2026 IMS | IASO Bio Presented FUCASO China Real-World Data
--- In a large
--- with median PFS and OS not yet reached (12-month PFS 71.5%, OS 87.8%) and consistent benefit across high-risk subgroups, validating the efficacy of the pivotal registration study in real-world practice
Real-World Patient Population: Heavily Pretreated, with Prominent High-Risk Features
This multicenter real-world study enrolled 281 patients with plasma cell neoplasms treated at multiple centers across
Enrolled patients had a median age of 61 years (range 30–82 years; 18.7% ≥70 years) and a median of 4 prior lines of therapy, up to a maximum of 12 lines. 84.0% had received prior anti-CD38 therapy, 27.4% were penta-exposed, and 46.9% had previously undergone autologous stem cell transplantation (ASCT); meanwhile, 82.4% had any high-risk cytogenetic abnormality (HRCA), 50.5% were ISS stage III, 7.8% had plasma cell leukemia (PCL), and 47.0% had extramedullary disease (EMD) of varying degrees.
Deep and Durable Responses
Among the 267 efficacy-evaluable patients, FUCASO demonstrated a dual response profile. In terms of depth of response, the objective response rate (ORR) reached 95.9%, with a complete response (CR) or stringent complete response (sCR) rate of 77.2% (sCR rate 42.7%), a very good partial response or better (≥VGPR) rate of 86.9%, and 94.1% of patients achieved minimal residual disease (MRD) negativity. In terms of durability of response, at a median follow-up of 10.97 months, neither median progression-free survival (mPFS) nor median overall survival (mOS) had been reached; the 12-month PFS rate was 71.5% and the 12-month OS rate was 87.8%. Beyond deep and durable responses, these real-world data further corroborate the efficacy and safety demonstrated in the pivotal registration study.
Efficacy of the Pivotal Registration Study Validated in Real-World Practice
Across multiple high-risk subgroups, 12-month PFS rates were comparable to those of the overall cohort, with no additional increase observed in the incidence of grade ≥3 CRS or ICANS: in patients aged >70 years (n=35), the ORR was 94.3% and the 12-month PFS rate was 69.6%; in patients previously treated with anti-CD38 therapy, the ORR was 96.0% and the 12-month PFS rate was 68.5%; in CGS-defined high-risk patients (94/177), the ORR was 98.9% and the 12-month PFS rate was 65.1%.
Clear Real-World Safety Boundaries, with Risks Generally Manageable
The incidence of any-grade cytokine release syndrome (CRS) was 88.2%, of which only 3.8% was grade ≥3; the incidence of any-grade immune effector cell-associated neurotoxicity syndrome (ICANS) was 6.8%; no parkinsonism was observed.
In addition, the study further conducted a stratified analysis of patients at high risk per the CAR-HEMATOTOX (CAR-HT) score. The results showed that high-risk patients had a lower 12-month PFS rate than low-risk patients (60.3% vs 86.9%), as well as higher incidences of grade ≥3 CRS (6.5%) and ICANS (9.7%). These findings suggest that enhanced safety management and treatment support are warranted for high-risk patients in real-world settings.
Conclusion: Data from this
Professor
Peking University People's Hospital
"We are very pleased to present data from the
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Reference: |
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1. Lu J, An G, Jin J, et al. BCMA CAR T-Cell Therapy (Equecabtagene Autoleucel, Eque-cel) for Multiple Myeloma in Chinese Clinical Practice: A Large Real-World Evidence of 281 Patients. 2026 IMS. Oral Abstract OA-09. |
View original content:https://www.prnewswire.com/news-releases/2026-ims--iaso-bio-presented-fucaso-china-real-world-data-302890814.html
SOURCE IASO Bio
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