How I treat multiple myeloma in younger patients

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Presentation transcript:

How I treat multiple myeloma in younger patients by A. Keith Stewart, Paul G. Richardson, and Jesus F. San-Miguel Blood Volume 114(27):5436-5443 December 24, 2009 ©2009 by American Society of Hematology

Myeloma deposits are identified by PET-CT in a relapsing patient in the left femur, ribs, thoracic and lumbar spine, and left iliac crest, and a previously unsuspected extramedullary lesion is identified behind the left orbit. Myeloma deposits are identified by PET-CT in a relapsing patient in the left femur, ribs, thoracic and lumbar spine, and left iliac crest, and a previously unsuspected extramedullary lesion is identified behind the left orbit. A. Keith Stewart et al. Blood 2009;114:5436-5443 ©2009 by American Society of Hematology

The overall, more than VGPR and nCR/CR rates for a selection of phase 2 and phase 3 trials incorporating novel agents. The overall, more than VGPR and nCR/CR rates for a selection of phase 2 and phase 3 trials incorporating novel agents. A continuous improvement in response is seen with the combination of newer agents. A cautionary note is that many of these are small single-center experiences, and evidence that early responses translate into longer-term survival is not yet available. References for these trials are as follows: VAD,39 TD,31 RD,40 PAD,37 VTD,6 CVD,38 RVD,36 and CVRD.39 A. Keith Stewart et al. Blood 2009;114:5436-5443 ©2009 by American Society of Hematology

Risk classification based on baseline testing. A. Keith Stewart et al. Blood 2009;114:5436-5443 ©2009 by American Society of Hematology