Pomalidomide (POM) with or without low-dose dexamethasone (LoDEX) in patients (Pts) with relapsed and refractory multiple myeloma (RRMM): MM-002 phase II age subgroup analysis.

Authors

null

Sundar Jagannath

Mount Sinai Medical Center, New York, NY

Sundar Jagannath , Craig C. Hofmeister , Rachid C. Baz , David Samuel DiCapua Siegel , Ravi Vij , Christine Chen , Sagar Lonial , Kenneth Carl Anderson , Min Chen , Mohamed H. Zaki , Paul Gerard Guy Richardson

Organizations

Mount Sinai Medical Center, New York, NY, Ohio State University Medical Center, Columbus, OH, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, John Theurer Cancer Center at Hackensack University Medical Center, Hackensack, NJ, Washington University in St. Louis, St Louis, MO, Princess Margaret Hospital, Toronto, ON, Canada, Emory University School of Medicine, Atlanta, GA, Dana-Farber Cancer Institute, Boston, MA, Celgene Corporation, Summit, NJ

Research Funding

Pharmaceutical/Biotech Company

Background: POM demonstrated clinical efficacy and favorable tolerability in RRMM pts previously treated with lenalidomide (LEN) and bortezomib (BORT), in the randomized, multicenter, open label MM-002 phase II trial. This analysis evaluated whether the efficacy and tolerability of POM+LoDEX treatment is consistent across age subgroups. Methods: Pts with RRMM who had received ≥ 2 prior therapies, including LEN and BORT, and were refractory to their last regimen were randomized to either POM+LoDEX (POM 4 mg/day, days 1–21 of a 28-day cycle; LoDEX 40 mg/week) or POM alone. End points included progression-free survival (PFS), response rate (based on EBMT criteria), response duration, and safety. A post-hoc analysis based on age (≤ 65 vs. > 65 yrs) was conducted. Results: A total of 221 pts with a mean age of 64 yrs (range 34–88) were randomized to POM+LoDEX (n = 113) or POM (n = 108). The efficacy outcomes and the most common treatment emergent grade 3/4 adverse events (AEs) for the age subgroups according to treatment arm are presented in the Table. Conclusions: Regardless of age (≤ 65 vs. > 65 yrs), POM with or without LoDEX was effective and generally well tolerated in heavily pretreated RRMM pts who had already received LEN and BORT. POM with or without LoDEX represents a new clinical option for pts previously treated with numerous lines of therapy. Updated data will be presented at the meeting. Clinical trial information: NCT00833833.

Efficacy and safety outcomes.
≤ 65 yrs > 65 yrs
Efficacy POM+LoDEX
(n = 62)
POM
(n = 69)
POM+LoDEX
(n = 51)
POM
(n = 39)
≥ PR (%) 31 13 37 18
≥ MR (%) 47 23 43 44
Median DoR (monthsa) 10.1 8.3 7.7 10.6
Median PFS (months, range) 4.7 (3.7–6.7) 1.9 (1.8–2.7) 3.7 (2.1–5.5) 3.3 (2.8–5.5)
Safety POM+LoDEX
(n = 61)
POM
(n = 68)
POM+LoDEX
(n = 51)
POM
(n = 39)
Hematologic AEs (%)
Neutropenia 46 40 35 59
Anemia 26 24 18 26
Thrombocytopenia 18 24 20 21
Nonhematologic AEs (%)
Pneumonia 16 10 29 21
Urinary tract infection 10 3 8 0

a For pts who achieved ≥ PR. DoR, duration of response; MR, minimal response; PR, partial response.

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Abstract Details

Meeting

2013 ASCO Annual Meeting

Session Type

Poster Discussion Session

Session Title

Lymphoma and Plasma Cell Disorders

Track

Hematologic Malignancies—Lymphoma and Chronic Lymphocytic Leukemia

Sub Track

Multiple Myeloma

Clinical Trial Registration Number

NCT00833833

Citation

J Clin Oncol 31, 2013 (suppl; abstr 8532)

DOI

10.1200/jco.2013.31.15_suppl.8532

Abstract #

8532

Poster Bd #

12

Abstract Disclosures