Expert Interviews

Adams said she has seen firsthand the difference that bispecific antibodies have made. “Patients that would have never gotten into remission are getting into remission. Patients that would have never seen the birth of their grandchild are now seeing the birth of their grandchild,” Adams said. Some real-world data are showing slightly reduced efficacy that was seen in clinical trials, Adams said. There is a need for research that would develop comparator data to other therapies, she noted.

Bispecific antibodies, like other treatments initially approved for later lines of therapy, are moving "upstream" in multiple myeloma treatment, Adams said. She discussed the MajesTEC-3 trial that led to the approval of teclistamab plus daratumumab as second-line therapy, the IMMUNOPLANT trial of linvoseltamab, and the MajesTEC-7 trial comparing a combination of teclistamab, daratumumab and lenalidomide with a combination of talquetamab, daratumumab and lenalidomide.

National Comprehensive Cancer Network (NCCN) guidelines have limited influence on multiple myeloma treatment and its sequencing because treatment is evolving so quickly, Adams said. “Therapies are coming out left and right faster than we can keep up with, and it’s faster than the NCCN can keep up with as well,” she said.

In the final episode, Shaping the Future of Immunotherapy in NSCLC, the panelists explore the following critical questions: Which additional data would you like to see with immunotherapies used in NSCLC? What is the relevance of the EMPOWER-Lung 3 for patients and payors? How do you see the future management of NSCLC evolving with immunotherapies and do you see a potential role for extended dosing?