Therapeutic monoclonal antibodies in combination with pomalidomide can overcome refractoriness to both agents in multiple myeloma: a case-based approach

In multiple myeloma (MM), the synergy between immunomodulatory drugs (IMiDs) and monoclonal antibodies (MABs) has been demonstrated in several pivotal trials. However, disease refractory to either class of compounds remains a major therapeutic challenge. We here report on 3 heavily pretreated MM pat...

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Bibliographic Details
Main Authors: Bärtsch, Marc-Andrea (Author) , Hundemer, Michael (Author) , Hillengaß, Jens (Author) , Goldschmidt, Hartmut (Author) , Raab, Marc-Steffen (Author)
Format: Article (Journal)
Language:English
Published: 2017
In: Hematological oncology
Year: 2018, Volume: 36, Issue: 1, Pages: 258-261
ISSN:1099-1069
DOI:10.1002/hon.2473
Online Access:Verlag, Volltext: http://dx.doi.org/10.1002/hon.2473
Verlag, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1002/hon.2473
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Author Notes:Marc-Andrea Baertsch, Michael Hundemer, Jens Hillengass, Hartmut Goldschmidt, Marc S. Raab
Description
Summary:In multiple myeloma (MM), the synergy between immunomodulatory drugs (IMiDs) and monoclonal antibodies (MABs) has been demonstrated in several pivotal trials. However, disease refractory to either class of compounds remains a major therapeutic challenge. We here report on 3 heavily pretreated MM patients who were refractory to pomalidomide as well as to MABs against CD38 (daratumumab) or CD20 (rituximab), respectively, but who responded to retreatment with the same agents in combination. Responses were durable with PFS of 7, 10 (ongoing), and 30 months from initiation of combination treatment. The combination of IMiDs with MABs directed against MM cell surface antigens can overcome refractoriness to both agents.
Item Description:Received: 4 March 2017 Revised: 17 July 2017 Accepted: 10 August 2017
Gesehen am 02.08.2018
Physical Description:Online Resource
ISSN:1099-1069
DOI:10.1002/hon.2473