articleNew England Journal of MedicineJun 5, 2023GREEN OA

Cilta-cel or Standard Care in Lenalidomide-Refractory Multiple Myeloma

Centro de Investigación del Cáncer · Centro de Investigación Biomédica en Red de Cáncer · +39 more institutions

PubMed
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Abstract

Background

Ciltacabtagene autoleucel (cilta-cel), a B-cell maturation antigen (BCMA)-directed CAR T-cell therapy, is effective in heavily pretreated patients with relapsed or refractory multiple myeloma. We investigated cilta-cel in earlier treatment lines in patients with lenalidomide-refractory disease.

Methods

In this phase 3, randomized, open-label trial, we assigned patients with lenalidomide-refractory multiple myeloma to receive cilta-cel or the physician's choice of effective standard care. All the patients had received one to three previous lines of treatment. The primary outcome was progression-free survival.

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Funding