Patient-reported outcomes after idecabtagene vicleucel vs. ciltacabtagene autoleucel CAR-T for multiple myeloma - Summary - MDSpire

Patient-reported outcomes after idecabtagene vicleucel vs. ciltacabtagene autoleucel CAR-T for multiple myeloma

  • By

  • Laura B. Oswald

  • Xiaoyin Li

  • Lisa M. Gudenkauf

  • Gabe De Avila

  • David Scheiber-Camoretti

  • Brent J. Small

  • Brian D. Gonzalez

  • Aasha I. Hoogland

  • Oanh Nguyen

  • Yvelise Rodriguez

  • Sylvia L. Crowder

  • Nathan H. Parker

  • Tiffany L. Carson

  • Christine E. Vinci

  • Rachid C. Baz

  • Kenneth H. Shain

  • Brandon Blue

  • Ariel Grajales-Cruz

  • Kristy Matte

  • Brandon Kale

  • David Kaldas

  • Fabiana Perna

  • Melissa Alsina

  • Ciara L. Freeman

  • Omar Castaneda Puglianini

  • Taiga Nishihori

  • Hien Liu

  • Frederick L. Locke

  • Heather S. L. Jim

  • Lauren C. Peres

  • Doris K. Hansen

  • May 11, 2026

  • 0 min

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Objective:

To assess and compare patient-reported outcome (PRO) trajectories among patients with relapsed/refractory multiple myeloma receiving idecabtagene vicleucel (ide-cel) versus ciltacabtagene autoleucel (cilta-cel) CAR-T therapy.

Key Findings:
  • Ide-cel recipients were older than cilta-cel recipients (median age 73 vs. 64 years, p < 0.001).
  • Many PROs worsened pre-D7 and improved post-D7, including overall HRQOL and physical well-being (p-values < 0.05).
  • Differences in social well-being pre-D7 (p = 0.01) and cognitive function post-D7 (p = 0.001) were observed between treatment groups.
Interpretation:

Patients with RRMM receiving CAR-T therapy exhibited similar PRO trajectories regardless of CAR-T type, with initial worsening or stability followed by significant improvement post-treatment.

Limitations:
  • The study was limited to a single cancer center, which may affect generalizability.
  • The sample size may limit the robustness of findings regarding differences between treatment groups.
Conclusion:

Future studies should explore differences in PRO trajectories beyond D90 post-treatment and further investigate social well-being and cognitive function outcomes.

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