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Status: Bibliographieeintrag

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Verfasst von:Leypoldt, Lisa [VerfasserIn]   i
 Gavriatopoulou, Maria [VerfasserIn]   i
 Besemer, Britta [VerfasserIn]   i
 Salwender, Hans [VerfasserIn]   i
 Raab, Marc-Steffen [VerfasserIn]   i
 Nogai, Axel [VerfasserIn]   i
 Khandanpour, Cyrus [VerfasserIn]   i
 Runde, Volker [VerfasserIn]   i
 Jauch, Anna [VerfasserIn]   i
 Zago, Manola [VerfasserIn]   i
 Martus, Peter [VerfasserIn]   i
 Goldschmidt, Hartmut [VerfasserIn]   i
 Bokemeyer, Carsten [VerfasserIn]   i
 Dimopoulos, Meletios A. [VerfasserIn]   i
 Weisel, Katja C. [VerfasserIn]   i
Titel:Daratumumab, Bortezomib, and Dexamethasone for treatment of patients with relapsed or refractory multiple myeloma and severe renal impairment
Titelzusatz:results from the phase 2 GMMG-DANTE trial
Verf.angabe:Lisa B. Leypoldt, Maria Gavriatopoulou, Britta Besemer, Hans Salwender, Marc S. Raab, Axel Nogai, Cyrus Khandanpour, Volker Runde, Anna Jauch, Manola Zago, Peter Martus, Hartmut Goldschmidt, Carsten Bokemeyer, Meletios A. Dimopoulos and Katja C. Weisel
Jahr:2023
Umfang:13 S.
Fussnoten:Veröffentlicht: 21. September 2023 ; Gesehen am 14.11.2023
Titel Quelle:Enthalten in: Cancers
Ort Quelle:Basel : MDPI, 2009
Jahr Quelle:2023
Band/Heft Quelle:15(2023), 18, Artikel-ID 4667, Seite 1-13
ISSN Quelle:2072-6694
Abstract:Renal function impairment (RI) is a common complication in multiple myeloma (MM). However, limited data exist on the safety and efficacy of anti-MM regimens in patients with severe RI, as these patients are frequently excluded from clinical trials. This investigator-initiated multicentric phase II GMMG-DANTE trial evaluated daratumumab, bortezomib, and dexamethasone (DVd) in relapsed or refractory (r/r) MM patients with severe RI. r/rMM patients with ≥1 prior treatment line and a GFR <30 mL/min/1.73 m2 or undergoing hemodialysis were eligible and received eight cycles of DVd followed by daratumumab maintenance. The trial closed prematurely after 22/36 planned patients. The primary endpoint was overall response rate (ORR). Median age of patients was 70 (range 55-89) years, with a median GFR of 20.1 mL/min/1.73 m2 (interquartile range, 9.4-27.3 mL/min/1.73 m2), and eight patients under hemodialysis. Median number of prior lines was two (range 1-10). The trial was successful, albeit with premature termination, as it met its primary endpoint, with an ORR of 67% (14/21). The rates of partial response, very good partial response, and complete response were 29%, 29%, and 10%, respectively (n = 6, 6, and 2). Fourteen patients (67%) achieved renal response. After median follow-up of 28 months, median progression-free survival was 10.4 months; median overall survival was not reached. Higher-grade toxicity was mainly hematologic, and non-hematologic toxicities ≥Grade 3 were mostly infections (24%). The prospective GMMG-DANTE trial investigating DVd exclusively in r/rMM patients with severe RI showed efficacy and safety to be comparable to data from patients without RI.
DOI:doi:10.3390/cancers15184667
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

kostenfrei: Volltext: https://doi.org/10.3390/cancers15184667
 kostenfrei: Volltext: https://www.mdpi.com/2072-6694/15/18/4667
 DOI: https://doi.org/10.3390/cancers15184667
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:clinical trial
 daratumumab
 hemodialysis
 multiple myeloma
 relapsed/refractory
 renal impairment
K10plus-PPN:1870232666
Verknüpfungen:→ Zeitschrift

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