- |||||||||| Tecvayli (teclistamab) / Genmab, J&J
Journal, IO biomarker: CD8 effector T cells enhance response in BCMA-exposed and -na (Pubmed Central) - Oct 25, 2023 Teclistamab, a B-cell maturation antigen (BCMA)- and CD3-targeting bispecific antibody, is an effective novel treatment for relapsed/refractory multiple myeloma (RRMM), but efficacy in BCMA-exposed patients and mechanisms of resistance have yet to be fully delineated...Pre-treatment plasma cell BCMA expression levels had no bearing on response. However, comprehensive pre-treatment immune profiling identified that effector CD8+ T cell populations associated with response to therapy and a regulatory T cell population associated with non-response, indicating a contribution of immune status in outcomes with potential utility as a biomarker signature to guide patient management.
- |||||||||| Tecvayli (teclistamab-cqyv) / Genmab, J&J
Trial primary completion date: Outpatient Administration of Teclistamab for Multiple Myeloma (clinicaltrials.gov) - Oct 25, 2023 P2, N=50, Recruiting, However, comprehensive pre-treatment immune profiling identified that effector CD8+ T cell populations associated with response to therapy and a regulatory T cell population associated with non-response, indicating a contribution of immune status in outcomes with potential utility as a biomarker signature to guide patient management. Trial primary completion date: Jan 2024 --> Jan 2025
- |||||||||| Tecvayli (teclistamab-cqyv) / Genmab, J&J, Darzalex Faspro (daratumumab/hyaluronidase) / J&J, Talvey (talquetamab-tgvs) / J&J
New P2 trial, Combination therapy, IO biomarker, Immuno-oncology: Teclistamab or Talquetamab in Combination With Daratumumab for High-Risk Smoldering Myeloma (REVIVE Study) (clinicaltrials.gov) - Oct 25, 2023 P2, N=50, Not yet recruiting,
- |||||||||| Tecvayli (teclistamab-cqyv) / Genmab, J&J, Darzalex Faspro (daratumumab/hyaluronidase) / J&J
Enrollment closed, Trial primary completion date, Combination therapy: MajesTEC-3: A Study of Teclistamab in Combination With Daratumumab Subcutaneously (SC) (Tec-Dara) Versus Daratumumab SC, Pomalidomide, and Dexamethasone (DPd) or Daratumumab SC, Bortezomib, and Dexamethasone (DVd) in Participants With Relapsed or Refractory Multiple Myeloma (clinicaltrials.gov) - Oct 11, 2023 P3, N=587, Active, not recruiting, Trial completion date: Jun 2024 --> Feb 2025 Recruiting --> Active, not recruiting | Trial primary completion date: Jul 2024 --> Aug 2025
- |||||||||| Darzalex (daratumumab) / J&J, Tecvayli (teclistamab) / Genmab, J&J
Dysfunctional Death Receptor Signaling Pathway Contributes to Immunotherapy Resistance in Multiple Myeloma (X5) - Sep 30, 2023 - Abstract #DGHO2023DGHO_183; Ranking the patients according to their their gene expression of FADD and BID revealed that the patients with the lowest values were predominantly Dara resistant (7/10 and 9/10, respectively) proposing that the FADD/ BID axis is indispensable for meaningful responses to novel immunotherapies in vivo. In conclusion, our study reveals induction of apoptosis as a mode of action of T-cell based immunotherapies in MM and low expression of FADD and BID is associated with intrinsic resistance to these agents.
- |||||||||| MODULE 4: Bispecific Antibodies in the Treatment of MM (Omni San Diego, Grand Ballroom (Level 2), 4) - Sep 23, 2023 - Abstract #ASH2023ASH_274;
Supported by AbbVie Inc, GSK, Janssen Biotech Inc, administered by Janssen Scientific Affairs LLC, Karyopharm Therapeutics, Legend Biotech, Regeneron Pharmaceuticals Inc, and Sanofi. Similarities and differences in the cellular targets and mechanisms of action among bispecific antibodies for MM Antitumor activity observed with teclistamab in the Phase I/II MajesTEC-1 study leading to its recent FDA approval for R/R MM; optimal incorporation into the treatment paradigm Rate, depth and duration of response observed with elranatamab in the pivotal Phase II MagnetisMM-3 trial for patients with R/R MM; FDA approval and current clinical role Key findings with other promising anti-BCMA bispecific antibody constructions, such as alnuctamab, linvoseltamab and ABBV-383, for heavily pretreated MM Available efficacy and safety findings with non-BCMA-targeted bispecific antibodies for MM, such as talquetamab, cevostamab and RG6234; FDA approval of talquetamab for patients with R/R MM after at least 4 prior therapies Spectrum, incidence and severity of cytokine release syndrome and other toxicities with the various BCMA- and non-BCMA-directed bispecific antibodies; optimal mitigation and management strategies Rationale for and early-phase data with bispecific antibodies in combination with other systemic therapies for MM
- |||||||||| Nplate (romiplostim) / Amgen, Kyowa Kirin, Tecvayli (teclistamab) / Genmab, J&J
ASH Poster Walk on Time to Examine Time Toxicity in Hematology (Virtual Program) - Sep 23, 2023 - Abstract #ASH2023ASH_5; Relevant studies also include interventions of decreased diagnostic monitoring and digital health tools to decrease patient time in clinic without compromising clinical outcomes. A concerted cross-disease poster walk focused on "time toxicity" will help the field understand how to define this concept broadly, how to design studies that address time toxicity (either directly through medication dosing frequency or indirectly by reducing healthcare resource utilization), and exploring the impact of time toxicity on patient quality of life.
