Elranatamab efficacy in MagnetisMM-3 compared with real-world control arms in triple-class refractory multiple myeloma.
Luciano José Megale CostaThomas William LeBlancHans TeschPieter SonneveldRyan P KyleLiliya SinyavskayaPatrick HlavacekAster MecheJinma RenAlex SchepartDidem AydinGuido NadorMarco daCosta DiBonaventuraPublished in: Future oncology (London, England) (2024)
Elranatamab efficacy in the single-arm, registrational MagnetisMM-3 trial (NCT04649359) was compared with that of physician's choice of treatment (PCT) for triple-class refractory multiple myeloma. MagnestisMM-3 eligibility criteria were applied to two USA-based oncology electronic health record databases, COTA and Flatiron Health (FH), to identify cohorts for this study (NCT05932290). Applied statistical techniques accounted for cohort imbalances. MagnetisMM-3 (BCMA-naive; n = 123) outcomes were compared with those from COTA (n = 239) and FH (n = 152). Elranatamab was associated with a significantly higher objective response rate (risk ratios, 1.88-2.25), significantly longer progression-free survival (hazard ratios [HRs], 0.37-0.57), and, across most analyses, significantly longer overall survival (HRs, 0.46-0.66) versus PCT. BCMA-naive patients who were treated with elranatamab exhibited significantly better outcomes than patients treated in real-world clinical practice.
Keyphrases
- free survival
- multiple myeloma
- electronic health record
- clinical practice
- healthcare
- hiv infected
- public health
- primary care
- emergency department
- palliative care
- clinical trial
- clinical decision support
- study protocol
- phase iii
- randomized controlled trial
- adipose tissue
- type diabetes
- metabolic syndrome
- risk assessment
- decision making