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Ciltacabtagene Autoleucel (Cilta-cel), a BCMA-Directed CAR-T Cell Therapy, in Patients with Multiple Myeloma (MM) and Early Relapse after Initial Therapy: CARTITUDE-2 Cohort B 18-Month Follow-up
Abstract
Introduction: In cohort B of the multicohort phase 2 CARTITUDE-2 (NCT04133636) study, the efficacy and safety of cilta-cel are being evaluated in patients with multiple myeloma (MM) who had early relapse (≤12 months after autologous stem cell transplant [ASCT] or ≤12 months after start of initial treatment with anti-myeloma therapy). Because progression within 1 year of starting initial therapy is a poor prognostic factor, with overall survival <2 years in these patients, they have functionally high-risk disease and represent an unmet medical need. We present updated clinical results and cytokine analyses. Methods: Eligible patients had MM, received 1 prior line of therapy (proteasome inhibitor and immunomodulatory drug required), had early disease progression (≤12 mo after ASCT or ≤12 mo after start of anti-myeloma therapy for patients who did not undergo ASCT), and were treatment-naive to CAR-T/anti-B-cell maturation antigen (BCMA) therapies. Bridging therapy was allowed between apheresis and CAR-T cell infusion. A single cilta-cel infusion (target dose 0.75×106 CAR+ viable T cells/kg) was given post lymphodepletion. Safety and efficacy were assessed. The primary endpoint was minimal residual disease (MRD) negativity by next generation sequencing at 10-5. Management strategies were implemented to minimize risk of movement/neurocognitive treatment-emergent adverse events (MNTs)/parkinsonism. Pharmacokinetics, CAR-T cell phenotype, and cytokine profiles are also being investi…
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The phase 2 CARTITUDE-2 trial showed efficacy of cilta-cel in small groups at earlier disease stages, with response rates of 95 to 100% and an estimated duration of response of at least 12 months in 79 to 89% of patients who had a response.
“The phase 2 CARTITUDE-2 trial showed the efficacy of cilta-cel in small groups (cohorts A and B) at earlier disease stages, with response rates of 95 to 100% and an estimated duration of response of at least 12 months in 79 to 89% of patients who had a response.”
From Cilta-cel or Standard Care in Lenalidomide-Refractory Multiple Myeloma. (2023) · cites this paper as [13]
After approximately 1.5 years of follow-up in CARTITUDE-2, 75 to 90% of patients remained progression-free.
“After approximately 1.5 years of follow-up, 75 to 90% of patients remained progressionfree. 13,14”
From Cilta-cel or Standard Care in Lenalidomide-Refractory Multiple Myeloma. (2023) · cites this paper as [13]
The results add to the consistently strong efficacy that cilta-cel has shown throughout its clinical development, including in similar early lines of therapy in CARTITUDE-2, and confirm the efficacy observed in heavily pretreated patients in CARTITUDE-1.
“The results also add to the consistently strong efficacy that cilta-cel has shown throughout its clinical development, including in similar, early lines of therapy populations in CARTITUDE-2, 13,14 and confirm the efficacy observed in heavily pretreated patients who received cilta-cel in CARTITUDE-1. 10,11”
From Cilta-cel or Standard Care in Lenalidomide-Refractory Multiple Myeloma. (2023) · cites this paper as [13]
Citations
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Cilta-cel or Standard Care in Lenalidomide-Refractory Multiple Myeloma.
