Teclistamab in multiple myeloma with one to three previous lines of therapy (Registro nro. 22751)

000 -Cabecera
Campo de control interno 02984nam a2200265 4500
001 - Número de control
control field ESSALUD
007 - Tipo material - Descripcion fisica - info general
Tipo material - Descripcion fisica - info general ta
008 - Elementos de Longitud Fija - Información General
Elementos de Longitud Fija - Información t pe ||||| |||| 00| 0 spa d
040 ## - Origen de la Catalogación
Origen de la Catalogación BMG
041 ## - Idioma
Idioma spa
100 ## - Autor
Autor Touzeau, Cyrille
Rol del Autor Autor
9 (RLIN) 53813
245 ## - Titulo
Titulo Teclistamab in multiple myeloma with one to three previous lines of therapy
300 ## - Páginas
Paginación páginas: 440-453
520 ## - Resumen
Resumen Background: The efficacy of teclistamab, a bispecific antibody targeting B-cell maturation antigen and CD3, as early-line monotherapy in relapsed or refractory multiple myeloma is unclear.<br/>Methods: We randomly assigned patients with relapsed or refractory multiple myeloma who had previously received one, two, or three lines of therapy, including an anti-CD38 monoclonal antibody and lenalidomide, to receive teclistamab or the investigator’s choice of pomalidomide, bortezomib, and dexamethasone (PVd) or carfilzomib and dexamethasone (Kd). Antimicrobial prophylaxis and immune globulin replacement were recommended. The primary end point was progression-free survival as assessed by an independent review committee.<br/>Results: A total of 296 patients were assigned to teclistamab and 297 to PVd or Kd. At the interim analysis (median follow-up, 17.3 months), teclistamab significantly improved progression-free survival as compared with PVd or Kd (estimated 18-month progression-free survival, 69.8% vs. 26.9%; hazard ratio for disease progression or death, 0.29; 95% confidence interval [CI], 0.23 to 0.38; P<0.001). The percentage of patients with a complete response or better was higher with teclistamab than with PVd or Kd (65.9% vs. 16.8%, P<0.001). Overall survival was improved with teclistamab as compared with PVd or Kd (estimated 18-month overall survival, 79.2% vs. 68.6%; hazard ratio for death, 0.60; 95% CI, 0.43 to 0.83; P=0.002). Adverse events of grade 3 or 4 occurred in 84.9% of teclistamab recipients and in 76.3% of PVd or Kd recipients, with grade 5 adverse events in 6.5% and 3.5%, respectively. Cytokine release syndrome, mostly of grade 1 or 2, occurred in 66.0% of teclistamab recipients, and immune effector cell–associated neurotoxicity syndrome occurred in 4.1%. Grade 3 or 4 infection occurred in 41.6% of teclistamab recipients and in 29.0% of PVd or Kd recipients. Conclusions: Among patients with multiple myeloma and one to three previous lines of therapy, teclistamab significantly improved progression-free and overall survival as compared with PVd or Kd. Infections of grade 3 or 4 were common.
650 ## - Temas - Descriptores
Temas - Descriptores TRATAMIENTOS EN ONCOLOGÍA
9 (RLIN) 53734
650 ## - Temas - Descriptores
Temas - Descriptores LEUCEMIA
9 (RLIN) 33873
650 ## - Temas - Descriptores
Temas - Descriptores LINFOMA
9 (RLIN) 39360
700 ## - Autor Personal
Autor Personal Mina, Roberto
9 (RLIN) 53814
700 ## - Autor Personal
Autor Personal Quach, Hang
9 (RLIN) 53815
700 ## - Autor Personal
Autor Personal Hungria, Vania
9 (RLIN) 53816
700 ## - Autor Personal
Autor Personal Bhutani, Divaya
9 (RLIN) 53817
700 ## - Autor Personal
Autor Personal Chen, Wenming
9 (RLIN) 53818
773 0# - Revista (Relacion con el numero)
Host Biblionumber 22717
Host Itemnumber 22638
Ciudad, Editorial Massachusetts NEJM Group
Codigo barras item/ejemplar NEJM005
Titulo de la Revista The New England Journal of Medicine
Número de control de registro ESSALUD
ISSN 0028-4793
942 ## - Elementos de Koha
Tipo de Documento Artículos
Fecha procesamiento 2026-07-31
Catalogador SQB

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