TY - JOUR
T1 - Updates in the Treatment of Multiple Myeloma
AU - Kumar, Shaji K.
N1 - Publisher Copyright:
© 2022 Harborside Press. All rights reserved.
PY - 2022/6
Y1 - 2022/6
N2 - For patients with newly diagnosed multiple myeloma (MM), treatment with 4-drug regimens produce deep responses and should be considered for those with high-risk features. Daratumumab 1 lenalidomide and dexamethasone is standard treatment for newly diagnosed patients not eligible for autologous stem cell transplantation (ASCT). Although lenalidomide remains standard maintenance therapy, in some instances more intensive regimens can be considered. ASCT is more effective when given up-front rather than delayed, but delaying transplantation until disease progression is acceptable. CAR T-cell therapy can provide durable responses, and 2 agents are now FDA-approved for use in multiple myeloma. Bispecific T-cell engagers are also effective for relapsed myeloma, as is the BCL2 inhibitor venetoclax, especially for patients with t(11;14) disease. An emerging novel class of drugs the CELMoDs (cereblon E3 ligase modulator) target cereblon.
AB - For patients with newly diagnosed multiple myeloma (MM), treatment with 4-drug regimens produce deep responses and should be considered for those with high-risk features. Daratumumab 1 lenalidomide and dexamethasone is standard treatment for newly diagnosed patients not eligible for autologous stem cell transplantation (ASCT). Although lenalidomide remains standard maintenance therapy, in some instances more intensive regimens can be considered. ASCT is more effective when given up-front rather than delayed, but delaying transplantation until disease progression is acceptable. CAR T-cell therapy can provide durable responses, and 2 agents are now FDA-approved for use in multiple myeloma. Bispecific T-cell engagers are also effective for relapsed myeloma, as is the BCL2 inhibitor venetoclax, especially for patients with t(11;14) disease. An emerging novel class of drugs the CELMoDs (cereblon E3 ligase modulator) target cereblon.
UR - http://www.scopus.com/inward/record.url?scp=85131908978&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85131908978&partnerID=8YFLogxK
U2 - 10.6004/jnccn.2022.5004
DO - 10.6004/jnccn.2022.5004
M3 - Article
AN - SCOPUS:85131908978
SN - 1540-1405
VL - 20
SP - 584
EP - 588
JO - JNCCN Journal of the National Comprehensive Cancer Network
JF - JNCCN Journal of the National Comprehensive Cancer Network
IS - 5.5
ER -