This project has been flagged by a community member as inappropriate due to reason below.*

Expert Interview

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

Discussion on BCMA targeted therapies in multiple myeloma - second look

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

Who's the expert?

Institution: Cox Health

  • Specializes in hematology, oncology
  • Board certified in hematology, oncology, internal medicine
  • not an expert or investigator in NK cell immune therapy but familiar with it being another vector that is being looked into as it can be off the shelf immunotherapy. 

Interview Questions
Q1.

Can you give an overview of your practice and research interests as they related to Multiple Myeloma?

Added By: wilson_admin
Q2.

Can you go over what the current SOC for MM is for the 1st, 2nd and 3rd line? I know there are a lot of options like immunomodulatory agents, anti-CD38s, and proteasome inhibitors, so I was kinda hoping you could simplify it for anyone listening on this call

Added By: wilson_admin
Q3.

Can you give a brief overview about your experiences with Blenrep and Ide-cel and your overall opinions of them? And your opinion of teclistamab?

Added By: wilson_admin
Q4.

So the main issue I hear about Blenrep is the very high incidence of ocular toxicity, which is obviously pretty troubling, I was hoping you could give me a scenario where you would use Blenrep in 4L+ MM vs other options, including ide-cel.

Added By: wilson_admin
Q5.

Can you discuss your experience dealing with the AE profile of Ide-cel? In particular, CRS, hematological AEs and neurotoxicities?

Added By: wilson_admin
Q6.

So concerning ide-cel, in the third quarter of 2021, it already has over double the sales of Blenrep despite it being the first full quarter. I guess my first question is, do you find that surprising? And my next question is, based on your experiences, can you provide commentary on any issues regarding the reimbursement or manufacturing for ide-cel?

Added By: wilson_admin
Q7.

Are you familiar with cilta-cel from legend biotech? In the Cartitude-1 trial, they showed a 97.9% ORR, with 80.4% having a sCR. Median duration of response of 21.8 months across all patients. Which is really stunning and compares very favorably against ide-cel. I’m going to assume cilta-cel is approved in February. If you were to guess, how do you think it will play out commercially? Do you think prescribers will rush to use cilta-cel over ide-cel, or do you think this will be more like the CD19 CAR-Ts where the market both Kymriah and Yescarta both still see use in NHL?

Added By: wilson_admin
Q8.

From your PoV, do you see any real utility in more BCMA CAR-Ts given that they should all be pretty similar wrt efficacy and safety? I think there’s over 10 in development not including the two I already mentioned

Added By: wilson_admin
Q9.

Can you give your thoughts about moving these therapies into earlier lines and any challenges you foresee with that?

Added By: wilson_admin
Q10.

so for the BCMA Bites, I noticed Teclistamab was filed a few days ago. It’s my understanding that theoretically they would be best for patients who have received fewer prior lines of therapy due to the reliance on the cytotoxic potential of the T cells . Can you talk about where you think they will be in the market, given that they should have lower efficacy than the CAR-T, but will be able to be used off-the shelf? Do you think the infection risks and continuous infusion schedule due to shorter half-life, in the case of Amgen’s drug, could hinder uptake?

Added By: wilson_admin
Q11.

What kind of therapies would you theoretically use as a bridge for CAR-T if it's progressing rapidly? Selinexor, alkylating agent?

Added By: wilson_admin
Q12.

To summarize, when looking at ADCs, CAR-Ts and bispecifics, how do you envision them being integrated into current treatment algorithms?

Added By: wilson_admin

Do you want answers to these questions?

Slingshot Insights Explained

Expert research benefits investors by giving them timely access to unbiased real world perspectives on highly specialized topics. Slingshot Insights' crowdfunded model makes this access available at a fraction of the cost of other expert networks.

Reason

*Slingshot Insights provides access to information, not investment advice. We work to support you and facilitate access to experts; however we are not responsible for monitoring calls for the disclosure of MNPI. You should obtain financial, legal and tax advice from your qualified and licensed advisers before deciding to invest in any security.