Genmab — August 2017
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God Morgen
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God morgen.

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Hvor meget skal vi frygte Keytruda? http://investors.merck.com/news/press-release-details/2017/Merck-Announces-Second-Quarter-2017-Financial-Results/default.aspx
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Det skal vi ikke, se disse Interessante betragtninger af Dr. Philippe Moreau
Meget stærkt signal når styrken af DRd kombi er et ”problem” http://www.bloodjournal.org/content/early/2017/07/26/blood-2017-05-743203 -
“a recurrent question is how to design a study to
demonstrate the true impact of a specific agent on response, PFS or OS. For
example, the HR value for PFS achieved with the DRd combination in relapsed MM
in the POLLUX trial (0.37) has set the bar so high that it will be difficult to show the
superiority of other combinations over DRd in phase 3 trials designed for regulatory
approvals” -
Tak Bongo.

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Alt peger på at dara i diverse kombis bliver SOC i alle linjer i MM i en rum tid fremover. Men vi skal ikke forvente at dara-epoken vil vare evigt. Der vil komme bi-specifikke der er dara overlegen og måske får de styr på CAR-T så det kan effektueres biligere og nemmere. Sagar Lonial har påpeget at en ulempe ved CAR-T er en "ventetid" på op til 6 mdr fra udtagning af T-cellerne til de omprogrammerede T-celler er klar til geninfusion. Og hvilken kræftsyg patient har "råd" til det?
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