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Unmet Need in Multiple MyelomaMode of ActionAboutReimbursement InformationStudy OverviewStudy Design and Baseline DemographicsEfficacy OutcomesFollow-up Analyses OutcomesSafety ProfileMagnetisMM-3 StudySafetyDosingMaterialsVideosEventsSupport & Resources

The content of this website has been produced in line with the ELREXFIO®▼ (elranatamab) Summary of Product Characteristics for Great Britain and Northern Ireland. For ELREXFIO®▼ (elranatamab) Prescribing Information for Great Britain and Northern Ireland click here.

Unmet needs in relapsed or refractory multiple myeloma (RRMM)

MM treatment becomes more complex with each line of therapy, as increased likelihood of treatment resistance leads to shorter remissions1-3

Each multiple myeloma relapse is typically accompanied by:1-4 

  • Increased risk of treatment resistance  
  • Diminished responses to subsequent therapies  
  • Shorter remissions 
  • Reduced quality of life  

In a retrospective analysis of 4,997 patients with MM, average remission times diminished with each line of therapy

Adapted from Yong K, et al.3  
*Paraprotein is the monoclonal protein produced by plasma cells.2  

Analysis Background 

Based on data from a retrospective analysis of patient characteristics, treatment durations and outcomes, and symptom burden in 4,997 patient charts from Belgium, France, Germany, Italy, Spain, Switzerland and the UK. Analysis was performed in 2014.2,3 

Response rate and depth of response typically diminish with each line of therapy5

In a retrospective analysis of 275 patients with MM refractory to a CD38 mAb, subsequent lines of therapy (2nd to 5th) were associated with diminished clinical outcomes compared to 1st line

Adapted from Gandhi UH, et al.

Study Background 

The MAMMOTH study was a US multicentre, retrospective study of 275 patients conducted between January 2017 and June 2018 to investigate the natural history and outcomes of patients with MM refractory to CD38 mAbs.

Patients in the MAMMOTH study were classified into 3 groups:

  • “Penta-refractory” (refractory to 1 anti-cluster of differentiation (CD) 38 monoclonal antibody (mAb) + 2 proteosome inhibitors (PIs) + 2 immunomodulatory drugs (IMiDs)) 
  • “Triple-refractory and quad-refractory” (refractory to 1 anti-CD38 +1 PI + 1 or 2 IMiDs, or 1 anti-CD38 + 1 or 2 PIs + 1 IMiD) 
  • “Not triple-refractory” (refractory to 1 anti-CD38 mAb, and not both of a PI and an IMiD).
ReferencesCD38: cluster of differentiation 38; CR: complete response; IMiD: immunomodulatory drug; mAb: monoclonal antibody; MM: multiple myeloma; mTTP: median time to progression; ORR: objective response rate; PI: proteasome inhibitor; PR: partial response; RRMM: relapsed or refractory multiple myeloma; SCR: stringent complete response; VGPR: very good partial response

References:

Shah N, et al. Leukemia. 2020;34:985-1005.Bird SA and Boyd K. Palliat Care Soc Pract. 2019;13:1-13.Yong K, et al. Br J Haematol. 2016;175:252-264.Ramsenthaler C, et al. BMC Cancer. 2016;16:427.Gandhi UH, et al. Leukemia. 2019;33:2266-2275. 
Mode of actionELREXFIO® is a humanised BCMA-CD3-directed bispecific antibody Read moreLoadingMagnetisMM-3 overviewEfficacy and safety reported from the BCMA-directed therapy-naïve cohort of the Phase 2 MagnetisMM-3 study (n=123) Read moreLoading
PP-L1A-GBR-0020. March 2024

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Adverse events should also be reported to Pfizer Medical Information on 01304 616161

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