在复发性/耐药性多发性骨髓瘤中使用莱纳利多米德的三胞胎:分析捷克骨髓瘤组的分析
Jiri Minarik1, Ludek Pour2, Vojtech Latal3
1Department of Hemato-Oncology, Faculty of Medicine and Dentistry, Palacky University Olomouc and University Hospital Olomouc, Olomouc, Czech Republic. abretina@email.cz.
BMC cancer
|April 9, 2025
概括
基于达拉图穆马布 (DRD) 的三重疗法在复发性/耐药性多发性骨髓瘤 (RRMM) 中,与卡菲尔佐米布 (KRD) 和伊克萨佐米布 (IRD) 疗法相比,在现实世界中表现出更好的疗效. 在RRMM患者中,DRD实现了更高的应答率和更长的无进展生存期.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 临床研究 临床研究
背景情况:
- 多发性骨髓瘤 (MM) 治疗已取得进展,但复发仍然很常见,需要新的治疗策略.
- 基于莱纳利多米德 (LEN) 的三重疗法是复发性/耐药性多发性骨髓瘤 (RRMM) 的标准.
- 在临床试验之外评估治疗有效性的现实数据至关重要.
研究的目的:
- 在RRMM患者中比较基于lenalidomide的三种三重疗法的现实有效性.
- 具体比较达拉图穆马布 (DRD),卡菲尔佐米布 (KRD) 和伊克萨佐米布 (IRD) 疗法.
- 评估整体应答率 (ORR),无进展生存率 (PFS) 和整体生存率 (OS).
主要方法:
- 对538名RRMM患者进行了基于注册表的回顾性研究.
- 对接受治疗治疗第一到第三次复发的患者的分析.
- 经匹配调整的间接比较 (MAIC) 用于调整队列差异.
主要成果:
- 达拉图马布 (DRD) 显示出最高的ORR (91.4%) 和最长的PFS中位数 (23.64个月).
- 卡菲尔佐米布 (KRD) 的ORR为89.6%,PFS为16.52个月.
- 伊克萨佐米布 (IRD) 疗法具有较低的ORR (70.8%-79.6%) 和较短的PFS (11.57-19.97个月).
- MAIC证实DRD治疗方案的优异结果.
- 任何基于莱纳利多米德的疗法都无法克服高风险特征.
结论:
- 基于达拉图马布 (DRD) 的三重疗法在实现RRMM患者持续反应方面优越.
- 现实世界的证据强调了治疗成分和队列因素的重要性.
- 这项研究强调了现实世界的数据在临床实践中评估治疗模式的价值.
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