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ASH 2023 | Final results of KarMMa-3: ide-cel in R/R MM

Sergio Giralt, MD, Memorial Sloan-Kettering Cancer Center, New York, NY, comments on the updated analysis from the KarMMa-3 trial (NCT03651128), which compared idecabtagene vicleucel (ide-cel) to standard regimens in patients with triple-class-exposed (TCE) relapsed/refractory (R/R) multiple myeloma (MM). This final progression-free survival (PFS) analysis found deep and durable responses and superior disease control with ide-cel, providing further evidence that ide-cel should be used in the treatment of this patient population. This interview took place at the 65th ASH Annual Meeting and Exposition, held in San Diego, CA.

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Transcript (edited for clarity)

So this is actually a follow-up of what was our late-breaking abstract presentation last year, where we presented the initial results of the KarMMa-3 trial, in which patients with relapsed/refractory myeloma who had had four or more lines of treatment, received either ide-cel or a variety of standard of care treatments. And at that time, there was a significant benefit for patients receiving ide-cel, with a progression-free survival medium of around 18 months versus four months for standard of care, based on significant improvements in overall response rate, 70% versus 40%, and more importantly, a very high complete remission rate around 30% versus 4%...

So this is actually a follow-up of what was our late-breaking abstract presentation last year, where we presented the initial results of the KarMMa-3 trial, in which patients with relapsed/refractory myeloma who had had four or more lines of treatment, received either ide-cel or a variety of standard of care treatments. And at that time, there was a significant benefit for patients receiving ide-cel, with a progression-free survival medium of around 18 months versus four months for standard of care, based on significant improvements in overall response rate, 70% versus 40%, and more importantly, a very high complete remission rate around 30% versus 4%. So, Dr Rodriguez today, will be presenting a follow-up in the final analysis of that study that was recently published in the New England Journal of Medicine. And the results are holding still; actually, the results for the ide-cel group have improved with, now, median progression-free survival being 18.8 months versus 4.4 months for the control group. And I think there will be also updated survival data that will be presented on Monday in the abstract presentation and I encourage everybody to go and see that. And this is all, again, based on significant improvements in both overall response rates and complete response rates.

 

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Disclosures

Research Funding: Amgen, Actinuum, Celgene/BMS, Omeros, Johnson & Johnson, Miltenyi, Takeda
Board of Directors/Advisory Committee: Amgen, Actinuum, Celgene/BMS, Kite Pharma, Janssen, Jazz Pharmaceuticals, Johnson & Johnson, Novartis, Spectrum Pharma, Takeda