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Expert Interview

Slingshot members are talking to an expert! The topic is:

A look at upcoming Cilta-cel PDUFA and other BCMA directed therapies

Ticker(s): LEGN, BMY, TSVT, JNJ

Who's the expert?

Dr. Nelson Chao, MD 

Institution: Duke

  • Chief, Division of Cell Therapy in the Department of Medicine
  • Research interests are in two broad areas, clinical hematopoietic stem cell and cord blood transplantation and in the laboratory studies related to graft vs. host disease and immune reconstitution

Interview Questions
Q1.

Can you give an overview of your practice and your research interests?

Added By: wilson_admin
Q2.

I know the treatment paradigm for a multiple melanoma is pretty individualized at this stage. You have like IMiDs, proteasome inhibitors, CD38s. Can you kind of give us just an overviewon what treatment looks like from your end prior to any BCMA directed therapy?

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Q3.

Do you use selinexor or alkylating agents in late-late patients at all? If so, can you give me your opinions on them? (Bendamustine and Prednisone)

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Q4.

Can you discuss your experiences with BCMA targeted therapies and your opinions of them? Ocular toxicity is a concern with Blenrep? Supply issues with Ide-cel (lenti-viral vector)

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Q5.

The efficacy of ide-cel ->28% CR rate, 19 month median duration for these who achieved CR, 72% ORR. 
cilta-cel had sCR rate of about 83% in latest update with median duration not reached. In your mind isn't cilta-cel blatantly better than ide-cel? Is there any real reason you would ever use ide-cel if both were available?

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Q6.

cilta-cel also has a longer delay (7 days) to CRS, which makes it more amenable for outpatient administration and reimbursement. How important is that for you?

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Q7.

There are like over 10 BCMA CAR-Ts in development. Do you really see any room for differentiation between the auto CAR-Ts?

Added By: wilson_admin
Q8.

Teclistimab was filed earlier this year, how do you envision that being used? Do you think there are any really big differentiating points between the amgen, regeneron, pfizer, jnj bispecifics?

Added By: wilson_admin
Q9.

Do you see any situation where you would use multiple BCMA targeted therapies? Maybe as an example, Blenrep after ide-cel or cilta-cel failure?

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Q10.

There's some other ADCs in development, I think MedImmune has one. What are your opinions on ADCs as a modality in this indication? Sees like they might most be reserved as salvage therapies?

Added By: wilson_admin
Q11.

Any other modality in BCMA targeted therapies that interest you?

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Q12.

How meaningful will the approval of cilta-cel be for you as a clinician in the penta-refractory population?

Added By: wilson_admin

Do you want answers to these questions?

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Reason

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