Impact of daratumumab refractoriness on clinical outcomes following CAR T-cell therapy for relapsed refractory multiple myeloma – New Study
Impact of daratumumab refractoriness on clinical outcomes following CAR T-cell therapy for relapsed refractory multiple myeloma
Summary
Daratumumab refractoriness significantly worsens outcomes after CAR T-cell therapy in patients with relapsed/refractory multiple myeloma. Studies show these patients have reduced overall response rates, progression-free survival, and overall survival compared to daratumumab-sensitive patients. The mechanisms behind this are complex, possibly involving T-cell exhaustion, impaired CAR T-cell expansion/persistence, and a less favorable tumor microenvironment due to prior daratumumab exposure. Overcoming daratumumab refractoriness is a critical unmet need to improve CAR T-cell therapy efficacy in this challenging patient population, warranting further research into alternative treatment strategies and combinations.
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