September 2012, Vol 1, No 4

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Progressive Myeloma Responds to Monoclonal Antibody

Don Schrader

Conference News

More than 80% of patients with relapsed or refractory multiple myeloma responded to a monoclonal antibody against a cell surface protein expressed by almost all myeloma cells, results of a phase 2 clinical trial showed.

All patients received lenalidomide and dexa­methasone and were randomized to 10 or 20 mg of
elotuzumab.

The overall response rate included 92% of patients treated with 10 mg of elotuzumab and 73% of those who received 20 mg. After a median follow-up of 17.2 months, the median progression-free survival (PFS) had not been reached among patients in the 10-mg cohort, whereas patients assigned to 20 mg of elotuzumab had a median PFS of 18 months.

“These data are really encouraging when compared to those achieved with lenalidomide and high-dose dexamethasone,” Philippe Moreau, MD, a hematologic oncologist at Hotel-Dieu University Hospital in Nantes, France, said at the Annual Meeting of the American Society of Clinical Oncology.

An analysis limited to patients who had received only 1 prior regimen showed that all patients treated with the 10-mg dose of elotuzumab had objective responses, as did 82% of those who received the higher dose of the monoclonal antibody.

“[These results] indicate that this combination could also be effective in frontline treatment,” Moreau added.

Elotuzumab is a humanized monoclonal antibody that targets the CS1 glycoprotein expressed by more than 95% of myeloma cells. Normal cells express little or no CS1.

Moreau presented results of a trial involving 73 patients with previously treated multiple myeloma. A majority of the patients had received 2 or more prior regimens, and more than 60% of the patients had received lenalidomide and bortezomib.

The results showed that 33 of 36 patients in the 10-mg group had objective responses, including 5 complete responses. In the 20-mg arm, 30 of 37 patients responded to elotuzumab. Moreau reported that 48% of the entire study population had responses that met criteria for very good partial responses.

The most common grade 3/4 adverse events were neutropenia, lymphopenia, and thrombocytopenia, each of which occurred in 16% of patients.

Uncategorized - September 19, 2012

Surgery Versus Observation for Localized Prostate Cancer

For men with localized prostate cancer detected by prostate-specific antigen (PSA) level, treatment with radical prostatectomy did not significantly reduce mortality compared with observation, according to overall results of the large, randomized, controlled PIVOT trial (Wilt TJ, et al. N Engl J Med. 2012; 367:203-213). All-cause mortality and prostate-specific mortality [ Read More ]

Uncategorized - September 19, 2012

Older Patients With Mantle Cell Lymphoma

R-CHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone) induction therapy followed by maintenance therapy with rituximab was more effective than R-FC (rituximab, fludarabine, and cyclophosphamide) followed by maintenance therapy with interferon alfa in older patients with mantle cell lymphoma, according to a recently published prospective, randomized, double-blind clinical trial (Kluin-Nelemans HC, [ Read More ]