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EHA 2023 | Longitudinal findings from the KarMMa trial: improved QoL in patients treated with ide-cel

Nikhil Munshi, MD, Dana-Farber Cancer Institute, Boston, MA, discusses the importance of CAR-T cells in the treatment of patients with relapsed/refractory (R/R) multiple myeloma, highlighting patient-reported experiences with the use of idecabtagene vicleucel (ide-cel). Dr Munshi explains that patients treated with ide-cel not only have an improved progression-free and overall survival (PFS; OS), but also demonstrate an improvement in quality of life (QoL). This interview took place at the 28th Congress of the European Hematology Association (EHA) 2023 in Frankfurt, Germany.

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Transcript (edited for clarity)

So CAR-T cells are important for responses, they are important for durability of response, especially in an advanced patient population. What we need to remember is that, when we do CAR-T currently, nothing else is given to patients, they’re treatment free. And so, the critical important question ends up being what’s the quality of life? And in this study, using ide-cel – which was the first CAR-T cell approved, with a very high response rate, 84% response rate, all comers were patients with six previous median lines of treatment – we looked at these patients’ quality of life...

So CAR-T cells are important for responses, they are important for durability of response, especially in an advanced patient population. What we need to remember is that, when we do CAR-T currently, nothing else is given to patients, they’re treatment free. And so, the critical important question ends up being what’s the quality of life? And in this study, using ide-cel – which was the first CAR-T cell approved, with a very high response rate, 84% response rate, all comers were patients with six previous median lines of treatment – we looked at these patients’ quality of life. And just to give a one line summary: post CAR-T cell, patients have significant improvement in their quality of life. They’re essentially without any treatment, and that’s the strength of this. And this is what our presentation is, that CAR-T not only gets a response, improves both for progression-free and overall survival, but it also provides improved quality of life.

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