High quality of Life Secure With Daratumumab Plus Bortezomib and Dexamethasone

Therapy with daratumumab, bortezomib, and dexamethasone (D-Vd) doesn’t seem to negatively affect health-related high quality of life (HRQoL), in line with an evaluation of patient-reported outcomes (PROs) for sufferers with relapsed/refractory a number of myeloma (RRMM) who participated within the section 3 CASTOR trial. The outcomes of this evaluation have been not too long ago revealed within the British Journal of Haematology.

The randomized, open-label, multicenter CASTOR trial (ClinicalTrials.gov Identifier: NCT02136134) evaluated outcomes with D-Vd as compared with bortezomib and dexamethasone (Vd) in remedy of RRMM. On this evaluation of PROs, HRQoL was assessed at a number of time factors utilizing the EORTC QLQ-C30 and EQ-5D-5L questionnaire-based instruments.

A complete of 251 sufferers have been enrolled within the D-Vd arm and 247 have been within the Vd arm. Affected person compliance with PRO assessments was reportedly excessive throughout each remedies. Total compliance was greater than 87% at baseline and remained pretty excessive, at larger than 85% throughout an evaluation at day 1 of cycle 8. Solely the D-Vd group had continued PRO assessments past cycle 8 and compliance for a interval masking cycles 9 to 44 was greater than 80% on this group.

The D-Vd and Vd remedy teams confirmed related outcomes on the EORTC QLQ-C30 questionnaire throughout useful and symptom-based analyses, and when it comes to international well being standing (P =.1565 for international well being standing from baseline to cycle 8). For international well being scores, median instances to significant change and significant worsening have been related between remedy teams.

Total, throughout the preliminary 8 cycles of remedy, neither remedy group confirmed modifications in HRQoL that met a clinically significant threshold. Related outcomes total have been obtained with the EQ-5D-5L.

Analyses after cycle 8 utilizing the EORTC QLQ-C30 recommended that sufferers within the D-Vd group had enhancements over time in each ache and international well being standing. A clinically significant enchancment additionally was seen for the imply rating on the EQ-5D-5L visible analogue scale with this group. Analyses after cycle 8 replicate the interval throughout which sufferers within the D-Vd group have been handled with daratumumab alone, whereas examine remedy had ceased for the Vd group.

“In sufferers with RRMM handled with D-Vd and Vd, HRQoL was unchanged from baseline, with no important between-group variations for the primary eight cycles of remedy,” the examine investigators concluded of their report. Moreover, daratumumab remedy over time was related to HRQoL enhancements.

Disclosures: Some authors have declared affiliations with or acquired grant assist from the pharmaceutical business. Please check with the unique examine for a full record of authors’ disclosures.


Hungria V, Beksac M, Weisel KC, et al. Well being-related high quality of life maintained over time in sufferers with relapsed or refractory a number of myeloma handled with daratumumab together with bortezomib and dexamethasone: outcomes from the section III CASTOR trial. Br J Haematol. Printed on-line February 8, 2021. doi:10.1111/bjh.17321

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