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Study Highlights Patient-Reported Physical Function as Key Predictor of Daratumumab Success in Multiple Myeloma

New findings show patients with lower physical function gain the most survival and progression benefits, prompting calls for integrating patient-reported outcomes into oncology care.

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Overview

  • A multinational analysis of 1,804 patients from three major trials found patient-reported physical function strongly predicts survival and treatment response to daratumumab in multiple myeloma.
  • Patients with low baseline physical function saw a 47% reduction in mortality risk and a 66% lower risk of disease progression when treated with daratumumab compared to standard regimens.
  • In contrast, patients with higher physical function showed less pronounced benefits, with only a 14% reduction in mortality risk and a 47% reduction in progression risk.
  • The commonly used ECOG Performance Status, a clinician-assessed tool, failed to reliably identify patients who would benefit most, underscoring the need for patient-reported measures.
  • Experts are urging the integration of patient-reported outcomes into routine oncology workflows to enhance personalized treatment strategies, particularly for older or frail populations.