San-Miguel, J., Dhakal, B., Yong, K., Spencer, A., Anguille, S., Mateos, M.-V., Fernández de Larrea, C., Martínez-López, J., Moreau, P., Touzeau, C., et al. (2023) · New England Journal of Medicine · doi:10.1056/nejmoa2303379 · Cited by 827
Self-citationHolstein, S. A., Grant, S. J., & Wildes, T. M. (2023) · Journal of Clinical Oncology · doi:10.1200/jco.23.00512 · Cited by 93
Rees, M. J., & Kumar, S. K. (2024) · American Journal of Hematology · doi:10.1002/ajh.27327 · Cited by 47
Anderson, L. D., Dhakal, B., Jain, T., Oluwole, O. O., Shah, G. L., Sidana, S., Perales, M., & Pasquini, M. C. (2023) · Transplantation and Cellular Therapy · doi:10.1016/j.jtct.2023.10.022 · Cited by 46
Banerjee, R., Cicero, K. I., Lee, S. S., & Cowan, A. J. (2023) · Frontiers in Oncology · doi:10.3389/fonc.2023.1240966 · Cited by 33
Gay, F., Marchetti, E., & Bertuglia, G. (2025) · Hematological Oncology · doi:10.1002/hon.70067 · Cited by 30
Immunotherapy of Multiple Myeloma: Current Status as Prologue to the Future
Abramson, H. N. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms242115674 · Cited by 23
A rational approach to functional high-risk myeloma.
Gay, F., Bertuglia, G., & Mina, R. (2023) · Hematology. American Society of Hematology. Education Program · doi:10.1182/hematology.2023000443 · Cited by 21
Spencer, A., Moreau, P., Mateos, M.-V., Goldschmidt, H., Suzuki, K., Levin, M., Sonneveld, P., Orlowski, R., Yoon, S., Usmani, S., et al. (2023) · Blood Advances · doi:10.1182/bloodadvances.2023010579 · Cited by 14
Self-citationRodríguez-Otero, P., Sidana, S., Kouwenhoven, M., Schecter, J., Lendvai, N., Braganca, K. D. D., Slaughter, A. R., Lonardi, C., Vlummens, P., Varsos, H., et al. (2025) · Blood Cancer Journal · doi:10.1038/s41408-025-01410-w · Cited by 12
Self-citationCharalampous, C., Goel, U., Kapoor, P., Binder, M., Buadi, F., Cook, J. M., Dingli, D., Dispenzieri, A., Fonder, A., Gertz, M., et al. (2023) · Blood Advances · doi:10.1182/bloodadvances.2023009681 · Cited by 12
An, N., Li, J., Luo, P., Wang, D., Zhang, P.-L., Shu, C., Cai, S., Yu, Q.-X., Wen, X., Wang, X.-R., et al. (2025) · Journal of Translational Medicine · doi:10.1186/s12967-025-06543-x · Cited by 11
“Recent clinical trials (KarMMa-3, CARTITUDE-4, CARTITUDE-2) have demonstrated favorable efficacy of BCMA CAR-T therapy in patients with early relapse or lenalidomide-refractory disease [6, 39, 40].”
Hadiloo, K., Taremi, S., Safa, S. H., Amidifar, S., & Esmaeilzadeh, A. (2024) · Pharmacological Research · doi:10.1016/j.phrs.2024.107158 · Cited by 14
Fang, J., & Zhou, F. (2023) · Annals of Hematology · doi:10.1007/s00277-023-05444-7 · Cited by 12
Midha, S., Hartley-Brown, M. A., Mo, C. C., Hossain, S., Nadeem, O., O’Donnell, E., Bianchi, G., Sperling, A. S., Laubach, J. P., & Richardson, P. G. G. (2023) · Expert Opinion on Drug Safety · doi:10.1080/14740338.2023.2274420 · Cited by 7
Current Main Topics in Multiple Myeloma
Morè, S., Corvatta, L., Manieri, V. M., Olivieri, A., & Offidani, M. (2023) · Cancers · doi:10.3390/cancers15082203 · Cited by 8
Biltibo, E., & Berdeja, J. (2023) · Clinical Lymphoma, Myeloma & Leukemia · doi:10.1016/j.clml.2023.01.017 · Cited by 8
Zanwar, S., & Kumar, S. K. (2024) · Leukemia and Lymphoma · doi:10.1080/10428194.2024.2443550 · Cited by 7
