ORIGINAL RESEARCH article

Front. Oncol.

Sec. Hematologic Malignancies

Volume 15 - 2025 | doi: 10.3389/fonc.2025.1547108

Subcutaneous Administration of Isatuximab in Patients With Multiple Myeloma by an On-Body Delivery System: Results of a Nurse Survey

Provisionally accepted
Nuria  Sánchez AvelloNuria Sánchez Avello1*Paula  Calvo PajaresPaula Calvo Pajares1Paul  CorderoPaul Cordero2*Florence  SuzanFlorence Suzan3Connie  BarlasConnie Barlas4
  • 1Marqués de Valdecilla University Hospital, Santander, Cantabria, Spain
  • 2Sanofi Research & Development, Reading, United Kingdom
  • 3Sanofi Research & Development, Vitry-sur-Seine, France
  • 4Epworth HealthCare, Melbourne, Australia

The final, formatted version of the article will be published soon.

Introduction: Subcutaneous (SC) administration of the anti-CD38 antibody isatuximab (Isa) by an on-body delivery system (OBDS), plus pomalidomide-dexamethasone, has demonstrated safety and efficacy comparable to intravenous (IV) administration, with no infusion reactions and excellent local tolerability in multiple myeloma (MM) patients. We report here results of a nurse survey designed to evaluate convenience of treatment with SC Isa, via OBDS, for healthcare providers and MM patients.Methods: A newly developed, expert-vetted questionnaire was used to survey nurses with experience in SC administration to MM patients enrolled in clinical trials. Results on extent of agreement with pre-vetted statements were expressed as percentages of respondents. Free-text answers were analyzed for each respondent and grouped by topic.Results: All surveyed nurses (N=12) agreed that OBDS administration improved efficiency and was easy to learn and administer with a low level of physical burden, leading to a preference for OBDS over IV Isa administration and facilitating a positive treatment experience for the patients. Compared with IV dosing, the OBDS improved patient comfort and could reduce time spent in the clinic. As agreed by most nurses, main advantages for patients included no needle visibility, short treatment duration, and a generally well-tolerated and painless SC injection.Our findings show a high level of confidence among nurses in SC Isa administration via OBDS, due to the ease of use, tolerability, and time savings achieved with hand-free OBDS injections. Our findings suggest applicability of the OBDS for convenient SC Isa administration to MM patients in routine clinical practice.

Keywords: Multiple Myeloma, isatuximab, Administration, Subcutaneous, on-body delivery system, Nurse, Survey

Received: 17 Dec 2024; Accepted: 03 Jun 2025.

Copyright: © 2025 Sánchez Avello, Calvo Pajares, Cordero, Suzan and Barlas. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Nuria Sánchez Avello, Marqués de Valdecilla University Hospital, Santander, Cantabria, Spain
Paul Cordero, Sanofi Research & Development, Reading, United Kingdom

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.