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December 8, 2025Blood

The efficacy of cilta-cel after a prior BCMA-directed CAR T-cell therapy in relapsed/refractory multiple myeloma

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Authors

RSRajib ShomeMSMehmet SamurKGKathleen Gallagher

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Overview

Observational analysis shows cilta-cel improves progression-free survival in relapsed/Refractory multiple myeloma, suggesting safety and potential for new biomarkers.

Key Points

  • This research aims to evaluate the efficacy and safety of cilta-cel following prior BCMA CAR-T cell therapy in patients with relapsed/refractory multiple myeloma.
  • Identified 9 patients with relapsed/refractory multiple myeloma receiving cilta-cel after BCMA CAR-T therapy.
  • Assessed outcomes including progression-free survival, overall survival, and toxicity after cilta-cel administration.
  • Analyzed serum proteome to find potential biomarkers of response at three time points: day 0, day 28, and 6 months.
  • 7 out of 9 patients achieved a response with cilta-cel, showing improved progression-free survival of 31 months.
  • Cytokine-release syndrome occurred in 4 patients, indicating potential safety issues.
  • One patient experienced Guillain-Barré syndrome as a delayed neurotoxicity.

Cite This Study

Shome et al. (2025) studied this question.

synapsesocial.com/papers/69362f6e4fa91c937236e124https://doi.org/10.1182/blood-2025-5764
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