PMID- 34885106 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20211214 IS - 2072-6694 (Print) IS - 2072-6694 (Electronic) IS - 2072-6694 (Linking) VI - 13 IP - 23 DP - 2021 Nov 29 TI - Adjusted Comparison of Outcomes between Patients from CARTITUDE-1 versus Multiple Myeloma Patients with Prior Exposure to PI, Imid and Anti-CD-38 from a German Registry. LID - 10.3390/cancers13235996 [doi] LID - 5996 AB - Ciltacabtagene autoleucel (cilta-cel) is a Chimeric antigen receptor T-cell therapy with the potential for long-term disease control in heavily pre-treated patients with relapsed/refractory multiple myeloma (RRMM). As cilta-cel was assessed in the single-arm CARTITUDE-1 clinical trial, we used an external cohort of patients from the Therapie Monitor registry fulfilling the CARTITUDE-1 inclusion criteria to evaluate the effectiveness of cilta-cel for overall survival (OS) and time to next treatment (TTNT) vs. real-world clinical practice. Individual patient data allowed us to adjust the comparisons between both cohorts, using the inverse probability of treatment weighting (IPW; average treatment effect in the treated population (ATT) and overlap population (ATO) weights) and multivariable Cox proportional hazards regression. Outcomes were compared in intention-to-treat (HR, IPW-ATT: TTNT: 0.13 (95% CI: 0.07, 0.24); OS: 0.14 (95% CI: 0.07, 0.25); IPW-ATO: TTNT: 0.24 (95% CI: 0.12, 0.49); OS: 0.26 (95% CI: 0.13, 0.54)) and modified intention-to-treat (HR, IPW-ATT: TTNT: 0.24 (95% CI: 0.09, 0.67); OS: 0.26 (95% CI: 0.08, 0.84); IPW-ATO: TTNT: 0.26 (95% CI: 0.11, 0.59); OS: 0.31 (95% CI: 0.12, 0.79)) populations. All the comparisons were statistically significant in favor of cilta-cel. These results highlight cilta-cel's potential as a novel, effective treatment to address unmet needs in patients with RRMM. FAU - Merz, Maximilian AU - Merz M AD - Cell Therapy and Hemostaseology, Department of Hematology, University Hospital of Leipzig, 04103 Leipzig, Germany. FAU - Goldschmidt, Hartmut AU - Goldschmidt H AUID- ORCID: 0000-0003-0961-0035 AD - Internal Medicine V and National Center for Tumor Diseases, University Clinic Heidelberg, 69120 Heidelberg, Germany. FAU - Hari, Parameswaran AU - Hari P AD - Medical College of Wisconsin, Milwaukee, WI 53226, USA. FAU - Agha, Mounzer AU - Agha M AD - School of Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA. FAU - Diels, Joris AU - Diels J AUID- ORCID: 0000-0002-9456-9120 AD - Janssen Pharmaceutica NV, 2340 Beerse, Belgium. FAU - Ghilotti, Francesca AU - Ghilotti F AD - Janssen-Cilag SpA, 20093 Cologno Monzese, Italy. FAU - Perualila, Nolen J AU - Perualila NJ AD - Janssen Pharmaceutica NV, 2340 Beerse, Belgium. FAU - Cabrieto, Jedelyn AU - Cabrieto J AD - Janssen Pharmaceutica NV, 2340 Beerse, Belgium. FAU - Haefliger, Benjamin AU - Haefliger B AUID- ORCID: 0000-0002-7802-0883 AD - Cilag GmbH International, 6300 Zug, Switzerland. FAU - Sliwka, Henrik AU - Sliwka H AD - Janssen-Cilag Pharma GmbH, 1020 Vienna, Austria. FAU - Schecter, Jordan M AU - Schecter JM AD - Janssen R&D, Raritan, NJ 08869, USA. FAU - Jackson, Carolyn C AU - Jackson CC AD - Janssen R&D, Raritan, NJ 08869, USA. FAU - Olyslager, Yunsi AU - Olyslager Y AD - Janssen Pharmaceutica NV, 2340 Beerse, Belgium. FAU - Akram, Muhammad AU - Akram M AD - Legend Biotech USA, Inc., Piscataway, NJ 08854, USA. FAU - Nesheiwat, Tonia AU - Nesheiwat T AD - Legend Biotech USA, Inc., Piscataway, NJ 08854, USA. FAU - Kellermann, Lenka AU - Kellermann L AD - Oncology Information Service (O.I.S), 79098 Freiburg, Germany. FAU - Jagannath, Sundar AU - Jagannath S AD - Mount Sinai Medical Center, New York, NY 10029, USA. LA - eng PT - Journal Article DEP - 