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EHA 2023 | TRIMM-2 update: talquetamab + daratumumab in R/R multiple myeloma

Paula Rodriguez Otero, MD, PhD, University Clinic of Navarra, Pamplona, Spain, comments on the updated follow-up results of the TRIMM-2 study (NCT04108195) investigating talquetamab and daratumumab in patients with relapsed/refractory (R/R) multiple myeloma. The study included heavily pretreated patients, including many that had received prior BCMA-directed therapy. The study’s results indicated a high response rate (RR), a high proportion of patients achieving a very good partial response (VGPR) or better, and promising progression-free survival (PFS) data. The safety profile was consistent with that of daratumumab and talquetamab monotherapy. 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 this is a study that was already presented some years ago at EHA, so this is a study that has a combination that is evaluated in a Phase I/Phase II study, that evaluates the combination of talquetamab plus daratumumab. So 67 patients, I believe, were included. So this is a population of patients with at least three prior lines of therapy. The majority of the patients were triple-class exposed...

So this is a study that was already presented some years ago at EHA, so this is a study that has a combination that is evaluated in a Phase I/Phase II study, that evaluates the combination of talquetamab plus daratumumab. So 67 patients, I believe, were included. So this is a population of patients with at least three prior lines of therapy. The majority of the patients were triple-class exposed. Notably, over 50% of the patients were also exposed to prior BCMA therapies and it could be prior CAR-T or prior antibody drug conjugates and also prior bispecific antibodies. So, the patients received talquetamab, two doses were evaluated and in combination with the standard doses of daratumumab. And in this updated a follow-up, what we see is that the responses are quite remarkable. So with a higher response rate, if we can compare to the monotherapy studies, with also a big proportion of patients achieving a VGPR or better responses, so really a very interesting data. And I think that what I was more interested about, let’s say the number that I liked the most, was the median progression-free survival that in the group using 0.8 every other week – that is also the group with a larger number of patients – the median progression-free survival was 19.4 months, with a 12-month progression-free survival of 67.4%. So really very, I will say, encouraging data, particularly in this very advanced myeloma population with a median of around five prior lines of therapy and, as I mentioned before, a huge proportion of patients with prior BCMA.

So for me, this can be that combination that may overcome, let’s say, the resistance to bispecifics in monotherapy. I think that this is very interesting data that for sure we need to, we need to wait for more a larger data set of patients and more follow-up, but still. Importantly as well, the safety profile was consistent to that of talquetamab and daratumumab, no higher incidence of infections or higher percentage of patients with severe infections and overall, the discontinuation rate was very low.

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Disclosures

Honoraria from lectures: BMS, Janssen, Sanofi, GSK, Amgen, Regeneron and Takeda
Participation in Ad Board meetings: BMS, Janssen, Sanofi, Kite Pharma, Abbvie, Oncopeptides, Takeda, Pfizer and GSK
Consultant: BMS, Abbvie, Roche and Pfizer
Research funding: none