Articles tagged with: Bortezomib
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Results from a Phase 1 study indicate that tabalumab in combination with Velcade demonstrates both efficacy and safety in myeloma patients who have relapsed after several previous therapies.
Dr. Nooper Raje from Massachusetts General Hospital in Boston presented the results of the study at the American Society of Hematology (ASH) annual meeting earlier this month. She explained that tabalumab was very promising in this particular patient population, and added that “this was a very well tolerated regimen.”
However, Dr. Raje emphasized that further study of tabalumab at higher doses and in combination …
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This year’s meeting of the American Society of Hematology (ASH) was held December 8 through 11 in Atlanta.
During the meeting, The Beacon published daily updates that provided overviews of the important multiple myeloma findings presented during the meeting. After the meeting concluded, The Beacon began publishing in-depth articles about the key research findings.
This article, however, shifts the focus to the bigger picture: What were the key findings of the meeting? Were there results with immediate implications for the treatment of multiple myeloma? Did the research …
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Fewer Injection Site Reactions With Subcutaneous Velcade Administered To The Abdomen Instead Of The Thigh - Japanese researchers recently found that subcutaneous (under the skin) injections of Velcade (bortezomib) in the abdomen cause fewer injection site reactions compared to injections in the thigh. According to the Japanese researchers, the higher rates seen with injections to the thigh may be because the thigh contains less fat tissue than the abdomen. Based on their findings, they recommend administering subcutaneous Velcade to the abdomen, particularly in the case of thin patients. For more information, please see the study in The European Journal of Haematology (abstract).
Cereblon Levels May Affect Effectiveness Of Thalidomide – Results of a European retrospective analysis indicate that levels of the protein cereblon in patients’ myeloma cells may impact the efficacy of thalidomide (Thalomid). The researchers found that newly diagnosed multiple myeloma patients with high cereblon levels who received thalidomide maintenance had longer progression-free survival times than those with low cereblon levels. The researchers did not observe any association between cereblon levels and the effectiveness of Velcade maintenance therapy. Previous studies have shown that cereblon is necessary for the immunomodulatory drugs -- particularly Revlimid (lenalidomide) and pomalidomide -- to be effective against multiple myeloma (see related Beacon news article). For more information, please see the study in the journal Blood (abstract).
Latest Findings Show Kepivance May Not Decrease Mouth Ulcers In Myeloma Patients Undergoing High-Dose Chemotherapy – In contrast to previous findings, results from a recent Dutch study show that Kepivance (palifermin) has no effect on mouth ulcers in multiple myeloma receiving high-dose melphalan (Alkeran) prior to stem cell transplantation using their own stem cells. In the Dutch study, patients who received Kepivance had similar rates of mouth ulcers as patients who received a placebo. For more information, please see the study in the journal Bone Marrow Transplant (abstract).
Study Finds Association Between Myeloma And Certain Occupations – Results of another European analysis suggest that farmers, cleaning workers, and, to a certain extent, printers have an increased risk of developing multiple myeloma. The European researchers also found that pesticide exposure over a period of 10 years or more increased the risk of developing multiple myeloma. For more information, please see the study in the Journal of Occupational Medicine and Toxicology (pdf, full text).
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Yesterday was the second day of the 2012 American Society of Hematology (ASH) annual meeting, which is being held in Atlanta.
The day's myeloma-related presentations began in the afternoon with three sessions of oral presentations. Two of the sessions focused on results from clinical trials, most of which studied drugs that are still being developed for the treatment of multiple myeloma. The third session, which focused on the biology of myeloma, ran simultaneously with one of the sessions about clinical trial results.
An update published yesterday evening summarized the results for the …
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Itraconazole May Increase The Risk Of Early Peripheral Neuropathy In Myeloma Patients Receiving Velcade – Results of a recent Japanese study indicate that itraconazole (Sporanox), a medication used for the treatment of fungal infections, may increase a multiple myeloma patient’s risk of developing peripheral neuropathy during their first Velcade (bortezomib) treatment cycle. Peripheral neuropathy is a common side effect of Velcade that is characterized by pain and tingling in the extremities due to nerve damage. Based on their findings, the researchers recommend that the use of itraconazole should be avoided in patients receiving Velcade. For more information, please see the study in The International Journal of Hematology.
Myeloma Patients With Residual Disease After Initial Therapy May Require Additional Therapy Shortly After Transplant – French researchers recently evaluated the levels of myeloma cells and normal plasma cells seven days after stem cell transplantation for newly diagnosed multiple myeloma. Among patients who showed no residual myeloma cells after initial therapy, the researchers found that levels of myeloma cells remain undetectable seven days after stem cell transplantation. In addition, normal plasma cell levels increased threefold within seven days after stem cell transplantation in these patients. By comparison, among patients who showed residual myeloma cells after initial therapy, levels of myeloma cells were reduced but not eradicated seven days after stem cell transplantation. Normal plasma cell levels did not increase in these patients. Based on their findings, the researchers recommend that patients with residual disease receive additional therapy shortly after transplantation to kill off the remaining myeloma cells. For more information, please see the study in Oncotarget.
FLC Ratio May Be A Good Prognostic Marker For Progression From Smoldering To Active Myeloma – Researchers at the Mayo Clinic recently found that the free light chain (FLC) ratio may be a good prognostic marker for smoldering myeloma patients who are at high risk of progressing to active myeloma. The FLC assay is one of the standard blood tests used to diagnose multiple myeloma. Specifically, the researchers found that smoldering myeloma patients with a FLC ratio of 100 or higher progressed to active myeloma within a median of 15 months, compared to 55 months for smoldering myeloma patients with FLC ratio below 100. Based on their findings, the researchers recommend that smoldering myeloma patients with a FLC ratio of 100 or higher be treated early. For more information, please see the study in the journal Leukemia (abstract).
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Results of a recent small Australian study suggest that multiple myeloma patients who relapse within 12 months of their first transplant may benefit from a second transplant with melphalan plus Velcade as the intensive therapy immediately prior to their second transplant.
Based on these findings, the investigators propose that this regimen be further explored in the context of back-to-back stem cell transplants in patients who are at risk for an early relapse.
The study investigators note, however, that their study was small and retrospective in nature, and that a follow-up study with …
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Results from an Italian Phase 1/2 trial show that a combination therapy consisting of lower doses of Velcade, melphalan, and prednisone may be an effective and safe salvage therapy for older multiple myeloma patients.
Over half of the patients in the trial responded to the treatment, and according to the study investigators, the treatment was well tolerated, making it a viable treatment option for older myeloma patients.
In Europe, the combination treatment of Velcade (bortezomib), melphalan (Alkeran), and prednisone – commonly referred to as VMP – is often given as initial therapy to …
