The Myeloma Beacon

Independent, up-to-date news and information for the multiple myeloma community.
Home page Deutsche Artikel Artículos Españoles

Forums

Discussion about multiple myeloma treatments, stem cell transplants, clinical trials, alternative medicines, supplements, and their benefits and side effects.

Venclexta (venetoclax) & multiple myeloma

by vicstir on Fri Jan 29, 2016 6:40 pm

Does this mean anything for multiple myeloma? Currently positive trials on lymphocytic leukemia.

vicstir
Name: Vic
Who do you know with myeloma?: Myself
When were you/they diagnosed?: October 2013
Age at diagnosis: 39

Re: Venclexta (venetoclax) & multiple myeloma

by JimNY on Fri Jan 29, 2016 6:56 pm

Sorry, but what do you mean when you ask "Does this mean anything for multiple myeloma?". What "this" are you referring to?

JimNY

Re: Venclexta (venetoclax) & multiple myeloma

by vicstir on Fri Jan 29, 2016 7:16 pm

Jim

Thought it pretty obvious. What I meant was will this drug be any benefit to the treatment of multiple myeloma. Drug being venetoclax (Venclexta).

vicstir
Name: Vic
Who do you know with myeloma?: Myself
When were you/they diagnosed?: October 2013
Age at diagnosis: 39

Re: Venclexta (venetoclax) & multiple myeloma

by philatour on Sun Jan 31, 2016 5:52 pm

See the forum post here:

"ABT-199 (venetoclax) & multiple myeloma without t(11;14)" (started Sep 1, 2015)

all the best

philatour
Who do you know with myeloma?: spouse

Re: Venclexta (venetoclax) & multiple myeloma

by BeatMyeloma on Mon Feb 01, 2016 3:22 pm

Hello!

I was the original poster of that link posted. My mother ended up not going on the ABT-199 (venetoclax) trial. The trial also consisted of Velcade (bortezomib) and dexamethasone. I will say that my mother's hematologist was very, very enthusiastic about ABT-199.

That said, the drug does seem to have a special affinity for the 11;14 translocation, and in the trial my mother was considering, whether or not you were refractory to Velcade was important. Results from phase 1 here:

http://meetinglibrary.asco.org/content/147784-156 (abstract)
https://myelomabeacon.org/docs/asco2015/8580.pdf (poster)

Here is a list of trials using this drug for myeloma. As you can see, it is also being used in other cancers.

BeatMyeloma
Name: BeatMyeloma
Who do you know with myeloma?: My mother
When were you/they diagnosed?: Jan. 2008
Age at diagnosis: 54

Re: Venclexta (venetoclax) & multiple myeloma

by GregSydney on Sat Oct 22, 2016 7:22 am

I'm just wondering if anyone has any further information or experience with this new drug, Venclexta (venetoclax). I don't want a stem cell transplant and there are trials for Venclexta coming up in a few weeks here in Australia.

I believe this drug is getting pretty good results.

Any information would be greatly appreciated.

Cheers,
Greg

GregSydney
Name: Greg
Who do you know with myeloma?: Myself
When were you/they diagnosed?: Feb 2016
Age at diagnosis: 52

Re: Venclexta (venetoclax) & multiple myeloma

by Ian on Fri Oct 28, 2016 4:23 am

Hi Greg,

There are some promising results for Venclexta as a treatment for multiple myeloma. Although the drug is not approved as a myeloma therapy in any country, as far as I know, it has shown good results in a couple studies.

For example, there were results for Venclexta presented at this year's ASCO meeting. The Beacon has an article that includes information about the results:

"ASCO 2016 Multiple Myeloma Update – Days Four & Five – Potential New Myeloma Therapies," The Myeloma Beacon, June 9, 2016

The article includes this summary:

"The results for Venclexta are very promising. The drug is showing a high level of single-agent activity in patients with the t(11;14) chromosomal abnormality. More importantly, data for an admittedly small group of patients suggests the combination of Venclexta, Velcade, and dexa­metha­sone may be as active in relapsed myeloma as any three-drug combination that includes Velcade – including Darzalex, Velcade, and dexa­metha­sone."

I hope you are able to take part in the Venclexta trial and that the drug proves very effective for you. Maybe you could post here in the forum sometimes about how your treatment with the drug goes? There isn't much information about Venclexta when it's used for multiple myeloma. So what you post could be very helpful to other patients and their families.

Cheers!

Ian

Re: Venclexta (venetoclax) & multiple myeloma

by vicstir on Thu Jan 12, 2017 5:58 am

Just wondering if anyone has information about what to expect with this drug sequence.

My doctor is trying to get me on a trial for Venclexta (venetoclax). It would be a three-drug combination of Venclexta, Velcade, and dexamethasone. However says not until my m spike rises a bit more. Whatever that means. My M-spike is being deceitful at present. It has been rising for four tests. Then my last blood test it dropped slightly. My doctor was quite shocked by this. We will see what happens next bloods. Either way, she is putting my case or name forward for this trial.

It would be particularly helpful, of course, to hear about any direct experiences with Venclexta.

Thanks Vicki.

vicstir
Name: Vic
Who do you know with myeloma?: Myself
When were you/they diagnosed?: October 2013
Age at diagnosis: 39

Re: Venclexta (venetoclax) & multiple myeloma

by Cheryl G on Thu Jan 12, 2017 10:28 am

Hi Vicki,

There was a presentation at the ASH meeting in December about Venclexta combined with Velcade and dexamethasone in relapsed multiple myeloma patients. You can review the abstract here:

Moreau, P, et al, "Venetoclax Combined with Bortezomib and Dexamethasone for Patients with Relapsed/Refractory Multiple Myeloma," ASH 2016 abstract 975.

From what I can see, the combination seems to do great in patients what have not developed a resistance to Velcade treatment. Those are the "bortezomib non-refractory" patients discussed in the abstract, which includes patients who have never received Velcade, and patients who have had Velcade treatment, but stopped responding to it.

It looks like the most common side effects are GI-related (diarrhea, nausea, and constipation) and headaches, and the severe side effects are mainly low blood counts.

I believe you live in Australia, and Venclexta was recently approved in Australia for the treatment of chronic lymphocytic leukemia. I don't know for certain, but I think it will be a while before it is approved in Australia for multiple myeloma. This means that, for a couple of years yet, the only way to be treated with it in Australia will be in a trial.

Since longer survival with multiple myeloma is all about making sure you can use as many possible treatments as possible while still staying healthy, I think it probably makes sense to give the trial serious consideration -- especially if your doctor thinks it could be a good idea.

Good luck!

Cheryl G

Re: Venclexta (venetoclax) & multiple myeloma

by vicstir on Thu Jan 19, 2017 11:28 pm

Hi Cheryl

Thanks for the links. It all reads well.

Thanks Vicki

vicstir
Name: Vic
Who do you know with myeloma?: Myself
When were you/they diagnosed?: October 2013
Age at diagnosis: 39

Next

Return to Treatments & Side Effects