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Real-World Study Evaluates Bispecific Antibody Use in Relapsed/Refractory Multiple Myeloma

• A real-world study examined bispecific antibody use in relapsed/refractory multiple myeloma patients, revealing that 44.67% of evaluable patients received these agents in 2023. • The research integrates structured and unstructured data, using AI to convert visit notes into structured data, enhancing the analysis of treatment patterns. • Future analysis will focus on safety profiles and comparing real-world outcomes with prospective clinical trial data to assess effectiveness. • The study aims to understand the evolving patterns of care associated with bispecific antibodies in a larger cohort over the next few years.

A retrospective, observational, real-world study has investigated the use of bispecific antibodies in adult patients with relapsed/refractory multiple myeloma. The study, presented at the 2024 ASH Annual Meeting, highlights the increasing adoption of these agents in routine clinical practice. The research aims to compare real-world outcomes with those observed in prospective clinical trials.

Bispecific Antibody Usage in R/R Myeloma

The study found that 44.67% of evaluable patients (n = 253) received a bispecific antibody in 2023. Furthermore, prior to a July 2024 cutoff date, 54.32% of patients treated in 2024 (n = 162) had received one of these agents. These findings underscore the growing role of bispecific antibodies in the treatment landscape for relapsed/refractory multiple myeloma.

Data Integration and Analysis

A key advancement in this study is the integration of both structured and unstructured data. According to Ira Zackon, MD, hematologist, medical oncologist, New York Oncology Hematology; senior medical director, Ontada, unstructured data, such as visit notes and attached documents, has been enhanced using artificial intelligence technologies to convert it into a structured data format, validated by human abstractors for accuracy.

Future Research Directions

Future iterations of this study will focus on a deeper analysis of patients treated with bispecific antibodies, examining their safety profiles and comparing real-world outcomes with those observed in prospective clinical trials, Zackon notes. This comparison will provide valuable insights into the real-world effectiveness and safety of bispecific antibodies in relapsed/refractory multiple myeloma.
"The next iteration of this [analysis] will look much more deeply at those patients who got the bispecific antibodies and their safety experience. We can begin to look at outcomes and start to talk about how the real-world data compare [with] what we saw in prospective data," Zackon stated.
The next phase of this research will expand on these findings by continuing the analysis over the next few years to better understand the evolving patterns of care associated with bispecific antibodies in a larger patient cohort. The study also included patients who had been previously treated with at least 5 lines of therapy without such agents before receiving bispecific antibodies.
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Reference News

[1]
Dr Zackon on Next Steps for Evaluating the Real-World Use of Bispecific Antibodies in R/R Myeloma
onclive.com · Jan 23, 2025

Next research phase focuses on bispecific antibodies' real-world use in relapsed/refractory multiple myeloma, analyzing ...

[2]
Retrospective Study Highlights Real-World Uptake of Bispecific Antibodies in R/R Multiple Myeloma
onclive.com · Jan 19, 2025

A study on bispecific antibodies for relapsed/refractory multiple myeloma showed increasing use in community oncology, w...

[4]
Dr Kirollos Hanna: An Argument for Outpatient Bispecific Antibody Delivery
ajmc.com · Jan 25, 2025

Bispecific antibodies, a novel treatment for multiple myeloma approved by the FDA in 2022, are transforming hematologic ...

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