Table 2.
Summary of significant clinical trials investigating checkpoint inhibitors in multiple myeloma.
| Agents | Study details | Patients | Regimens | Outcomes | Adverse events | Refs. |
|---|---|---|---|---|---|---|
| PD-1 inhibitors |
KEYNOTE-013 Phase I b |
R/RMM median 4 prior lines n = 30 |
pembrolizumab 10 mg/kg q2w or 200 mg q3w |
ORR: 0%; median PFS 2.7 months |
Common ≥grade 3 AEs: anemia (13.3%), hypercalcemia (6.7%) | [41] |
|
KEYNOTE-023 Phase I |
R/RMM at least 2 prior lines n = 62 |
Pembrolizumab+ Rd |
ORR: 44%; median PFS 7.2 months |
Common ≥grade 3 AEs: neutropenia (27.4%), thrombocytopenia (16.1%) | [42] | |
|
KEYNOTE-183 Phase III |
R/RMM at least 2 prior lines n = 249 |
Pembrolizumab+ Pd vs. Pd |
ORR: 34% vs. 40%; Median PFS: 5.6 vs. 8.4 months |
Serious AEs: 63% vs. 46% | [43] | |
|
EYNOTE-185 Phase III |
NDMM transplant ineligible n = 301 |
Pembrolizumab+ Rd vs. Rd |
ORR: 64% vs. 62%; 6-month PFS: 82% vs. 85% |
Serious AEs: 54% vs. 39% | [44] | |
| PD-L1 inhibitor |
Phase II |
R/RMM daratumumab- refractory n = 18 |
Durvalumab+ daratumumab | ORR: 0% | Serious AEs: 38.9% | [45] |
R/RMM relapsed/refractory multiple myeloma, ORR overall response rate, PFS progression-free survival, AEs adverse events, Rd lenalidomide+ dexamethasone, Pd pomalidomide+ dexamethasone.