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Table 5 Summary of patients enrolled in phase 2/3 clinical trials according to previous exposure to bortezomib or lenalidomide or refractoriness to lenalidomide

From: The changing landscape of relapsed and/or refractory multiple myeloma (MM): fundamentals and controversies

Study

Regimen

Phase

V-ex

(%)

V-ref

(%)

R-ex

(%)

R-ref (%)

R-ref in 1L

n (%)

ORR/CR

(%)

ORR/CR

R-ref

(%)

PFS

(months)

PFS

R-ex

(months)

PFS

R- ref

(months)

PFS

R-ref in 1L

(months)

ENDEAVOR [11]

Kd

3

54

4

38

25

32 a

77/13

---

18.7

12.9

8.6

15.6 a

CASTOR [72]

DVd

3

65

0

36

24

----

85/30

---

16.7

9.5

7.8 vs. 4.9

HR 0.44

----

OPTIMISMM [31]

PVd

3

72

9

100

71

129 (23) b

82.2/15.7

----

11.2

11.2

9.5

17.8 b

CANDOR [51]

DKd

3

92

29

42

33

----

84/31.8

----

NR vs. 15.8

HR 0.63

NR vs. 12.1

HR 0.52

NR vs. 11.1

HR 0.45

----

MM-014 [156]

DPd

2

78

--

100

75

70 (62.5)

----

----

NR

NR

21.8

NR

APOLLO EMN14 [53] c

DPd

3

100

47

100

79

16 (11)

69/25

 

12.4 vs. 6.9

HR 0.63

NR

9.9 vs. 6.5

HR 0.66

---

IKEMA [50]

IsaKd

3

93

31

----

32

----

86.6/39.7

----

NR

HR 0.53

----

NR

HR 0.6

----

EMN011 [157] d

KPd

2

100

100

100

100

100

87/65

87/65

18

18

18

18

ICARIA-MM [10]

IsaPd

3

100

77

100

94

----

60.4

----

11.53

HR 0.59

----

HR 0.5

----

  1. aData from ENDEAVOR and Champion-1 [155]; b Dimopoulos et al. (2018) [158]; c Only 11% after 1L in APOLLO; d Prior first line treatment in EMN02/H095 trial;
  2. CR complete response; DKd daratumumab/carfilzomib/dexamethasone; DPd daratumumab/pomalidomide/dexamethasone; DVd daratumumab/bortezomib/dexamethasone; ex exposed; HR hazard ratio; IsaPd isatuximab /pomalidomide/dexamethasone; Kd carfilzomib/dexamethasone; KPd carfilzomib/pomalidomide/dexamethasone; 1L, first line; NR not reached; ORR overall response rate; PFS progression-free survival; R lenalidomide; ref refractory; V bortezomib; y years