Out now in @AjHematology! We identify factors associated with early treatment failure (PFS <12 months) in patients with R/R myeloma receiving cilta-cel and identify early prognostic markers
Key takeaways:
✅ Early failure noted in Prior BCMA-directed Rx, EMD and higher ferritin/cytopenias at baseline
⭐️ No difference in PFS or early failure for early (1-3) vs later(≥4) lines of therapy
⭐️ BM MRD or PET positivity at 3 months post infusion markedly prognostic. Need consideration for consolidation in these patients?
🧵 1/
https://t.co/szBjyW42pc
Don't miss our newest podcast episode, which focuses on adverse events in the post #CARTCell therapy setting and covers:
🩸Infection incidence and prevention
🩸Less common toxicities
🩸& more!
Check it out here:
🎧 ➡️ https://t.co/lsNKSGbiTJ
Featuring @MSubklewe, @ErikaKampouri, Birte Friedrichs, @heMEGirl_MD, & @Kennethjclim
#ImmunoOnc #DLBCL #LYMsm #Lymphoma #MMSM #Myeloma #MultipleMyeloma #HemOnc
This paper is a great read and addresses an area of uncertainty in #Myeloma
Should we consider treating SBPmm with HR CG (del17p, 1q) like Myeloma? @Rfonsi1@RahulBanerjeeMD@VincentRK@brandon_imber
A multi-center study of progression-risk and outcomes in solitary bone plasmacytoma with and without marrow involvement https://t.co/mmUVex5KW7
This week's podcast episode is live!🎧
Hear as leading experts discuss adverse events in the post #CARTCell therapy setting, from infections to less common toxicities, and provide valuable advice on their prevention and management.🩸
Listen now: 👉 https://t.co/lsNKSGbiTJ
Featuring @MSubklewe, @ErikaKampouri, Birte Friedrichs, @heMEGirl_MD, & @Kennethjclim
#ImmunoOnc #DLBCL #LYMsm #Lymphoma #MMSM #Myeloma #MultipleMyeloma #HemOnc
High ALC after Cilta-cel is associated with increased risk of IEC-Parkinsonism. Can DEX decrease ALC & reduce risk for this toxicity? Dr. Ken Lim presents @MayoCancerCare expeirence today #Tandem2026#mmsm#CART. 🧠💊@ASTCT@VincentRK@RahulBanerjeeMD
https://t.co/KtMaNXwTtO
Great job @Kennethjclim presenting @MayoCancerCare risk factor of IEC-nerve palsy & Parkinsonism #EHA25#mmsm Hopefully we will learn soon from CARTITUDE trials & RWE across centers whether additional early mitigating strategies could reduce the risk further @IMFmyeloma
Poster session now #EHA25@Kennethjclim presents real world analysis of risk factors for IEC-enterocolitis (PS2152) & non-ICANS Neurotox (oral presentation Sunday Brown Hall 11AM). With impressive PFS seen from cilta-cel, important to work on reducing tox @MayoCancerCare
2/ Independent proof of this principle from another of my top 10 #Tandem25 posters, this time by @YiLinMDPhD@Rfonsi1 @MayoMyeloma et al:
If peak ALC >3.0 after #MMsm CAR-T, 29% MNT risk if 3% if not.
If Parkinsonism happens, use high-dose Cy quickly - possible Sx resolution.
1/ The "this shoulda been an oral" #MMsm poster of #Tandem25 - worth reviewing if you use cilta-cel!
Rapid or sustained ALC ⬆️⬆️ appear to drive tox with BCMA CAR-T.
CBCI now starting dex preemptively if ALC > 5.0 even if no tox yet - well-powered RCT hopefully coming soon!
CONGRESS | POSTER | #ASH23 | Kenneth J C Lim @StVincentsMelb presents on the impact of 1Q21+ in daratumumab treated MM. median PFS with vs without 1q21+ 9.2-mo vs 22.1-mo. Median PFS gain1q21 vs amp1q21 5.7-mo vs 10.5mo.
#mmsm#myeloma