RRMM)中的安全性/有效性。该CANDOR亚组分析基于细胞遗传学风险评估结果。总体反应率(KdDvs.Kd)在高风险组中分别为81%和56%,在标准风险组中分别为87%和79%。无进展生存期中位数为11.2个月,高危人群为7.4个月(风险比,0.56[95%CI,0.34,0.93]),而标准风险组未达到16.6个月(0.56[95%CI,0.39,0.80])。这些数据支持KdD在RRMM治疗中的疗效,包括高危细胞遗传学患者。
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