eJHaem (Nov 2022)

Carfilzomib usage patterns and outcomes in patients with relapsed multiple myeloma: A multi‐institutional report from the Canadian Myeloma Research Group (CMRG) Database

  • Arleigh McCurdy,
  • Martha Louzada,
  • Christopher P. Venner,
  • Alissa Visram,
  • Esther Masih‐Khan,
  • Moustafa Kardjadj,
  • Victor H. Jimenez‐Zepeda,
  • Richard LeBlanc,
  • Michael Sebag,
  • Kevin Song,
  • Darrell White,
  • Hira Mian,
  • Julie Stakiw,
  • Anthony Reiman,
  • Muhammad Aslam,
  • Rami Kotb,
  • Engin Gul,
  • Donna Reece

DOI
https://doi.org/10.1002/jha2.559
Journal volume & issue
Vol. 3, no. 4
pp. 1252 – 1261

Abstract

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Abstract Carfilzomib is an active and commonly used treatment in patients with multiple myeloma (MM). Using the Canadian Myeloma Research Group Database, we performed a retrospective observational study of patients treated with carfilzomib for relapse of MM in a real‐world setting in Canada between years 2007 and 2020. A total of 445 patients were included in this study: the doublet (Kd/p, n = 218) and triplets (KCd, n = 88; KRd, n = 99; KPd/p, n = 40). One hundred and twenty‐two (27%) received carfilzomib‐based treatment in line 2, 133 (30%) in line 3, 90 (20%) in line 4, and 100 (23%) in line 5 or higher. Carfilzomib was dosed weekly in 40% of patients and twice weekly in 60%. The overall response rate of the entire cohort was 57.7%, with 33.6% of patients achieving very good partial response or better. Median progression‐free survival for the overall cohort was 6.3 months with overall survival 19.7 months. This study provides a benchmark for carfilzomib‐based regimens in the real world, demonstrating that these regimens are effective in treating patients with relapsed MM.

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