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FDA Approves BCMA-Directed CAR-T Immunotherapy for R/R MM

On February 28, 2022, a new treatment choice for patients with relapsed or refractory (R/R) multiple myeloma (MM) who received 4 or more previous lines of therapy has been approved by the FDA, according to a news release from The Janssen Pharmaceutical Companies of Johnson & Johnson.

Ciltacabtagene autoleucel, a chimeric antigen receptor (CAR) T-cell therapy that targets B-cell maturation antigen (BCMA) single domain antibodies, achieved deep and durable responses in 98% of patients (95% CI, 92.7-99.7) with R/R MM during the CARTITUDE-1 study, resulting in the approval.

Overall, 78% (95% CI, 68.8-86.1) of patients who achieved this response experienced a stringent complete response (sCR).

At a median follow-up of 18 months, the median duration of response (DOR) was 21.8 months.

The most commonly reported adverse reactions (≥20%) include pyrexia, CRS, hypogammaglobulinemia, hypotension, musculoskeletal pain, diarrhea, nausea, and fatigue.

Long-term efficacy and safety results of ciltacabtagene autoleucel from the CARTITUDE-1 study are ongoing.—Alexa Stoia

U.S. FDA Approves CARVYKTI (ciltacabtagene autoleucel), Janssen’s First Cell Therapy, a BCMA-Directed CAR-T Immunotherapy for the Treatment of Patients with Relapsed or Refractory Multiple Myeloma. News release. PR Newswire; February 28, 2022. Accessed March 1, 2022.

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