CARTITUDE-4 Extends Survival in Refractory Myeloma
Aislinn Antrim
Binod Dhakal, MD, associate professor, division of hematology and oncology, Medical College of Wisconsin and lead investigator of the CARTITUDE-4 study, presented updated data at the 2024 International Myeloma Society conference.
Binod Dhakal, MD, associate professor, division of hematology and oncology, Medical College of Wisconsin and lead investigator of the CARTITUDE-4 study, attended the 21st
Dhakal discussed the methods utilized in the CARTITUDE-4 study and the outcomes it had on patients with relapsed or refractory
This transcript has been lightly edited for clarity.
Transcript
What are the latest data on CARTITUDE-4 being presented at IMS this year?
As you know, CARTITUDE-4 is a phase 3 randomized study comparing cilta-cel vs standard of care in patients with 1 to 3 prior lines of therapy and were [lenalidomide] refractory. In the initial presentation of the primary analysis, we found that CARTITUDE-4 cilta-cel [ciltacabtagene autoleucel] has significant benefit in the progression-free survival compared to standard of care with a hazard ratio of 0.26.
That was about a 15.9 month follow up. At the IMS meeting, we are presenting a median follow up of 33.6 months. The previous specified analysis of overall survival was considered along with the updated overall survival, efficacy, and safety outcomes, with the cilta-cel or with the standard of care.
There were 419 patients randomized, 282 cilta-cel and 211 to standard of care, which is one of the either daratumumab, pomalidomide, and dexamethasone (DPd) or pomalidomide, bortezomib, and dexamethsaone (PVd).
At a median follow-up of 33.6 months, we saw that the median overall survival was not reached in either arm with cilta-cel or standard of care. Overall survival significantly improved [vs] standard of care, with the hazard ratio 0.55 and significant P value. The 30-month overall survival rates were 76% in the cilta-cell arm vs 64% in the standard-of-care arm.
Overall survival benefited all subgroups in the cilta-cel arm compared with standard of care. In terms of immediate progression-free survival, it was still not reached at that follow-up with cilta-cel [arm] vs 11.8 months in the standard of care, and the hazard ratio is 0.29.
In terms of safety that was consistent with previous interim analysis, there were deaths occurring among 50 patients in the cilta-cel arm and 82 patients in the standard of care arm with 21 patients and 51 respectively, who died of progressive disease.
This study is the first study in myeloma that [showed] a survival benefit with the BMCA CAR [chimeric antigen receptor] T, in this case using cilta-cel and significantly reduced the risk of death by about 45% of those patients who received a cilta-cel in as early as first relapse.
Newsletter
Stay ahead of policy, cost, and value—subscribe to AJMC for expert insights at the intersection of clinical care and health economics.
Related Articles
- Sotatercept Shows Right Heart Gains in PAH: Anjali Vaidya, MD
September 17th 2025
- Cost-Effectiveness of Varying Weight Loss Interventions: Elena Losina, PhD
September 17th 2025
- Transforming Addiction Care: From Stigma to Support
September 16th 2025