LocoMMotion: a study of real-life current standards of care in triple-class exposed patients with relapsed/refractory multiple myeloma - 2-year follow-up (final analysis)
Treatment of relapsed/refractory multiple myeloma (RRMM) is challenging as patients exhaust all available therapies and the disease becomes refractory to standard drug classes. Here we report the final results of LocoMMotion, the first prospective study of real-world clinical practice (RWCP) in trip...
| Authors: | , , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | article |
| Publication Date: | 2024 |
| Country: | España |
| Institution: | Universidad de Cantabria (UC) |
| Repository: | UCrea Repositorio Abierto de la Universidad de Cantabria |
| Language: | English |
| OAI Identifier: | oai:repositorio.unican.es:10902/35928 |
| Online Access: | https://hdl.handle.net/10902/35928 |
| Access Level: | Open access |
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LocoMMotion: a study of real-life current standards of care in triple-class exposed patients with relapsed/refractory multiple myeloma - 2-year follow-up (final analysis)Mateos, María-VictoriaWeisel, KatjaDe Stefano, ValerioGoldschmidt, HartmutDelforge, MichelMohty, MohamadDytfeld, DominikAngelucci, EmanueleVincent, LaurePerrot, AuroreBenjamin, ReubenVan de Donk, Niels W. C. J.Ocio San Miguel, Enrique María|||0000-0002-5765-0085Roccia, TitoSchecter, Jordan M.Koskinen, SilvaHaddad, ImèneStrulev, VadimMitchell, LadaBuyze, JozefienTreatment of relapsed/refractory multiple myeloma (RRMM) is challenging as patients exhaust all available therapies and the disease becomes refractory to standard drug classes. Here we report the final results of LocoMMotion, the first prospective study of real-world clinical practice (RWCP) in triple-class exposed (TCE) patients with RRMM, with a median follow-up of 26.4 months (range, 0.1-35.0). Patients (N = 248) had received median 4 prior LOT (range, 2-13) at enrollment. 91 unique regimens were used in index LOT. Overall response rate was 31.9% (95% CI, 26.1-38.0), median progression-free survival (PFS) was 4.6 months (95% CI, 3.9-5.6) and median overall survival was 13.8 months (95% CI, 10.8-17.0). 152 patients (61.3%) had subsequent LOTs with 134 unique regimens, of which 78 were used in first subsequent LOT. Median PFS2 (from start of study through first subsequent LOT) was 10.8 months (95% CI, 8.4-13.0). 158 patients died on study, 67.7% due to progressive disease. Additional subgroup analyses and long-term safety summaries are reported. The high number of RWCP treatment regimens utilized and poor clinical outcomes confirm a lack of standardized treatment for TCE patients with RRMM, highlighting the need for new treatments with novel mechanisms.This study (ClinicalTrials.gov identifier: NCT04035226) was funded by Janssen Research & Development, LLC and Legend Biotech USA Inc. Medical writing support was provided by Andrew Marson and Sarika Pathak Sharma, PhD, of Eloquent Scientific Solutions, and funded by Janssen Global Services, LLC. The authors thank the LocoMMotion study team, including Jonathan Squire, Kensa Hatch, Lorenzo Acciarri, Henrieke Bruin, and Jeannie Kearl.Nature Publishing GroupUniversidad de Cantabria20242024-01-01journal articlehttp://purl.org/coar/resource_type/c_6501NAhttp://purl.org/coar/version/c_be7fb7dd8ff6fe43info:eu-repo/semantics/articlehttps://hdl.handle.net/10902/35928Leukemia, 2024, 38, 2554-2560reponame:UCrea Repositorio Abierto de la Universidad de Cantabriainstname:Universidad de Cantabria (UC)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repositorio.unican.es:10902/359282026-06-02T12:39:31Z |
| dc.title.none.fl_str_mv |
LocoMMotion: a study of real-life current standards of care in triple-class exposed patients with relapsed/refractory multiple myeloma - 2-year follow-up (final analysis) |
| title |
LocoMMotion: a study of real-life current standards of care in triple-class exposed patients with relapsed/refractory multiple myeloma - 2-year follow-up (final analysis) |
| spellingShingle |
LocoMMotion: a study of real-life current standards of care in triple-class exposed patients with relapsed/refractory multiple myeloma - 2-year follow-up (final analysis) Mateos, María-Victoria |
| title_short |
LocoMMotion: a study of real-life current standards of care in triple-class exposed patients with relapsed/refractory multiple myeloma - 2-year follow-up (final analysis) |
| title_full |
LocoMMotion: a study of real-life current standards of care in triple-class exposed patients with relapsed/refractory multiple myeloma - 2-year follow-up (final analysis) |
| title_fullStr |
LocoMMotion: a study of real-life current standards of care in triple-class exposed patients with relapsed/refractory multiple myeloma - 2-year follow-up (final analysis) |
