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Real-world evidence of Carfilzomib, Lenalidomide and Dexamethasone (KRD) Scheme in patients with relapsed / refractory multiple myeloma

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dc.creator Garcia-Guiñón, Antoni
dc.creator Charry, Paola Andrea
dc.creator Jimenez, María
dc.creator Sarra, Josep
dc.creator Delgado, Izarbe
dc.creator Segura de la Torre, Laura
dc.creator Santaliestra, Marta
dc.creator Garcia-Pintos, Marta
dc.creator Gonzalez, Yolanda
dc.creator Senin, Alicia
dc.creator Motlló, Cristina
dc.creator Abella, Eugènia
dc.creator Cabezudo, Elena
dc.creator Granell, Miquel
dc.creator Sancho, Esther
dc.creator Herranz, María José
dc.creator Seres, Yasmina
dc.creator Gironella, Mercedes
dc.creator Soler, Juan Alfons
dc.creator Marti-Tutusaus, Josep Maria
dc.creator Ben Azaiz, Ran
dc.creator Fernandez de Larrea, Carlos
dc.date 2025
dc.date.accessioned 2025-11-03T12:15:21Z
dc.date.available 2025-11-03T12:15:21Z
dc.identifier https://doi.org/10.1007/s00277-025-06240-1
dc.identifier 1432-0584
dc.identifier 0939-5555
dc.identifier https://hdl.handle.net/10459.1/468823
dc.identifier.uri http://fima-docencia.ub.edu:8080/xmlui/handle/123456789/24039
dc.description Carfilzomib, lenalidomide and dexamethasone (KRd) is still a widely used treatment option for patients with relapsed / refractory multiple myeloma (RRMM). However, there is limited real-world evidence. Here we evaluated the efficacy and safety of KRd in patients with RRMM treated following the standard clinical practice of the hospitals in the Catalan region. This was a retrospective, observational study. The objective response rate (ORR) according to IMWG criteria was the primary endpoint. Secondary endpoints included progression-free survival (PFS) and overall survival (OS). The study planned to include at least 100-150 patients. In total 194 patients were included. Median age was 64 years (range: 40-88) and 56% were male. All patients had received bortezomib. Additionally, 89 patients (46%) had received thalidomide and 29 (15%) lenalidomide. The ORR was 73% (95% CI: 66-79), with 72 patients (37%) having ≥ CR. The ORR was influenced by ISS score, number of previous treatments and exposure to lenalidomide. The median PFS was 26 months and 2-years OS rate 70%. The ISS stage and LDH levels were independent prognostic factors of survival. In conclusion, the KRd scheme led to a good effectiveness comparable safety profile to the phase III clinical trial in patients with RRMM.
dc.language en
dc.publisher Springer
dc.relation Reproducció del document publicat a: https://doi.org/10.1007/s00277-025-06240-1
dc.relation Annals of Hematology, 2025, vol. 104, núm. 2
dc.rights cc-by-nc (c) The Authors, 2025
dc.rights Attribution-NonCommercial 4.0 International
dc.rights info:eu-repo/semantics/openAccess
dc.rights http://creativecommons.org/licenses/by-nc/4.0/
dc.subject Carfilzomib, lenalidomide and dexamethasone
dc.subject Real-world
dc.subject Relapsed/refractory multiple myeloma
dc.title Real-world evidence of Carfilzomib, Lenalidomide and Dexamethasone (KRD) Scheme in patients with relapsed / refractory multiple myeloma
dc.type info:eu-repo/semantics/article
dc.type info:eu-repo/semantics/publishedVersion


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