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IMS 2024 | The impact of daratumumab refractoriness on clinical outcomes following CAR-T in R/R myeloma

Bruno Costa, MD, Icahn School of Medicine at Mount Sinai, New York, NY, provides insight into a study on the outcomes of patients with daratumumab-refractory multiple myeloma (MM) treated with BCMA-directed CAR T-cell therapies, specifically ciltacabtagene autoleucel (cilta-cel), idecabtagene vicleucel (ide-cel), and orvacabtagene autoleucel (orva-cel). The retrospective analysis included 127 patients and compared response rates between daratumumab-refractory and non-refractory groups. Results showed similar outcomes for both groups despite higher disease burden in the refractory cohort, suggesting BCMA-directed CAR T-cell therapies remain effective for heavily pre-treated patients. This interview took place at the 21st International Myeloma Society (IMS) Annual Meeting, held in Rio de Janeiro, Brazil.

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