(+) (+) ( ) 2012 ASH Abstract #3972 Kumar - - PowerPoint PPT Presentation
(+) (+) ( ) 2012 ASH Abstract #3972 Kumar - - PowerPoint PPT Presentation
(+) (+) ( ) 2012 ASH Abstract #3972 Kumar et al 1:1 1:1 Median Follow Up: 36 Months 100 100 80 80 60 60 40 40 20 20 0 0 0 6 12
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2012 ASH Abstract #3972 Kumar et al
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1:1 1:1
Median Follow Up: 36 Months
0 6 12 18 24 30 36 100 80 60 40 20 0 6 12 18 24 30 36 100 80 60 40 20
Rd RD
1
Probability of OS
1.00 0.75 0.50 0.25
4 5 6 7 8 CR + VGPR (n = 445) PR (n = 288) 1 2 3 P = .0017 Probability of OS 1.00 0.8 0.4 0.2 4 5 6 7 CR or better VGPR 1 2 3 0.6 PR SD PD
IgA remained normal Kappa light chain rose Renal failure on Dialysis Short lived response to High Dose Melphalan
HD melphalan
27
10 20 30 40 50 100 80 60 40 20
Time to progression (%)
P-value : p<0.0001 0.0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0
Patients without progression (%)
6 12 18 24 30 36 42 48
P-value : p=0.0007 Negative (<10-6) Positive 0.0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0
47 47 (0) 47 (0) 47 (0) 41 (5) 33 (7) 24 (6) 4 (7) 3 (1) MRD positive 36 36 (0) 36 (0) 36 (0) 36 (0) 30 (3) 24 (1) 14 (2) 6 (0) MRD neg (<10
- 6)
N at risk (events)
6 12 18 24 30 36 42 48
Months since randomization
MRD at post-maintenance for arm A
P-value : p<0.0001 Negative (<10-6) Positive 0.0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0
Patients without progression (%)
45 45 (0) 45 (0) 45 (0) 42 (2) 31 (10) 21 (5) 7 (6) 2 (0) MRD positive 50 50 (0) 50 (0) 50 (0) 50 (0) 47 (2) 37 (2) 22 (3) 4 (0) MRD neg (<10
- 6)
N at risk (events)
6 12 18 24 30 36 42 48
Months since randomization
MRD at post-maintenance for arm B
18% 10%
1%
2%
5 10 15 20 25 30 35 16 mg/kg ORR, %
PR VGPR CR sCR
ORR = 31%
3% CR or better 13% VGPR or better N = 148
Responders MR/SD PD/NE
Elotuzumab CD16
- 6
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- T Cell
Anti-BCMA
T Cell Anti-BCMA T Cell Anti-BCMA T Cell Anti-BCMA