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Elranatamab for Black Patients with Relapsed Multiple Myeloma [ASH 2023]

Asya Nina Varshavsky-Yanovsky, MD, PhD, serves as an Assistant Professor within the Department of Bone Marrow Transplant and Cellular Therapies. The study, “Efficacy and Safety of Elranatamab in Black Patients with Relapsed/Refractory Multiple Myeloma (RRMM): A Subgroup Analysis of the Magnetismm Studies,” led by Dr. Varshavsky-Yanovsky, delves into the efficacy and safety of elranatamab in Black or African American patients grappling with relapsed/refractory multiple myeloma (RRMM). This investigation explores critical metrics such as the overall response rate (ORR) and median duration of response (DOR). Notably, elranatamab exhibited a promising ORR of 58.3% and a median DOR of 18.4 months among this specific demographic.

The research scrutinizes how these outcomes among Black patients align with the broader population’s responses to elranatamab in the MagnestisMM-3 trial. Such comparisons aim to discern the nuanced implications of elranatamab’s efficacy in managing RRMM for Black or African American individuals, potentially paving the way for more targeted and effective treatment approaches.

The safety profile of elranatamab in Black patients emerges as manageable, with a focus on prevalent treatment-emergent adverse events (TEAEs) such as cytokine release syndrome (CRS), anemia, and neutropenia. Dr. Varshavsky-Yanovsky expounds on the strategies employed to navigate these TEAEs, providing insights into the management protocols. Moreover, the study investigates whether there are noteworthy distinctions in the safety profile when compared to the overall population in the MagnestisMM-3 trial.

Of particular interest is the revelation that 45.8% of patients in the analysis faced penta-drug refractory disease. Dr. Varshavsky-Yanovsky contextualizes the challenges posed by the treatment landscape for heavily pretreated patients. The study sheds light on how elranatamab’s efficacy in this subgroup of Black or African American individuals plays a pivotal role in addressing unmet medical needs in RRMM, especially for those contending with advanced disease and multiple lines of prior therapy. The findings offer valuable insights into the potential contributions of elranatamab to the evolving landscape of RRMM treatment strategies.

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