Would you implement CAR-T therapy earlier in practice if approved in earlier lines for multiple myeloma based on the KarMMa-3 and CARTITUTUDE-4 studies?
Answer from: Medical Oncologist at Academic Institution
I agree with @Ben Derman's excellent take on CARTITUDE-4 and KarMMA-3. For patients who have had 2 prior lines of therapy, I am absolutely going to reach for CAR-T (or bispecific antibodies as their earlier-line studies get published) with an emphasis on cilta-cel based on the data at hand.But what ...
Answer from: Medical Oncologist at Academic Institution
I have different answers for these different studies.The short answer is "yes, most definitely" for cilta-cel based on CARTITUDE-4 and "probably not" for ide-cel. Let's unpack it:CARTITUDE-1 was a phase 2 trial of cilta-cel in heavily pretreated relapsed/refractory MM, which now shows a median ...
Answer from: Medical Oncologist at Academic Institution
Cilta-cel data appears far better than Ide-cel - we will see a shift in the use of the former product preferentially by many centers once the label changes. However, capacity at TCT centers will remain a rate-limiting step (only so many apheresis slots, staff, beds, etc., at each center) and will no...
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