What Does the Phase III ‘IMROZ’ Study Mean for Patients with Multiple Myeloma? An Interview with the Co-authors

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Abstract

IMROZ represents a landmark study in multiple myeloma and is the first global Phase III study of an anti-CD38 monoclonal antibody (mAb) in combination with standard-of-care bortezomib, lenalidomide, and dexamethasone (VRd) to show a significant improvement in progression-free survival (PFS), together with deep and sustained responses, in newly-diagnosed patients not intended for transplant. During a joint interview conducted by the European Medical Journal (EMJ), two leading experts in the field of myeloma and co-investigators on the IMROZ study, Meral Beksac from the Division of Haematology, Ankara Liv Hospital Istinye University, Türkiye; and Mohamad Mohty from Sorbonne University, Saint-Antoine Hospital, Paris, France, discussed the findings and clinical implications of this important study of the isatuximab (Isa) plus VRd regimen. Beksac and Mohty reviewed the methodology and key efficacy and safety data from the IMROZ trial, and offered their perspectives on evaluating patient eligibility for haematopoietic stem cell transplantation (HSCT). The experts also considered the clinical impact of IMROZ on the management of newly diagnosed myeloma, and the potential positioning of quadruplet regimens such as Isa-VRd as the new first-choice frontline treatment for transplant-ineligible patients.
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IMROZ "III期研究对多发性骨髓瘤患者意味着什么?联合作者访谈
IMROZ是多发性骨髓瘤领域一项具有里程碑意义的研究,也是全球第一项抗CD38单克隆抗体(mAb)与硼替佐米、来那度胺和地塞米松(VRd)标准疗法联合治疗的III期研究,结果显示,在新诊断的非移植患者中,无进展生存期(PFS)得到了显著改善,并出现了深度和持续的反应。在《欧洲医学杂志》(EMJ)的一次联合采访中,骨髓瘤领域的两位权威专家和IMROZ研究的共同研究者--土耳其安卡拉伊斯坦耶大学利夫医院血液科的Meral Beksac和法国巴黎索邦大学圣安东尼医院的Mohamad Mohty讨论了这项关于伊沙妥昔单抗(Isa)加VRd方案的重要研究的发现和临床意义。Beksac和Mohty回顾了IMROZ试验的方法、主要疗效和安全性数据,并就评估患者是否符合造血干细胞移植(HSCT)条件提出了自己的观点。专家们还考虑了IMROZ对新诊断骨髓瘤管理的临床影响,以及Isa-VRd等四联疗法作为不符合移植条件的患者新的首选一线疗法的潜在定位。
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