- |||||||||| Abecma (idecabtagene vicleucel) / BMS, 2seventy bio, Tecvayli (teclistamab) / Genmab, J&J, Carvykti (ciltacabtagene autoleucel) / J&J
Review, Journal, CAR T-Cell Therapy: Chimeric Antigen Receptor T-Cell and Bispecific Antibody Therapy in Multiple Myeloma: Moving Into the Future. (Pubmed Central) - Sep 18, 2023 We examine the factors that challenge equitable access to these novel therapies across minoritized racial, ethnic, and socioeconomic populations. Although it is evident that CAR T-cell and BsAb therapies will transform treatment paradigms in MM for years to come, significant work remains to identify the optimal utilization of these novel therapies and ensure equitable access.
- |||||||||| Xpovio (selinexor) / Karyopharm, Menarini, FORUS Therap
Effectiveness of anti-B-cell maturation antigen (BCMA)-targeting therapy after selinexor treatment (In Person) - Sep 10, 2023 - Abstract #IMW2023IMW_506; P1b/2, P2b In this cohort of heavily-pretreated pts with MM who received a selinexor regimen prior to NCA, overall survival was in the range of 1 year, akin to historical results seen with ADCs. The 8-week median time between administration of selinexor and NCAs suggests that selinexor, with various partner agents, did not negatively impact overall survival with subsequent NCA therapy
- |||||||||| Darzalex (daratumumab) / J&J, Tecvayli (teclistamab) / Genmab, J&J, Talvey (talquetamab) / J&J
Early Treatment With Bispecific T-cell Redirectors (Teclistamab or Talquetamab) + Daratumumab in Newly Diagnosed High-risk Multiple Myeloma: An Open-label, Phase 2, Pilot Study (GEM-TECTAL) (Trianti Upper Foyer; In Person) - Sep 10, 2023 - Abstract #IMW2023IMW_318; 50% of pts will be ultra-high risk: R-ISS stage 3 or "double hit" (?2 HR cytogenic abnormalities) or 1 HR cytogenic abnormality and EMD.Induction therapy will consist of dara, bortezomib, lenalidomide, and dexamethasone (D-VRd) and response evaluation, including MRD assessment by multiple techniques. This study will provide needed data on the effect of MRD-guided individualized tx approaches in management of pts with HRMM, an underrepresented population with a high unmet need.
- |||||||||| Tecvayli (teclistamab) / Genmab, J&J
Managing Infections, Hypogammaglobulinemia, and Neutropenia During Treatment With Teclistamab in Relapsed/Refractory Multiple Myeloma: Nurse-Led Experience From the MajesTEC-1 Study (Trianti Upper Foyer; In Person) - Sep 10, 2023 - Abstract #IMW2023IMW_264; Teclistamab should not be given in case of any active infection; therefore, partnership between nurses, physicians, and patients is essential to facilitate prompt identification, monitoring, and management of infections, including appropriate use of antimicrobial prophylaxis, IVIG, and G-CSF. In particular, we recommend that patients are educated on the importance of reporting early signs and symptoms of infections, and that nurses and care teams are prepared and trained to implement appropriate infection management strategies.
- |||||||||| Tecvayli (teclistamab-cqyv) / Genmab, J&J
Enrollment open: Outpatient Administration of Teclistamab for Multiple Myeloma (clinicaltrials.gov) - Sep 8, 2023 P2, N=50, Recruiting, We went through the FDA access data packages of the approved agents to outline stepwise management of the complications for better patient outcomes. Not yet recruiting --> Recruiting
- |||||||||| Tecvayli (teclistamab) / Genmab, J&J
Long?Term Follow?Up From MajesTEC?1 of Teclistamab, a B?Cell Maturation Antigen (BCMA) () - Aug 31, 2023 - Abstract #SOHO2023SOHO_566; P1, P2 92% ORR in patients with advanced RRMM at RP2R and 83% ORR in patients with EMD (high-risk population with unmet need) support further evaluation. After ~2 years mFU, patients receiving teclistamab demonstrated deep and durable responses, supporting teclistamab as a safe and effective off-the-shelf BCMA bispecific therapy for patients with RRMM.
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