PMID- 38197267 OWN - NLM STAT- MEDLINE DCOM- 20240328 LR - 20240404 IS - 1744-8301 (Electronic) IS - 1479-6694 (Linking) VI - 20 IP - 14 DP - 2024 May TI - INSURE: a pooled analysis of ixazomib-lenalidomide-dexamethasone for relapsed/refractory myeloma in routine practice. PG - 935-950 LID - 10.2217/fon-2023-0604 [doi] AB - Aim: We pooled data from three observational studies (INSIGHT MM, UVEA-IXA and REMIX) to investigate the real-world effectiveness of ixazomib-lenalidomide-dexamethasone (IRd) in relapsed/refractory myeloma. Materials & methods: INSIGHT MM was a prospective study conducted in countries across Europe, Asia and North/Latin America while UVEA-IXA and REMIX were multicenter, retrospective/prospective studies conducted in Europe. Patients who had received IRd as >/=2nd line of therapy were analyzed. Primary outcomes were time-to-next treatment (TTNT) and progression-free survival (PFS). Results: Overall, 564 patients were included (median follow-up: 18.5 months). Median TTNT and PFS were 18.4 and 19.9 months; both outcomes were numerically longer for earlier versus later lines. Median treatment duration was 14.0 months. Overall response rate was 64.6%. No new safety concerns were noted. Conclusion: The effectiveness of IRd in routine practice appears similar to the efficacy observed in TOURMALINE-MM1. IRd benefit in earlier versus later lines was consistent with previous reports. FAU - Leleu, Xavier AU - Leleu X AUID- ORCID: 0000-0002-9822-4170 AD - Pole Regional de Cancerologie, Department of Hematology, CHU La Miletrie-Poitiers, Poitiers, 86000, France. FAU - Lee, Hans C AU - Lee HC AD - M.D. Anderson Cancer Center, Houston, TX 77030, USA. FAU - Zonder, Jeffrey A AU - Zonder JA AD - Barbara Ann Karmanos Cancer Institute/Wayne State University School of Medicine, Detroit, MI 48201, USA. FAU - Macro, Margaret AU - Macro M AD - CHU de Caen, Caen, 14000, France. FAU - Ramasamy, Karthik AU - Ramasamy K AD - Department of Haematology, Oxford University Hospitals NHS Foundation Trust, Oxford, Oxfordshire, OX3 7LE, UK. FAU - Hulin, Cyrille AU - Hulin C AD - CHU de Bordeaux, Bordeaux, 33000, France. FAU - Silar, Jiri AU - Silar J AD - Institute of Biostatistics & Analyses, Ltd, Brno, 602 00, Czech Republic. FAU - Kuhn, Matyas AU - Kuhn M AD - Institute of Biostatistics & Analyses, Ltd, Brno, 602 00, Czech Republic. FAU - Ren, Kaili AU - Ren K AD - Takeda Development Center Americas, Inc. (TDCA), Lexington, MA 02421, USA. FAU - Bent-Ennakhil, Nawal AU - Bent-Ennakhil N AD - Takeda Pharmaceuticals International AG, Opfikon, 8152, Switzerland. FAU - Cherepanov, Dasha AU - Cherepanov D AD - Takeda Development Center Americas, Inc. (TDCA), Lexington, MA 02421, USA. FAU - Stull, Dawn Marie AU - Stull DM AD - Takeda Pharmaceuticals U.S.A., Inc., Lexington, MA 02421, USA. FAU - Terpos, Evangelos AU - Terpos E AD - Department of Clinical Therapeutics, National & Kapodistrian University of Athens, School of Medicine, Athens,115 27, Greece. LA - eng GR - Takeda Development Center Americas, Inc. (TDCA), Lexington, MA, USA/ PT - Journal Article PT - Meta-Analysis DEP - 20240110 PL - England TA - Future Oncol JT - Future oncology (London, England) JID - 101256629 RN - 0 (Boron Compounds) RN - 7S5I7G3JQL (Dexamethasone) RN - TE7660XO1C (Glycine) RN - 71050168A2 (ixazomib) RN - F0P408N6V4 (Lenalidomide) SB - IM MH - Humans MH - Antineoplastic Combined Chemotherapy Protocols/adverse effects/therapeutic use MH - Boron Compounds/therapeutic use MH - Dexamethasone/therapeutic use MH - *Glycine/analogs & derivatives MH - Lenalidomide/therapeutic use MH - Multicenter Studies as Topic MH - *Multiple Myeloma/drug therapy MH - Prospective Studies MH - Retrospective Studies OTO - NOTNLM OT - IRd OT - effectiveness OT - ixazomib OT - ixazomib-lenalidomide-dexamethasone OT - multiple myeloma OT - pooled analysis OT - progression-free survival OT - proteasome inhibitor OT - relapsed/refractory OT - routine clinical practice OT - time-to-next treatment EDAT- 2024/01/10 06:42 MHDA- 2024/03/28 06:46 CRDT- 2024/01/10 05:28 PHST- 2024/03/28 06:46 [medline] PHST- 2024/01/10 06:42 [pubmed] PHST- 2024/01/10 05:28 [entrez] AID - 10.2217/fon-2023-0604 [doi] PST - ppublish SO - Future Oncol. 2024 May;20(14):935-950. doi: 10.2217/fon-2023-0604. Epub 2024 Jan 10.