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Daratumumab, bortezomib, and dexamethasone in relapsed or refractory multiple myeloma: subgroup analysis of CASTOR based on cytogenetic risk
K. Weisel, A. Spencer, S. Lentzsch, H. Avet-Loiseau, TM. Mark, I. Spicka, T. Masszi, B. Lauri, MD. Levin, A. Bosi, V. Hungria, M. Cavo, JJ. Lee, A. Nooka, H. Quach, M. Munder, C. Lee, W. Barreto, P. Corradini, CK. Min, AA. Chanan-Khan, N....
Jazyk angličtina Země Velká Británie
Typ dokumentu klinické zkoušky, fáze III, srovnávací studie, časopisecké články, multicentrická studie, randomizované kontrolované studie, práce podpořená grantem
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BioMedCentral
od 2008-12-01
BioMedCentral Open Access
od 2008
Directory of Open Access Journals
od 2008
Free Medical Journals
od 2008
PubMed Central
od 2008
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od 2008
ProQuest Central
od 2009-01-01
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od 2008-01-01
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od 2008-01-01
Medline Complete (EBSCOhost)
od 2009-01-17
Health & Medicine (ProQuest)
od 2009-01-01
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od 2008
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od 2008-12-01
- MeSH
- abnormální karyotyp MeSH
- bortezomib aplikace a dávkování MeSH
- dexamethason aplikace a dávkování MeSH
- doba přežití bez progrese choroby MeSH
- dospělí MeSH
- hybridizace in situ fluorescenční MeSH
- Kaplanův-Meierův odhad MeSH
- lidé středního věku MeSH
- lidé MeSH
- mnohočetný myelom farmakoterapie genetika patologie MeSH
- monoklonální protilátky aplikace a dávkování MeSH
- následné studie MeSH
- protokoly protinádorové kombinované chemoterapie terapeutické užití MeSH
- recidiva MeSH
- reziduální nádor MeSH
- riziko MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- klinické zkoušky, fáze III MeSH
- multicentrická studie MeSH
- práce podpořená grantem MeSH
- randomizované kontrolované studie MeSH
- srovnávací studie MeSH
BACKGROUND: Multiple myeloma (MM) patients with high cytogenetic risk have poor outcomes. In CASTOR, daratumumab plus bortezomib/dexamethasone (D-Vd) prolonged progression-free survival (PFS) versus bortezomib/dexamethasone (Vd) alone and exhibited tolerability in patients with relapsed or refractory MM (RRMM). METHODS: This subgroup analysis evaluated D-Vd versus Vd in CASTOR based on cytogenetic risk, determined using fluorescence in situ hybridization and/or karyotype testing performed locally. High-risk patients had t(4;14), t(14;16), and/or del17p abnormalities. Minimal residual disease (MRD; 10-5 sensitivity threshold) was assessed via the clonoSEQ® assay V2.0. Of the 498 patients randomized, 40 (16%) in the D-Vd group and 35 (14%) in the Vd group were categorized as high risk. RESULTS: After a median follow-up of 40.0 months, D-Vd prolonged median PFS versus Vd in patients with standard (16.6 vs 6.6 months; HR, 0.26; 95% CI, 0.19-0.37; P < 0.0001) and high (12.6 vs 6.2 months; HR, 0.41; 95% CI, 0.21-0.83; P = 0.0106) cytogenetic risk. D-Vd achieved deep responses, including higher rates of MRD negativity and sustained MRD negativity versus Vd, regardless of cytogenetic risk. The safety profile was consistent with the overall population of CASTOR. CONCLUSION: These updated data reinforce the effectiveness and tolerability of daratumumab-based regimens for RRMM, regardless of cytogenetic risk status. TRIAL REGISTRATION: ClinicalTrials.gov, NCT02136134 . Registered 12 May 2014.
Ankara University Ankara Turkey
Department of Hematology Careggi Hospital and University of Florence Firenze Italy
Department of Hematology Sunderbyn Hospital Luleå Sweden
Department of Internal Medicine Albert Schweitzer Hospital Dordrecht The Netherlands
Department of Internal Medicine Pusan National University Hospital Busan South Korea
Department of Medicine University of Colorado Aurora CO USA
Division of Hematology Oncology Columbia University New York NY USA
Erasmus MC Rotterdam The Netherlands
Fondazione IRCCS Istituto Nazionale dei Tumori University of Milan Milan Italy
Hospital Angeles Lomas Naucalpan de Juárez y alrededores Mexico
Instituto do Cancer Hospital Mae de Deus Porto Alegre Brazil
Irmandade Da Santa Casa De Misericordia De São Paulo São Paulo Brazil
Janssen Global Scientific Affairs Horsham PA USA
Janssen Research and Development LLC Beerse Belgium
Janssen Research and Development LLC Raritan NJ USA
Janssen Research and Development LLC Spring House PA USA
László Hospital 3rd Department of Internal Medicine Semmelweis University Budapest Hungary
Mayo Clinic Florida Jacksonville FL USA
Royal Adelaide Hospital North Terrace Adelaide Australia
Seoul St Mary's Hospital Seoul South Korea
Ulsan University Hospital Ulsan South Korea
Unite de Genomique du Myelome CHU Rangueil Toulouse France
University Hospital of Salamanca IBSAL Cancer Research Center IBMCC Salamanca Spain
University of Melbourne St Vincent's Hospital Melbourne Australia
Citace poskytuje Crossref.org
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