20211129 PL - Switzerland TA - Cancers (Basel) JT - Cancers JID - 101526829 PMC - PMC8656798 OTO - NOTNLM OT - CAR-T OT - CARTITUDE-1 OT - adjusted comparison OT - chimeric antigen receptor T-cell therapy OT - cilta-cel OT - ciltacabtagene autoleucel OT - indirect treatment comparison OT - relapsed or refractory multiple myeloma COIS- The authors declare the following conflicts of interest: M.M.: BMS (consulting or advisory role, travel, accommodations, expenses), Amgen (consulting or advisory role, travel, accommodations, expenses), Takeda (consulting or advisory role, research funding, travel, accommodations, expenses), Celgene (travel, accommodations, expenses), Abbvie (travel, accommodations, expenses), Janssen (consulting or advisory role, travel, accommodations, expenses). H.G.: Adaptive Biotechnology (Advisory Board), Amgen (Grants and/or provision of Investigational Medicinal Product, Research Support, Advisory Board, Honoraria), BMS (Grants and/or provision of Investigational Medicinal Product, Research Support, Advisory Board, Honoraria), Celgene (Grants and/or provision of Investigational Medicinal Product, Research Support, Advisory Board, Honoraria), Chugai (Grants and/or provision of Investigational Medicinal Product, Research Support, Honoraria), Dietmar-Hopp-Foundation (Grants and/or provision of Investigational Medicinal Product), GSK (Honoraria), Janssen (Grants and/or provision of Investigational Medicinal Product, Research Support, Advisory Board, Honoraria), Incyte (Research Support), Johns Hopkins University (Grants and/or provision of Investigational Medicinal Product), Molecular Partners (Research Support), MSD (Research Support), Mundipharma GmbH (Research Support), Novartis (Research Support, Honoraria), Sanofi (Grants and/or provision of Investigational Medicinal Product, Advisory Board, Honoraria), Takeda (Research Support, Advisory Board). P.H.: BMS (Honoraria for Consulting), Takeda (Honoraria for Consulting), Janssen (Honoraria for Consulting), Amgen (Honoraria for Consulting), Karyopharm (Honoraria for Consulting/Speaking), GSK (Honoraria for Consulting). M.A. (Mounzer Agha).: No Relationships to Disclose. J.D., F.G., N.J.P., J.C., B.H., H.S., J.M.S., C.C.J., Y.O.: Employees of Janssen or its subsidiaries. C.C.J.: Employee of Janssen and a consultant physician at the Memorial Sloan Kettering Cancer Center (New York, NY, USA). L.K.: Amgen (Research Support, Grant), Astellas (Research Support, Grant), BMS (Research Support, Grant), Celgene (Research Support, Grant), GSK (Research Support, Grant), Janssen (Research Support, Grant), Merck (Research Support, Grant), OncoPeptides (Research Support, Grant), Sanofi (Research Support, Grant), Takeda (Research Support, Grant). M.A. (Muhammad Akram)., T.N.: Employees of Legend Biotech USA, Inc. S.J.: BMS (Consulting or Advisory Role, Travel, Accommodations, Expenses), Janssen (Consulting or Advisory Role, Travel, Accommodations, Expenses), Karyopharm Therapeutics (Consulting or Advisory Role, Travel, Accommodations, Expenses), Legend Biotech (Consulting or Advisory Role, Travel, Accommodations, Expenses), Sanofi (Consulting or Advisory Role), Takeda (Consulting or Advisory Role). EDAT- 2021/12/11 06:00 MHDA- 2021/12/11 06:01 PMCR- 2021/11/29 CRDT- 2021/12/10 01:05 PHST- 2021/09/20 00:00 [received] PHST- 2021/11/12 00:00 [revised] PHST- 2021/11/22 00:00 [accepted] PHST- 2021/12/10 01:05 [entrez] PHST- 2021/12/11 06:00 [pubmed] PHST- 2021/12/11 06:01 [medline] PHST- 2021/11/29 00:00 [pmc-release] AID - cancers13235996 [pii] AID - cancers-13-05996 [pii] AID - 10.3390/cancers13235996 [doi] PST - epublish SO - Cancers (Basel). 2021 Nov 29;13(23):5996. doi: 10.3390/cancers13235996.