“…deep responses with complete response rates of 90% and MRD negativity rate of 93%. the 12-month event-free survival was an impressive 84% [55] the KarMMa 2a cohort of ide-cel enrolled 39 patients that relapsed within 18 months of initiation of MM-directed induction, ASct and maintenance.…”
Straßl, I., & Podar, K. (2024) · Expert Opinion on Drug Discovery · doi:10.1080/17460441.2024.2319672 · Cited by 8
Hashmi, H., Sebastian, T., Rajeeve, S., Farzana, T., Firestone, R. S., Jurgens, E., Miller, K. C., Maura, F., Lesokhin, A., Tan, C., et al. (2026) · Blood Cancer Journal · doi:10.1038/s41408-026-01494-y · Cited by 4
Embracing Myeloma Chimeric Antigen Receptor-T: From Scientific Design to Clinical Impact
Hosoya, H., Rodríguez‐Otero, P., Sidana, S., & Borrello, I. (2023) · American Society of Clinical Oncology Educational Book · doi:10.1200/edbk_389860 · Cited by 2
Immunotherapy for multiple myeloma: new chances and hope
Xu, J., An, G., & Qiu, L. (2023) · Cancer Biology and Medicine · doi:10.20892/j.issn.2095-3941.2023.0258 · Cited by 1
“CARTITUDE-2 was designed for different target patients and has indicated excellent results in patients with early relapse, with a CR rate exceeding 90% 19 .”
BackgroundAdoptive Immunotherapy and High-Risk Myeloma
Duane, C., O'Dwyer, M. E., & Glavey, S. V. (2023) · Cancers · doi:10.3390/cancers15092633 · Cited by 1
Gay, F., Marchetti, E., & Bertuglia, G. (2025) · Kompass Onkologie · doi:10.1159/000547999
Metadata
- Authors
- Van De Donk, N. W., Agha, M., Cohen, A. D., Cohen, Y. C., Anguille, S., Kerre, T., Roeloffzen, W. W. H., Schecter, J. M., De Braganca, K. C., Jackson, C. C., Varsos, H., Mistry, P., Roccia, T., Xu, X., Li, K., Zudaire, E., Corsale, C., Akram, M., Geng, D., Pacaud, L., Sonneveld, P., & Zweegman, S.
- Affiliations
- Vrije Universiteit Amsterdam (NL)
- UPMC Hillman Cancer Center (US)
- University of Pennsylvania (US)
- Tel Aviv University (IL)
- University of Antwerp (BE)
- Ghent University Hospital (BE)
- University Medical Center Groningen (NL)
- Janssen Research & Development (United States) (US)
- 8Janssen Research & Development, Raritan, NJ
- Janssen (United Kingdom) (GB)
- 10Janssen Global Services, Raritan, NJ
- 11Janssen Research & Development, Spring House, PA
- Legend Biotech (United States) (US)
- 13Erasmus Medical Center Cancer Institute, Rotterdam, Netherlands
- ORCID
- Venue
- Blood
- Publisher
- American Society of Hematology
- Published
- 2022-11-15
- Volume
- 140
- Issue
- Supplement 1
- Pages
- 7536-7537
- ISSN
- 0006-4971 (ISSN-L)
- 1528-0020
- OpenAlex
- W4310103705
- Cited by
- 25
- References
- 0
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 4 · 2023: 15
- FWCI
- 2.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Blood (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › CAR-T cell therapy research
- Health Sciences › Medicine › Hematology › Multiple Myeloma Research and Treatments
- Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
- Keywords
- cilta-cel, BCMA, CAR T-cell therapy, multiple myeloma, early recurrence, minimal residual disease negativity, autologous stem cell transplantation, cytokine release syndrome, movement disorders, pharmacokinetics, progression-free survival, overall survival, high-risk cytogenetics, treatment-naive patients
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