Constructing on outcomes from the research launched for the primary time on the 2023 American Society of Hematology Annual Assembly, the up to date knowledge introduced at EHA 2024 continued to point out spectacular efficacy and favorable security of lisaftoclax-based combos, significantly the mix with pomalidomide and dexamethasone in R/R MM. Furthermore, the research reported an incidence of Grade 3 or increased treatment-related neutropenia of 14.3%, which underscored the regimens’ potential in providing sufferers a secure new therapy choice.
Prof.
“It is our pleasure to release the updated data of lisaftoclax in patients with R/R MM or AL amyloidosis at this year’s EHA Hybrid Congress,” mentioned Dr.
The EHA Hybrid Congress is the biggest gathering of the hematology discipline in
Highlights of the information on lisaftoclax introduced at EHA 2024 are as follows:
Lisaftoclax (APG-2575) Mixed with Novel Therapeutic Regimens in Sufferers (Pts) with Relapsed or Refractory (R/R) A number of Myeloma (MM) or Immunoglobulin Mild-Chain (AL) Amyloidosis
- Summary#: P917
- Presentation Kind: Poster presentation
- Subject: Myeloma and different monoclonal gammopathies “ Medical
- Date & Time:
Friday June 14, 2024 ,18:00 – 19:00 CEST - Presenting Writer: Prof.
Sikander Ailawadhi , Mayo Clinic Florida
Highlights:
- Background: R/R MM is incurable, with just about inevitable relapse with out applicable therapeutic intervention. AL amyloidosis is a uncommon illness that will trigger severe organ injury or loss of life. Lisaftoclax is a novel, potent, selective BCL-2 inhibitor with scientific advantages in hematologic malignancies and strong tumors and a low reported incidence of opposed occasions (AEs).
- Introduction: The goal of this multicenter research was to guage the protection and efficacy of lisaftoclax mixed with pomalidomide and dexamethasone (Arms A and C) or daratumumab, lenalidomide, and dexamethasone (Arm B) in sufferers with R/R MM (Arms A and B) or R/R AL amyloidosis (Arm C).
- Affected person enrollment and strategies: Sufferers with an Japanese Cooperative Oncology Group (ECOG) efficiency standing ‰¤2 had been administered lisaftoclax every day in repeated 28-day cycles. Pomalidomide, daratumumab, and lenalidomide had been administered per label use. Dexamethasone was administered at 40 mg/day, and sufferers aged>75 had been administered on the lowered dose of 20 mg/day.
- As of
January 25, 2024 , 44 sufferers that included 36 sufferers with R/R MM and eight sufferers with R/R AL amyloidosis had been enrolled within the 3 arms of the research (Arms A, B, and C) to obtain lisaftoclax at varied doses. - The median (vary) age of sufferers was 70.5 (24-88) years, 68.2% had been male, and 65.9% had been older than 65 years.
- The median (vary) variety of strains of prior therapies was 3 (1-19), median (vary) time from prognosis to the primary dose of research drug was 5.5 (1-29) years, and median (vary) variety of therapy cycles was 4 (1-26).
- As of
- Efficacy outcomes:
- In Arm A, 27 sufferers with R/R MM had been efficacy evaluable. Amongst them, 10 had partial response (PR), 7 had superb PR (VGPR), and a pair of had full response (CR). The general response charge (ORR [PR+VGPR+CR]) was 70.4%.
- In Arm B, 2 sufferers with R/R MM achieved CR.
- In Arm C, 7 sufferers with R/R AL amyloidosis had been efficacy evaluable, and the ORR was 85.7% (4 VGPRs, 2 CR).
- Security outcomes:
- Of the 42 sufferers included in security analysis, 10 sufferers skilled Grade ‰¥3 treatment-related opposed occasions (TRAEs), together with neutropenia (14.3%), febrile neutropenia (2.4%). 3 sufferers skilled severe TRAEs that included febrile neutropenia, acute kidney harm, and diarrhea with electrolyte imbalance (1 every).
- A complete of 24 sufferers discontinued therapy due to illness development (n=15), treatment-emergent AE (TEAE, n=3), nonadherence (n=1), or investigator/affected person choice (n=5).
- Conclusions: Lisaftoclax plus novel therapeutic regimens was properly tolerated and demonstrated preliminary antitumor exercise in sufferers with both R/R MM or AL amyloidosis.
Lisaftoclax is an investigational drug that has not been permitted in any nation and area.
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