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Hematologic Oncology Update

Oncology Today with Dr Neil Love: Key Presentations on Multiple Myeloma from Recent Major Oncology/Hematology Conferences

Oct 18, 2023
Dr Joseph Mikhael discusses updates in multiple myeloma management, including the concept of stopping treatment for patients with deep responses, the use of MRD negativity to determine treatment level, neurological toxicities associated with certain treatments, utilization of specific treatments in medical oncology offices, advantages of bertimide vs. lintalitamide, and the examination of a treatment for multiple myeloma.
01:19:48

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Quick takeaways

  • CAR-T therapy using iDECeL shows promising results in both newly diagnosed and relapsed/refractory multiple myeloma patients, providing a targeted treatment option with manageable toxicity.
  • CAR-T therapy targeting GPRC5D demonstrates high response rates in heavily pretreated multiple myeloma patients, offering a valuable alternative for patients, especially as BCMA-targeted therapies become more prevalent.

Deep dives

Early CAR-T therapy shows promising results in high-risk multiple myeloma patients

A study evaluated the use of early chimeric antigen receptor T-cell therapy (CAR-T) in high-risk multiple myeloma patients. The CARMA-3 trial administered the CAR-T therapy, iDECeL, to patients with two to four prior lines of therapy. Results showed a response rate of 86%, with even favorable outcomes in patients who previously received BCMA-directed therapy. The study highlights the potential for CAR-T therapy to overcome high-risk disease and provides a targeted treatment option with GPRC5D as the antigen. While BCMA-directed therapies remain effective, exploring new targets like GPRC5D expands treatment possibilities.

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