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December 8, 2025Blood

Comparative outcomes of CAR-T therapy in elderly (≥70 Years) versus younger (70 Years) patients with relapsed/refractory multiple myeloma: A real-world propensity-matched cohort study

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Authors

FKFayaz KhanRBRenu Bhargavi BoyapatiZAZuhair Alam

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Overview

Retrospective cohort study shows similar outcomes of CAR-T therapy in elderly and younger patients with multiple myeloma, implying safe use in older adults.

Key Points

  • To compare outcomes of CAR-T therapy between elderly patients (≥70 years) and younger patients (<70 years) with relapsed/refractory multiple myeloma.
  • Retrospective cohort analysis using TriNetX Global Network
  • Cohorts: elderly (≥70 years, n=466) and younger (18–69 years, n=466)
  • Propensity score matching based on demographics and prior treatment
  • Neurotoxicity events higher in elderly (HR 1.23), not statistically significant
  • Rates of neutropenia and anemia similar between age groups
  • Healthcare utilization and all-cause mortality comparable in both cohorts

Cite This Study

Khan et al. (2025) studied this question.

synapsesocial.com/papers/69362f4b4fa91c937236d7echttps://doi.org/10.1182/blood-2025-2212
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