Table 1.
Clinical data from key studies exploring mAb-based treatment in RRMM patients
Target | Drug | Combination | No patients evaluable for response |
Median No of prior therapies (range) |
Response rates (%)
|
Frequent toxicities (%, any grade AEs) | Reference | ||
---|---|---|---|---|---|---|---|---|---|
≥PR | VGPR | CR | |||||||
CD38 | Daratumumab | - | 42a | 4 (2–12)a | 36 a | 5a | 5a | Fatigue 40%, allergic rhinitis 24%, pyrexia 17% | Lokhorst et al. [23] |
- | 106a | 5 (2–14)a | 29a | 9a | 3a | Fatigue 40%, anemia 33%, nausea 29% | Lonial et al. [24] | ||
Bortezomib-dexamethasone | 251 | 2 (1–9) | 83 | 40 | 19 | Thrombocytopenia 58%, peripheral sensory neuropathy 47%, diarrhea 32% | Palumbo et al. [25••] | ||
Lenalidomide-dexamethasone | 286 | 1 (1–11) | 93 | 33 | 43 | Neutropenia 59%, diarrhea 43%, fatigue 35% | Dimopoulos et al. [26••] | ||
Isatuximab | - | 19b | 6.5 (2–16)c | 32 | 0 | 16 | Fatigue 49%, nausea 34%, pyrexia 29% | Martin et al. [27] | |
Lenalidomide-dexamethasone | 22b | 4.5 (1–8), 6 (1–10)d | 50 | 23 | 0 | Fatigue 46%, pyrexia 35%, diarrhea 31% | Vij et al. [28] | ||
Pomalidomide-dexamethasone | 26 | 4(2–11) | 62 | 31 | 4 | Fatigue 62%, diarrhea 35%, dyspnea 31% | Mkhael et al. [29] | ||
MOR202 | Dexamethasone | 17 | 3(ne) | 29 | 12 | 0 | AE G ≥ 3: lymphopenia 39%, neutropenia 22%, anemia 17%, thrombocytopenia 17% | Raab et al. [30] | |
Lenalidomide- dexamethasone or pomalidomide-dexamethasone | 18 | 3(ne) | 78 | 6 | 11 | AE G ≥ 3: neutropenia 48%, lymphopenia 39%, pneumonia 17% | Raab et al. [30] | ||
SLAMF7 | Elotuzumab | - | 34 | 4.5 (2–10) | - | - | - | Chills 32%, pyrexia 18%, flushing 12% | Zonder et al. [31] |
Bortezomib-dexamethasone | 77 | 1 (1–3) | 66 | 33 | 4 | Infections 67%, diarrhea 44%, constipation 40% | Jakubowiak et al. [32] | ||
Lenalidomide-dexamethasone | 321 | 2(1–4) | 79 | 28 | 4 | Lymphopenia 99%, anemia 96%, thrombocytopenia 84%, neutropenia 82% | Lonial et al. [33•] | ||
PD-1 | Nivolumab Pembrolizumab | - | 27 | nr | 0 | 0 | 0 | Skinc (pruritus, rash) 18%, fatiguec 17%, pneumonitisc 11%. | Lesokhin et al. [34] |
Lenalidomide-dexamethasone | 50 | nr | 50 | 13 | 3 | Thrombocytopenia 28%, neutropenia 24% | Mateos et al. [35] | ||
pomalidomide-dexamethasone | 45 | 3 (2–6) | 65 | 20 | 9 | AE G ≥ 3: neutropenia 40%, hyperglycemia 25%, upper respiratory tract infections 21% | Badros et al. [36•] |
SLAMF7 signaling lymphocytic activation molecule family member 7, PD-1 programmed cell death protein 1, PR partial response, VGPR very good partial response, CR complete response, AE adverse event, G grade, NCT clinicaltrials.gov registry number, nr not reported
Data refers to the 16 mg/kg daratumumab dose
Data refers to patients treated with doses ≥10 mg/kg
Median number across entire study population
Isatuximab 10 and 20 mg/kg cohort, respectively