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Application of Real-World Evidence in Selecting CAR T in R/R MM

Panelists discuss how real-world comparative analyses reveal nuanced differences in the efficacy and safety profiles of ciltacabtagene autoleucel and idecabtagene vicleucel among patients with relapsed/refractory multiple myeloma (R/R MM), highlighting the critical importance of translating clinical trial data into practical treatment strategies.

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Chimeric Antigen Receptor (CAR) T-Cell Therapy in R/R MM

Panelists discuss how real-world comparative analyses reveal nuanced differences in the efficacy and safety profiles of ciltacabtagene autoleucel and idecabtagene vicleucel among patients with R/R MM, highlighting the critical importance of translating clinical trial data into practical treatment strategies.

Key Insights from Real-World Analysis

The retrospective intention-to-treat analysis by Amoozgar et al presented at ASH 2024 (abstract #2408) offers several important perspectives:

Real-World Efficacy Variations: Real-world studies demonstrate that CAR T-cell therapy outcomes can differ significantly from controlled clinical trial settings due to patient heterogeneity, comorbidities, and prior treatment histories.

Comparative Performance: The study likely compared the efficacy and safety of 2 different CAR T-cell therapies (ciltacabtagene autoleucel and idecabtagene vicleucel) in actual clinical practice.

Patient Selection Implications: Real-world data help refine patient selection criteria and predict more personalized treatment responses beyond initial clinical trial parameters.

Safety Profile Nuances: The analysis would have shed light on potential adverse events, treatment-related complications, and long-term tolerability in a more diverse patient population.

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