Clinical Edge

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Elotuzumab in Multiple Myeloma

Studied with lenalidomide and dexamethasone

Patients with relapsed or refractory multiple myeloma who received a combination of elotuzumab, lenalidomide, and dexamethasone had a significant relative reduction of 30% in the risk of disease progression or death, according to a study of 646 patients with relapsed or refractory multiple myeloma. Researchers found:

• Progression-free survival (PFS) rates at 1 year were 68% in the group receiving elotuzumab, lenalidomide, and dexamethasone vs 57% in the control group receiving lenalidomide and dexamethasone alone.

• At 2 years, PFS rates were 41% in the elotuzumab group vs 27% in controls.

• Median PFS in the elotuzumab group was 19.4 months vs 14.9 in controls.

• Overall response rate was 79% in the elotuzumab group vs 66% in controls.

• Common grade 3 or 4 adverse events in both groups were lymphocytopenia, neutropenia, fatigue, and pneumonia.

Citation: Lonial S, Dimopoulos M, Palumbo A, et al. Elotuzumab therapy for relapsed or refractory multiple myeloma. N Engl J Med. 2015 Aug 13;373(7):621-631. doi: 10.1056/NEJMoa1505654.