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New Drug: Melphalan flufenamide and dexamethasone for relapsed and refractory myeloma

New Drug: Melphalan flufenamide and dexamethasone for relapsed and refractory myeloma
Study:
  • Single-arm, phase II trial (HORIZON)
  • Multiple myeloma with >2 prior lines (including IMiD and proteasome inhibitor) and refractory to pomalidomide and/or anti-CD38 Ab
  • Monthly melflufen + weekly dexamethasone until progression (N=157)
Efficacy:
  • ORR: 29% [22% – 37%]. In triple-class refractory: 26% [18%-35%]
  • Median PFS: 4.2 mos [3.4-4.9 mos]
  • Median OS: 11.6 mos [9.3-15.4 mos]
Safety:
  • Grade >=3 AEs: neutropenia (79%), febrile neutropenia (14% vs. 9%), thrombocytopenia (76%), pneumonia (10%), nausea (<1%)

J Clin Oncol. 2020;39:757

Richardson PG, et al. Melflufen and Dexamethasone in Heavily Pretreated Relapsed and Refractory Multiple Myeloma

https://doi.org/10.1200/JCO.20.02259

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