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Prolonged Cytopenia After Idecabtagene Vicleucel for Multiple Myeloma is Associated with Poor Overall Survival - PubMed

3 hours ago
  • #Multiple Myeloma
  • #CAR-T Therapy
  • #Cytopenia
  • Prolonged cytopenia after idecabtagene vicleucel (ide-cel) CAR-T therapy in multiple myeloma is linked to worse survival outcomes.
  • Cytopenias at Day 30 post-infusion occur in 25% of patients and correlate with inferior progression-free survival (PFS) and overall survival (OS).
  • Cytopenias at Day 100 are rare (2%) but significantly associated with poorer OS, though not with PFS.
  • A high CAR-HEMATOTOX score (≥2) predicts cytopenias at Day 30.
  • The study uses observational data from 821 patients treated between 2021 and 2023.
  • Definitions of cytopenia are based on immune effector cell-associated hematotoxicity criteria for neutropenia and thrombocytopenia.