Treatment patterns and outcomes in patients with multiple myeloma in second relapse in Colombia (freedomm): a multicenter observational study - Report - MDSpire
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Treatment patterns and outcomes in patients with multiple myeloma in second relapse in Colombia (freedomm): a multicenter observational study
Clinical Report: Clinical Characteristics and Treatment Approaches in Colombian Patients with Second Relapse of Multiple Myeloma
Overview
This study examines the clinical characteristics and treatment patterns of Colombian patients with multiple myeloma experiencing a second relapse. It reports an overall response rate of 47.1% and a median overall survival of 27.5 months.
Background
Multiple myeloma (MM) is a significant health concern, accounting for a notable percentage of cancer diagnoses and deaths globally. In Latin America, disparities in access to care and treatment options contribute to poorer survival outcomes compared to high-income countries. Understanding treatment patterns and outcomes in this region is crucial for addressing these inequities.
Data Highlights
Characteristic
Value
Median Age at Diagnosis
63.5 years
Overall Response Rate (Third-Line)
47.1%
Median Overall Survival
27.5 months
Median Progression-Free Survival
14.6 months
Median Time to Treatment Failure
5.94 months
Adverse Events
11.9% (mostly moderate)
Key Findings
The study included 84 patients with a median age of 63.5 years.
First-line therapy was predominantly bortezomib-based, with 36.9% receiving bortezomib, cyclophosphamide, and dexamethasone.
Second-line treatment shifted towards lenalidomide-based regimens, administered to 29.8% of patients.
Third-line treatments included novel agent-based combinations, notably with daratumumab and carfilzomib.
The median overall survival from second relapse treatment initiation was 27.5 months.
Adverse events were reported in 11.9% of patients, primarily of moderate severity.
Clinical Implications
The findings provide insights into treatment patterns in Colombian patients with multiple myeloma at second relapse.
Conclusion
This study provides data on the treatment landscape for multiple myeloma in Colombia, highlighting the effectiveness of third-line therapies.