| title_full_unstemmed |
LocoMMotion: a study of real-life current standards of care in triple-class exposed patients with relapsed/refractory multiple myeloma - 2-year follow-up (final analysis) |
| title_sort |
LocoMMotion: a study of real-life current standards of care in triple-class exposed patients with relapsed/refractory multiple myeloma - 2-year follow-up (final analysis) |
| dc.creator.none.fl_str_mv |
Mateos, María-Victoria Weisel, Katja De Stefano, Valerio Goldschmidt, Hartmut Delforge, Michel Mohty, Mohamad Dytfeld, Dominik Angelucci, Emanuele Vincent, Laure Perrot, Aurore Benjamin, Reuben Van de Donk, Niels W. C. J. Ocio San Miguel, Enrique María|||0000-0002-5765-0085 Roccia, Tito Schecter, Jordan M. Koskinen, Silva Haddad, Imène Strulev, Vadim Mitchell, Lada Buyze, Jozefien |
| author |
Mateos, María-Victoria |
| author_facet |
Mateos, María-Victoria Weisel, Katja De Stefano, Valerio Goldschmidt, Hartmut Delforge, Michel Mohty, Mohamad Dytfeld, Dominik Angelucci, Emanuele Vincent, Laure Perrot, Aurore Benjamin, Reuben Van de Donk, Niels W. C. J. Ocio San Miguel, Enrique María|||0000-0002-5765-0085 Roccia, Tito Schecter, Jordan M. Koskinen, Silva Haddad, Imène Strulev, Vadim Mitchell, Lada Buyze, Jozefien |
| author_role |
author |
| author2 |
Weisel, Katja De Stefano, Valerio Goldschmidt, Hartmut Delforge, Michel Mohty, Mohamad Dytfeld, Dominik Angelucci, Emanuele Vincent, Laure Perrot, Aurore Benjamin, Reuben Van de Donk, Niels W. C. J. Ocio San Miguel, Enrique María|||0000-0002-5765-0085 Roccia, Tito Schecter, Jordan M. Koskinen, Silva Haddad, Imène Strulev, Vadim Mitchell, Lada Buyze, Jozefien |
| author2_role |
author author author author author author author author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Universidad de Cantabria |
| description |
Treatment of relapsed/refractory multiple myeloma (RRMM) is challenging as patients exhaust all available therapies and the disease becomes refractory to standard drug classes. Here we report the final results of LocoMMotion, the first prospective study of real-world clinical practice (RWCP) in triple-class exposed (TCE) patients with RRMM, with a median follow-up of 26.4 months (range, 0.1-35.0). Patients (N = 248) had received median 4 prior LOT (range, 2-13) at enrollment. 91 unique regimens were used in index LOT. Overall response rate was 31.9% (95% CI, 26.1-38.0), median progression-free survival (PFS) was 4.6 months (95% CI, 3.9-5.6) and median overall survival was 13.8 months (95% CI, 10.8-17.0). 152 patients (61.3%) had subsequent LOTs with 134 unique regimens, of which 78 were used in first subsequent LOT. Median PFS2 (from start of study through first subsequent LOT) was 10.8 months (95% CI, 8.4-13.0). 158 patients died on study, 67.7% due to progressive disease. Additional subgroup analyses and long-term safety summaries are reported. The high number of RWCP treatment regimens utilized and poor clinical outcomes confirm a lack of standardized treatment for TCE patients with RRMM, highlighting the need for new treatments with novel mechanisms. |
| publishDate |
2024 |
| dc.date.none.fl_str_mv |
2024 2024-01-01 |
| dc.type.none.fl_str_mv |
journal article http://purl.org/coar/resource_type/c_6501 NA http://purl.org/coar/version/c_be7fb7dd8ff6fe43 |
| dc.type.openaire.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| dc.identifier.none.fl_str_mv |
https://hdl.handle.net/10902/35928 |
| url |
https://hdl.handle.net/10902/35928 |
| dc.language.none.fl_str_mv |
Inglés eng |
| language_invalid_str_mv |
Inglés |
| language |
eng |
| dc.rights.none.fl_str_mv |
open access http://purl.org/coar/access_right/c_abf2 Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ |
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info:eu-repo/semantics/openAccess |
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open access http://purl.org/coar/access_right/c_abf2 Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ |
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openAccess |
| dc.publisher.none.fl_str_mv |
Nature Publishing Group |
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Nature Publishing Group |
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Leukemia, 2024, 38, 2554-2560 reponame:UCrea Repositorio Abierto de la Universidad de Cantabria instname:Universidad de Cantabria (UC) |
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Universidad de Cantabria (UC) |
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UCrea Repositorio Abierto de la Universidad de Cantabria |
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UCrea Repositorio Abierto de la Universidad de Cantabria |
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