Mileage matters: long-distance performance of CARs in multiple myeloma

Eric M Jurgens1, Saad Z Usmani1, Maximilian Merz2,3

  • 1Memorial Sloan Kettering Cancer Center, New York, New York, USA.

PubMed

Insights

Chimeric antigen receptor (CAR) T-cell therapy shows promise for relapsed/refractory multiple myeloma (RRMM). Long-term data reveal high response rates and durable survival, establishing it as a new standard of care.

Area of Science:

  • Oncology
  • Immunotherapy
  • Hematology

Background:

  • B-cell maturation antigen (BCMA)-targeted chimeric antigen receptor (CAR) T-cells are a new standard of care for relapsed/refractory multiple myeloma (RRMM).
  • Long-term outcome data for BCMA-targeted CAR T-cell therapy in RRMM remain limited.

Purpose of the Study:

  • To summarize and analyze published long-term data for CAR T-cells targeting BCMA in RRMM.
  • To provide insights into the durability and long-term efficacy of this treatment modality.

Main Methods:

  • A comprehensive review of published literature on BCMA-targeted CAR T-cells for RRMM.
  • Analysis of data from a large cohort of 141 patients with a median follow-up of 20.2 months.

Main Results:

  • An overall response rate (ORR) of 90.1% was observed, with 48.2% achieving complete response (CR).
  • Median progression-free survival (PFS) was 15.2 months.
  • The 4-year overall survival (OS) rate reached 63.2%.

Conclusions:

  • BCMA-targeted CAR T-cell therapy demonstrates significant and durable efficacy in RRMM patients.
  • These findings support the role of CAR T-cells as a long-term treatment option for RRMM.