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IMS 2026 | Cilta-cel in earlier-line myeloma: insights into updated survival data

Hermann Einsele, MD, FRCP, University of Würzburg, Würzburg, Germany, discusses the benefits of offering CAR T-cell therapy earlier in multiple myeloma treatment, citing the overall survival advantage of ciltacabtagene autoleucel (cilta-cel) from CARTITUDE-4 (NCT04181827) and long-term data from CARTITUDE-2 (NCT04133636). Prof. Einsele notes that these results are reassuring and suggest that earlier CAR T-cell therapy may benefit more patients with multiple myeloma. This interview took place at the 23rd International Myeloma Society (IMS) Annual Meeting in Glasgow, UK.

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Transcript

It reassures us to really offer CAR T-cell therapy in early lines of therapy because we now have also the clear overall survival advantage for cilta-cel compared to conventional treatment that was tested in CARTITUDE-4. And in addition, and that was presented here at this meeting, is that we have now long-term data from CARTITUDE-2, which is also first to third line, first to third relapse following initial treatment for multiple myeloma...

It reassures us to really offer CAR T-cell therapy in early lines of therapy because we now have also the clear overall survival advantage for cilta-cel compared to conventional treatment that was tested in CARTITUDE-4. And in addition, and that was presented here at this meeting, is that we have now long-term data from CARTITUDE-2, which is also first to third line, first to third relapse following initial treatment for multiple myeloma. And this study showed a long-term disease-free survival at five years of 50%. So even increasing the data that we have from CARTITUDE-1, where we have 33% long-term disease-free survival without MRD, without a positive imaging. So potentially with earlier application, we’re also curing more patients with multiple myeloma. So clearly reassuring data.

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