2/#CME➡️mnibd.short.gy/IL23sVideo3po…
🔴Post #IBDPoll 1️⃣
42yo new dx of UC pancolitis, was started on miri, now in remission @ 1yr
He's anxious about his chances of remaining in remission over time
In #LUCENT RCT, what % of pts in remission at Wk52 remained in remission @ yr 2&3?
5/PERSEUS #ASCO25: sustMRD- in pts on quad maint @ median f/u 47.5m
↑ ustMRD- @ ≥24m w DVRd v VRd: 55.8 v 22.6%
👉Pts w ≥12m sustMRD-: ↑ 48m PFS,regardless of tx
👉Only 3.1% progressn @18m w DVRd v 6.8% VRd
🔑DVRd➡️2.5x⬆️≥24m sustMRD- & ½ progressn risk @≤18m tx
@mbeksac56
6/🙋🏻What about replacing dara- with isa- in a quad?
GMMG-HD7: IsaVRd v VRd induction➡️isa-len v len maintenance in TE NDMM
👉↑ MRD- rate 50% v 36%; p =0.00017
👉IsaVRd had ↓AE rates & ↓d/c rates v RVd
🎉🆕SOC
👉Results➡️addition of IsaVRd as induction regimen for TE #NDMM
7/⚡️GMMG-HD7 #ASCO25 update w/ PFS benefit in all quad recipients
↑CR 43.5% w IsaVRd v 34% w VRd
↑MRD- rate 66.2% w quad v 47.7% w triplet
👉PFS at 3yr benefit: 83% v 75% w/IsaVRd v VRd
↑MRD- regardless of maint v MRD (HR 0.61; P=0.002)
🔮Maint w Isa-len v len is on-going
8/🔬Exciting news for #mmsm
Quad tx as🆕SOC for #NDMM
Current @EHA_Hematology/@EMN_EuMMnet (1st optn) & @NCCN (pref,cat 1) regimens for TE pts w/NDMM:
🎯DaraVRd➡️SCT➡️len maint
🎯IsaVRd SCT➡️len maint
👏to quad as 1L for TE pts👏
…but what about pts who are TIE /SCT-deferred?
10/ CEPHEUS🔑trial in TIE & SCT-deferrd pts
DVRd➡️deeper, more durable MRD- rate
TIE cohort:
👉Overall MRD- 63.2 v 41.4%
👉SustMRD @ ≥12m 48.7 v 26.3%; P<0.0001
👉CR 81.2 v 61.6%; P<0.0001
👉HR 0.57, 95% CI 0.41-0.79; P=0.0005
↓D/C rate w quad
🎉DVRd new SOC for TIE NDMM🎉
11/Do results w isa show similar trends?
IMROZ🔑trial
IsaVRd➡️IsaRd v VRd➡️Rd in TIE pts w NDMM
👉IsaVRd ➡️↓time to MRD-: 14.7 v 32.8m
↑ PFS @ 60m: 63.2 v 45.2%; HR: 0.60; P<0.001
↑ CR: 74.7% v 64.1%; P=0.01
🎉IMROZ results support IsaVRd as 🆕SOC for TIE #NDMM pts
@szusmani
12/BENEFIT eval'd wkly bortezomib (V) in TIE NDMM
IsaVRd➡️IsaVR➡️IsaR v IsaRd➡️IsaR➡️IsaR
↑MRD- rate @
12mo 51% v 21%; OR: 3.88; 95%CI: 2.27-6.62;P<0.0001
18mo 53% v 26%; OR: 3.16; 95%CI: 1.89-5.28;P<0.0001
🔑Wkly V in IsaRd=deep responses
Supports IsaVRd as🆕SOC for TIE NDMM
14/Unfortunately, pts w high-risk (HR) #NDMM have 👎poorer prognosis & shorter survival rates vs standard-risk
Based on results of GMMG-CONCEPT presented at #ASCO2025, which treatment strategy should be used for pts w/ HR NDMM?
Key:
🔸MRD- = Treat to MRD-
#MMSM#OncTwitter