Evidence map›Paper›PMID 42021581›Full record

Observational studyFuture oncology (London, England)2026

Real-world treatment patterns and outcomes of patients with multiple myeloma initiating elranatamab: results from the ALTITUDE-1 and ALTITUDE-2 retrospective cohort studies.

Rahul Banerjee, Meera Mohan, Bhavesh Shah, Patricia Prince, Nileesa Gautam, Elisha Beebe, William Pajerowski, Cera Cantu, Hannah Meiseles, David Hughes and 9 more

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Future oncology (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04649359 (MAGNETISMM-3 AN OPEN-LABEL, MULTICENTER, NON-RANDOMIZED PHASE 2 STUDY OF ELRANATAMAB), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04649359 phase2active not recruitingnot on this map

Magnetismm-3 an open-label, multicenter, non-randomized phase 2 study of elranatamab (pf-06863135) monotherapy in participants with multiple myeloma who are refractory to at least one proteasome inhibitor, one immunomodulatory drug and one anti-cd38 antibody

TypeinterventionalSponsorPfizerRan2021 to 2026Enrolled187ConditionsMultiple MyelomaArmsElranatamab (PF-06863135)
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Rahul BanerjeeClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Meera MohanDivision of Hematology/Oncology, Medical College of Wisconsin, Milwaukee, WI, USA.
Bhavesh ShahHematology Oncology Pharmacy, Boston Medical Center, Boston, MA, USA.
Patricia PrinceScience, Aetion, New York, NY, USA.
Nileesa GautamScience, Aetion, New York, NY, USA.
Elisha BeebeScience, Aetion, New York, NY, USA.
William PajerowskiClarify Insights, Clarify Health, San Francisco, CA, USA.
Cera CantuClarify Insights, Clarify Health, San Francisco, CA, USA.
Hannah MeiselesClarify Insights, Clarify Health, San Francisco, CA, USA.
David HughesOncology Medical Affairs, Pfizer Inc, Cambridge, MA, USA.
Guido NadorOncology Medical Affairs, Pfizer Ltd, Surrey, UK.
Rickard SandinGlobal Access & Value, Pfizer AB, Stockholm, Sweden.
Patrick HlavacekGlobal Access & Value, Pfizer Inc, New York, NY, USA.
Benjamin LiGlobal Access & Value, Pfizer Inc, New York, NY, USA.
Aster MecheGlobal Access & Value, Pfizer Inc, New York, NY, USA.
Chai Hyun KimGlobal Access & Value, Pfizer Inc, New York, NY, USA.
Isabel Perez CruzGlobal Access & Value, Pfizer Inc, New York, NY, USA.
Mohsena SumayaGlobal Access & Value, Pfizer Inc, New York, NY, USA.
Marco DiBonaventuraGlobal Access & Value, Pfizer Inc, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimElranatamab is a bispecific antibody currently approved in the United States (US) for the treatment of relapsed/refractory multiple myeloma (MM). Given its recent approval, real-world data are limited.

methodsResults from two real-world (RW) studies using administrative claims (ALTITUDE-1) and fee-for-service data (ALTITUDE-2) are collectively reported here. US patients with MM who initiated elranatamab after August 2023 were included and followed through September/October 2025. Patient characteristics, clinical history, treatment patterns, and effectiveness outcomes were reported.

resultsOne hundred and eighty-three and 391 patients were included from ALTITUDE-1 and -2, respectively. Median ages were 73 and 75, 43.2% and 33.0% were penta-drug exposed, and 17.5% and 21.0% were previously BCMA-exposed, respectively. RW treatment patterns showed less frequent dosing (27.9 and 27.1 elranatamab vials used per year) compared with expected on-label dosing (39 vials per year). Neither median time-to-next-treatment or death or median overall survival were reached; landmark analyses for each study estimated 70.0% (ALTITUDE-1) and 60.7% (ALTITUDE-2) of patients alive at 18 months.

conclusionUS patients treated with elranatamab in the RW setting were heavily pre-treated. RW treatment patterns suggest less frequent administration of elranatamab compared with the label and effectiveness consistent with clinical trial results (MagnetisMM-3 trial [NCT04649359]).

Indexed as

Antibodies, BispecificMultiple MyelomaAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeAntibodies, BispecificBCMAbispecific antibodyelranatamabMultiple myelomareal-world datatreatment patterns

Identifiers

PMID42021581
PMCPMC13154997

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.