NOTE

imroz

Isatuximab 2024-06-04

Isatuximab Plus VRd in Patients with Newly Diagnosed Multiple Myeloma Ineligible for Transplantation

Information

  • Design: Phase 3, open-label, randomized, controlled, multi-center
  • Number of patients: 446
  • Patients characteristics: Patients 18 to 80 years of age with newly diagnosed multiple myeloma who were ineligible to undergo transplantation
  • Agent: Isatuximab plus bortezomib, lenalidomide, and dexamethasone (VRd) vs VRd alone
  • Treatment line: First-line therapy
  • Trial Name or NCT Number: IMROZ (NCT03319667)

Comparison of two groups

EndpointIsatuximab-VRdVRd
Progression-Free Survival at 60 months63.2%45.2%
Hazard Ratio for Disease Progression or Death0.60 (98.5% CI, 0.41 to 0.88); P<0.001-
Complete Response or Better74.7%64.1%; P=0.01
Minimal Residual Disease (MRD)–Negative Status in Patients with Complete Response55.5%40.9%; P=0.003

Other findings

  • No new safety signals were observed with the isatuximab-VRd regimen
  • The incidence of serious adverse events during treatment and the incidence of adverse events leading to discontinuation were similar in the two groups

Summary In this phase 3 trial, the addition of isatuximab to the VRd regimen significantly improved progression-free survival, complete response or better, and minimal residual disease-negative status in patients with newly diagnosed multiple myeloma who were ineligible to undergo transplantation.