(+) (+) ( ) 2012 ASH Abstract #3972 Kumar - - PowerPoint PPT Presentation

2012 ash abstract 3972 kumar et al
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(+) (+) ( ) 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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(+) (–) (+)

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” – – –

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2012 ASH Abstract #3972 Kumar et al

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1:1 1:1

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Median Follow Up: 36 Months

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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

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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

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IgA remained normal Kappa light chain rose Renal failure on Dialysis Short lived response to High Dose Melphalan

HD melphalan

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27

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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

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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

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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

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N at risk (events)

6 12 18 24 30 36 42 48

Months since randomization

MRD at post-maintenance for arm B

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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

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Responders MR/SD PD/NE

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Elotuzumab CD16

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  • 6
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─ ─ ─ ─ ─ ─ ─

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  • T Cell

Anti-BCMA

T Cell Anti-BCMA T Cell Anti-BCMA T Cell Anti-BCMA

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1 1 2 8

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×

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