A glimpse into relapsed refractory multiple myeloma treatment in real-world practice in Spain: the GeminiS study

ABSTRACTObjectives: To describe the incorporation of monoclonal antibodies (mAb) in real-world (RW) practice for the treatment of patients with relapsed refractory multiple myeloma (RRMM) in a setting with other treatment alternatives.Methods: This was an observational, multicenter, ambispective stu...

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Main Authors: Rafael Ríos-Tamayo, Juan Alfons Soler, Ricarda García-Sánchez, Ernesto Pérez Persona, Mario Arnao, Antoni García-Guiñón, Abel Domingo, Miriam González-Pardo, Javier de la Rubia, María Victoria Mateos
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Hematology
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/16078454.2023.2178997
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author Rafael Ríos-Tamayo
Juan Alfons Soler
Ricarda García-Sánchez
Ernesto Pérez Persona
Mario Arnao
Antoni García-Guiñón
Abel Domingo
Miriam González-Pardo
Javier de la Rubia
María Victoria Mateos
author_facet Rafael Ríos-Tamayo
Juan Alfons Soler
Ricarda García-Sánchez
Ernesto Pérez Persona
Mario Arnao
Antoni García-Guiñón
Abel Domingo
Miriam González-Pardo
Javier de la Rubia
María Victoria Mateos
author_sort Rafael Ríos-Tamayo
collection DOAJ
description ABSTRACTObjectives: To describe the incorporation of monoclonal antibodies (mAb) in real-world (RW) practice for the treatment of patients with relapsed refractory multiple myeloma (RRMM) in a setting with other treatment alternatives.Methods: This was an observational, multicenter, ambispective study of RRMM treated with or without a mAb.Results: A total of 171 patients were included. For the group treated without mAb, the median (95% CI) progression-free survival (PFS) to relapse was 22.4 (17.8-27.0) months; partial response or better (≥PR) and complete response or better (≥CR) was observed in 74.1% and 24.1% of patients, respectively; and median time to first response in first relapse was 2.0 months and in second relapse was 2.5 months. For the group of patients treated with mAb in first or second relapse, the median PFS was 20.9 (95% CI, could not be evaluated) months; the ≥ PR and ≥ CR rates were 76,2% and 28.6%, respectively; and the median time to first response in first relapse was 1.2 month and in second relapse was 1.0 months. The safety profiles for the combinations were consistent with those expected.Conclusions: The incorporation of mAb in RW practice for the treatment of RRMM has shown good quality and speed of response with a similar safety profile shown in randomized clinical trials.
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spelling doaj.art-fa57cbe5cfd646a0a1342153e985451e2023-05-10T11:08:17ZengTaylor & Francis GroupHematology1607-84542023-12-0128110.1080/16078454.2023.2178997A glimpse into relapsed refractory multiple myeloma treatment in real-world practice in Spain: the GeminiS studyRafael Ríos-Tamayo0Juan Alfons Soler1Ricarda García-Sánchez2Ernesto Pérez Persona3Mario Arnao4Antoni García-Guiñón5Abel Domingo6Miriam González-Pardo7Javier de la Rubia8María Victoria Mateos9Department of Hematology, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, SpainDepartment of Hematology, Hospital Universitari Parc Taulí de Sabadell, Catalonia, SpainDepartment of Hematology, Hospital Virgen de la Victoria, Málaga, SpainDepartment of Hematology, Hospital Universitario de Navarra, Pamplona, SpainDepartment of Hematology, Hospital Universitari i Politècnic La Fe, Valencia, SpainDepartment of Hematology, Hospital Universitari Arnau de Vilanova, Lleida, SpainDepartment of Hematology, Hospital General de Granollers, SpainMedical Department, Janssen-Cilag España, SpainHospital Universitari i Politècnic La Fe, Valencia, SpainInstituto de Investigación Biomédica de Salamanca (IBSAL), Centro de Investigación del Cancer (IBMCC-USAL, CSIC), Hospital Universitario de Salamanca, Salamanca, SpainABSTRACTObjectives: To describe the incorporation of monoclonal antibodies (mAb) in real-world (RW) practice for the treatment of patients with relapsed refractory multiple myeloma (RRMM) in a setting with other treatment alternatives.Methods: This was an observational, multicenter, ambispective study of RRMM treated with or without a mAb.Results: A total of 171 patients were included. For the group treated without mAb, the median (95% CI) progression-free survival (PFS) to relapse was 22.4 (17.8-27.0) months; partial response or better (≥PR) and complete response or better (≥CR) was observed in 74.1% and 24.1% of patients, respectively; and median time to first response in first relapse was 2.0 months and in second relapse was 2.5 months. For the group of patients treated with mAb in first or second relapse, the median PFS was 20.9 (95% CI, could not be evaluated) months; the ≥ PR and ≥ CR rates were 76,2% and 28.6%, respectively; and the median time to first response in first relapse was 1.2 month and in second relapse was 1.0 months. The safety profiles for the combinations were consistent with those expected.Conclusions: The incorporation of mAb in RW practice for the treatment of RRMM has shown good quality and speed of response with a similar safety profile shown in randomized clinical trials.https://www.tandfonline.com/doi/10.1080/16078454.2023.2178997Relapsed-refractory multiple myelomareal-worldmonoclonal antibodiesdaratumumabstandard of care
spellingShingle Rafael Ríos-Tamayo
Juan Alfons Soler
Ricarda García-Sánchez
Ernesto Pérez Persona
Mario Arnao
Antoni García-Guiñón
Abel Domingo
Miriam González-Pardo
Javier de la Rubia
María Victoria Mateos
A glimpse into relapsed refractory multiple myeloma treatment in real-world practice in Spain: the GeminiS study
Hematology
Relapsed-refractory multiple myeloma
real-world
monoclonal antibodies
daratumumab
standard of care
title A glimpse into relapsed refractory multiple myeloma treatment in real-world practice in Spain: the GeminiS study
title_full A glimpse into relapsed refractory multiple myeloma treatment in real-world practice in Spain: the GeminiS study
title_fullStr A glimpse into relapsed refractory multiple myeloma treatment in real-world practice in Spain: the GeminiS study
title_full_unstemmed A glimpse into relapsed refractory multiple myeloma treatment in real-world practice in Spain: the GeminiS study
title_short A glimpse into relapsed refractory multiple myeloma treatment in real-world practice in Spain: the GeminiS study
title_sort glimpse into relapsed refractory multiple myeloma treatment in real world practice in spain the geminis study
topic Relapsed-refractory multiple myeloma
real-world
monoclonal antibodies
daratumumab
standard of care
url https://www.tandfonline.com/doi/10.1080/16078454.2023.2178997
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