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This issue of touchREVIEWS in Oncology & Haematology brings together a diverse collection of articles reflecting the growing complexity of cancer care and the continued evolution of precision medicine across tumour types. From rare malignancies and treatment-related challenges to emerging targeted therapies and novel biological insights, the contributions highlight both recent progress and the significant […]

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Harnessing CAR-T cell therapy to improve outcomes in RRMM

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Expert Interviews

The persistent burden and unmet needs in RRMM

Prof. Beatrice Razzo provides an overview of the disease burden of RRMM and existing unmet needs for patients and healthcare systems
Prof. Beatrice Razzo
Duration: 9:34

The evolving RRMM treatment landscape

Prof. Shaji K Kumar discusses the current treatment landscape for RRMM as recommended by global guidelines and outlines current real-world evidence for CAR-T cell therapy in RRMM
Prof. Shaji K Kumar
Duration: 13:06

Activity Overview

Faculty & Disclosures

Activity Overview
Faculty & Disclosures

Multiple myeloma (MM) is a plasma cell neoplasm that accounts for approximately 1–2% of all cancers and remains predominantly incurable despite significant improvements in patient survival over the past 20 years.1,2 Many patients eventually develop relapsed or refractory MM (RRMM), with progression-free survival (PFS) often less than 6 months.1-3 Chimeric Antigen Receptor (CAR) T cell therapy has revolutionised cancer treatment by using the patient’s own genetically modified T cells to specifically recognise and bind to patient-specific tumour antigens.2 Current treatment guidelines recommend prioritising B-cell maturation antigen (BCMA) directed CAR-T cell therapies as first-line immunotherapy for eligible patients with RRMM, while reserving BCMA-targeting bispecific antibodies for subsequent lines or for patients who are not eligible for CAR-T cell therapy, and reserving antibody-drug conjugates for early relapse settings.1, 4-7

There are currently two BCMA-directed CAR-T cell therapies approved for RRMM: ciltacabtagene autoleucel and idecabtagene vicleucel,8,9 both of which have demonstrated high response rates with durable remission, suggesting the potential to achieve long-term disease control in patients with RRMM.7,10,11 Ciltacabtagene autoleucel is the first and only approved second line or later CAR-T cell therapy for adult patients with lenalidomide-refractory MM who have received at ≥1 prior therapy, including a proteasome inhibitor (PI) and an immunomodulatory agent, and demonstrated disease progression on prior therapy.8,10 Idecabtagene vicleucel is approved in adult patients with triple-class exposed MM after ≥2 prior treatments including an immunomodulatory agent, a PI, and an anti-CD38 monoclonal antibody.9,11 The mechanism of action of CAR-T cell therapies may help to address unmet medical needs by harnessing the power of the immune system and ciltacabtagene autoleucel may provide physicians with an earlier treatment option at first relapse.2

  • Outline the burden, disease characteristics and remaining unmet medical needs in RRMM, despite significant survival improvements and treatment advances in recent years
  • Understand the current treatment landscape in RRMM and the importance of early diagnosis and treatment initiation
  • Describe how CAR-T cell therapy may help to address the unmet needs for patients with RRMM and provide an alternative option for therapy at first relapse
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1

Dimopoulos MA, Moreau P, Terposet E, et al. Multiple myeloma: EHA-ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2021;32:309-322.

2

Sheykhhasan M, Ahmadieh-Yazdi A, Vicidomini R, et al. CAR T therapies in multiple myeloma: unleashing the future. Cancer Gene Ther. 2024;31:667-686.

3

Jagannath S, Martin TG, Lin Y, et al. Long-Term (≥5-Year) Remission and Survival After Treatment With Ciltacabtagene Autoleucel in CARTITUDE-1 Patients With Relapsed/Refractory Multiple Myeloma. J Clin Oncol. 2025;43:2766-2771.

4

NCCN Guidelines. Multiple Myeloma, Version 5.2026. Available at: www.nccn.org/professionals/physician_gls/pdf/myeloma.pdf (accessed 5 May 2026).

5

Lin Y, Qui L, Usmani S, et al. Consensus guidelines and recommendations for the management and response assessment of chimeric antigen receptor T-cell therapy in clinical practice for relapsed and refractory multiple myeloma: a report from the International Myeloma Working Group Immunotherapy Committee. Lancet Oncol. 2024;25(8)e374-e387.

6

Han L, Wang K, Jiang Z, et al. Recent development in bispecific antibody immunotherapy for hematological malignancies. Crit Rev Oncol Hematol. 2025;212:104752.

7

Puppi M, Sacchetti I, Mancuso K, et al. Bispecific Antibodies and CAR T in Multiple Myeloma: Appropriate Selection of Patients and Sequencing. Mediterr J Hematol Infect Dis. 2025;17:e2025045.

8

CARVYKTI® (ciltacabtagene autoleucel) Highlights of prescribing information. Available at: www.janssenlabels.com/package-insert/product-monograph/prescribing-information/CARVYKTI-pi.pdf (accessed 5 May 2026).

9

Idecabtagene vicleucel. Prescribing information. Celgene Corporation 2021. Available at: www.fda.gov/media/147055/download (accessed 5 May 2026).

10

van de Donk NWCJ, Moreau P, San-Miguel JF, et al. Sequencing BCMA- and GPRC5D-targeting immunotherapies in multiple myeloma: Practical guidance from the European Myeloma Network. Hemasphere. 2025;9:e70260.

11

Munshi NC, Anderson LD Jr, Shah N, et al. Idecabtagene Vicleucel in Relapsed and Refractory Multiple Myeloma. N Engl J Med. 2021;384:705-716.

Prof. Beatrice Razzo

Thomas Jefferson University, Philadelphia, PA
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Prof. Beatrice Razzo

Thomas Jefferson University, Philadelphia, PA
USA

Biography

Disclosures

Prof. Shaji K Kumar

Mayo Clinic Comprehensive Cancer Centre, Rochester, MN

Prof. Shaji K Kumar

Mayo Clinic Comprehensive Cancer Centre, Rochester, MN
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Prof. Shaji K Kumar

Mayo Clinic Comprehensive Cancer Centre, Rochester, MN
USA

Biography

Disclosures

Prof. Beatrice Razzo

Thomas Jefferson University, Philadelphia, PA

Video Navigation

Expert Interviews

The persistent burden and unmet needs in RRMM

Prof. Beatrice Razzo provides an overview of the disease burden of RRMM and existing unmet needs for patients and healthcare systems
Prof. Beatrice Razzo
Duration: 9:34

The evolving RRMM treatment landscape

Prof. Shaji K Kumar discusses the current treatment landscape for RRMM as recommended by global guidelines and outlines current real-world evidence for CAR-T cell therapy in RRMM
Prof. Shaji K Kumar
Duration: 13:06

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This activity is supported with funding from Legend Biotech. This activity is provided by touchMEDICAL for touchONCOLOGY.

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