1. Unravelling Transplant-Ineligible Newly Diagnosed Multiple Myeloma Treatment in Real-World Practice in Spain: The CARINAE Study.
- Author
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de Arriba de la Fuente, Felipe, Gironella Mesa, Mercedes, Hernández García, Miguel Teodoro, Soler Campos, Juan Alonso, Herráez Rodríguez, Susana, Moreno Belmonte, María José, Regueiro López, Teresa, González-Pardo, Miriam, and Casanova Espinosa, María
- Subjects
DRUG side effects ,MULTIPLE myeloma ,DARATUMUMAB ,PROGRESSION-free survival ,MONOCLONAL antibodies - Abstract
Real-world evidence on the impact of monoclonal antibodies as first-line treatment in Spain is limited. This observational, retrospective and prospective, multicenter, descriptive study included 117 transplant-ineligible newly diagnosed multiple myeloma (TIE-NDMM) patients divided into Group A, who received no daratumumab standard regimens, and the DVMP group (daratumumab, bortezomib, melphalan, and prednisone treatment). More than 90% of the patients in Group A received bortezomib, lenalidomide, or a combination of them. The median follow-up time for Group A was 38.2 months in comparison to 25.8 months for the DVMP group (p < 0.0001). The rate of DVMP patients that experienced disease progression or death from any cause was 36.8%, compared to 67.3% of Group A patients at 36 months of follow-up. The DVMP group had a higher 36-month progression-free survival (PFS) rate (52.9% vs. 31.7%). During the retrospective period, 73.0% of patients reported adverse drug reactions, while in the prospective period, 40.5% experienced adverse events, with no clinical differences between groups. The study supports the use of daratumumab regimens in frontline therapy based on real-world data. The findings provide valuable insights into the clinical outcomes of daratumumab therapy, which can help physicians make informed decisions regarding the optimal treatment approach for this patient population. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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