In this episode, [14:41] Medicom’s correspondent covers 6 presentations from the annual meeting of the American Society of Hematology (ASH 2023), held in San Diego, CA, USA, from 9–12 December 2023.
The topics discussed are:
- Novel standard of care in newly diagnosed MM
Daratumumab added to bortezomib, lenalidomide, and dexamethasone (VRd) outperformed VRd alone in participants with previously untreated multiple myeloma (MM) who were eligible for autologous stem cell transplantation (ASCT). Improvements were seen in progression-free survival (PFS) rates, complete response (CR) rates, and minimal residual disease (MRD)-negativity rates. According to the authors, a new standard of care has arrived for this patient population. - AUGMENT-101: Excellent results for revumenib in R/R KMT2Ar leukaemia
Revumenib appeared to be safe and efficacious in patients with relapsed or refractory (R/R) KMT2A gene rearranged (KMT2Ar) acute leukaemia, results of the phase 2 AUGMENT-101 trial showed. - Axatilimab may represent a new therapeutic strategy in chronic GvHD
Axatilimab showed promising efficacy outcomes and a favourable safety profile in participants with chronic graft-versus-host disease (GvHD). Swift and durable responses were observed across subgroups. Therefore, axatilimab may represent a novel therapeutic strategy in patients with chronic GvHD. - Pomalidomide may become the first approved therapy for hereditary haemorrhagic telangiectasia
In the first adequately powered randomised clinical trial on hereditary haemorrhagic telangiectasia (HHT), pomalidomide reduced epistaxis, improved quality of life (QOL), and increased haemoglobin and haematocrit levels, as compared to placebo. - TRANSFORM-1: High spleen volume reduction rates for navitoclax plus ruxolitinib in MF
The combination of navitoclax plus ruxolitinib yielded improved efficacy outcomes as compared to ruxolitinib alone in patients with newly diagnosed myelofibrosis (MF), the first results of the phase 3 TRANSFORM-1 trial showed. Further analyses are ongoing to evaluate other outcomes such as overall survival and responses in subgroups of participants. - IsKia: Novel treatment regimen for MM delivers high MRD-negativity rates
Isatuximab plus carfilzomib, lenalidomide, and dexamethasone (Isa-KRd) as pre-transplant induction and post-transplant consolidation therapy increased MRD-negativity rates compared to KRd alone in participants with previously untreated multiple myeloma (MM).
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Table of Contents: ASH 2023
Featured articles
Meet the Trialist: Prof. Jeff Sharman on ELEVATE-TN
Leukaemia
FLT3-ITD-specific MRD assessment useful for clinical management of AML
MRD status rather than FLT3-ITD co-mutation is linked to the benefit of CR1-allo in NPM1-mutated AML
Promising results for quizartinib, venetoclax, and decitabine in FLT3-ITD mutated AML
AUGMENT-101: Excellent results for revumenib in R/R KMT2Ar leukaemia
Blinatumomab reduces toxicity in the consolidation phase in paediatric high-risk B-cell ALL
Promising results for olverembatinib in combination with venetoclax for Ph+ ALL
Undetectable MRD on maintenance venetoclax, acalabrutinib, and obinutuzumab in the majority of R/R CLL participants
Lymphoma
Is allogeneic stem cell transplantation a solid option in R/R LBCL or R/R T-cell lymphoma?
Encouraging results for the addition of acalabrutinib to lenalidomide and rituximab in follicular lymphoma
Can ibrutinib ameliorate outcomes in R/R ABC-DLBCL undergoing autoSCT?
Primary phase 2 efficacy and safety results of M-Pola in relapsed/refractory LBCL
SYMPATICO: Ibrutinib plus venetoclax boosts PFS in R/R mantle cell lymphoma
Multiple Myeloma
KdD outperforms Kd in R/R MM also in participants with poor renal function
IsKia: Novel treatment regimen for MM delivers high MRD-negativity rates
Novel standard-of-care in newly diagnosed MM
Myeloproliferative Neoplasms
TRANSFORM-1: High spleen volume reduction rates for navitoclax plus ruxolitinib in myelofibrosis
Momelotinib beats controls regarding transfusion outcomes in myelofibrosis
DALIAH: Peginterferon-α head-to-head against hydroxyurea in MPN
Non-Malignant Haematology
Long-term efficacy and safety of iptacopan in PNH with anaemia
ADVANCE IV: Swift responses on efgartigimod in ITP
Favourable QoL and bleeding outcomes for rilzabrutinib in ITP
Novel risk assessment model acts on increasing hospital-acquired venous thromboembolism rates among children
Miscellaneous Topics
Axatilimab may present a new therapeutic strategy in chronic GvHD
Pomalidomide may become the first approved therapy for hereditary haemorrhagic telangiectasia
Ancestry-specific study into CH delivers new leads
Featured Interviews
Interview: Sandwich treatment model shows promise for mantle cell lymphoma
Meet the Trialist: Prof. Jeff Sharman on ELEVATE-TN
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