A small study in Japan showed that relapsed multiple myeloma patients treated simultaneously with Velcade and itraconazole experienced greater Velcade-induced side effects, such as lower platelet levels and nerve damage to the extremities, than patients who did not receive itraconazole. 

The researchers recommended that multiple myeloma patients receiving both Velcade (bortezomib) and itraconazole (Sporanox) be closely monitored for Velcade-induced side effects throughout the duration of their treatment. 

However, according to Dr. Paul Richardson of the Dana-Farber Cancer Institute in Boston the results of the study should be interpreted cautiously. “Patients from …

A recent study conducted in China demonstrated that the addition of Velcade to initial thalidomide-dexamethasone treatment confers a low risk of blood clot complications to newly diagnosed multiple myeloma patients.

The researchers suggested that medication for the prevention of blood clots is not needed in newly diagnosed multiple myeloma patients receiving the combination treatment. However this recommendation was limited to Chinese patients only because the study was conducted in a population of Chinese patients.  

The findings cannot be conclusively applied to other ethnicities because the rate of complications resulting from blood …

The results of a recent Phase 2 trial indicate that Velcade-doxorubicin-dexamethasone treatment can reverse multiple myeloma-associated kidney damage in myeloma patients suffering from kidney failure. The regimen also improved patients’ disease statuses and was associated with few severe side effects.

Multiple myeloma affects plasma cells, a subset of white blood cells that fight infections by producing antibody. In multiple myeloma patients, cancerous plasma cells produce one kind of abnormal antibody.

In some myeloma patients, this abnormal antibody binds to a protein produced in the kidney.  These antibody-protein complexes then accumulate in the …

Results of a recent study suggest that a single dose of Velcade given after high-dose melphalan results in better outcomes in newly diagnosed multiple myeloma patients after stem cell transplantation than a single dose of Velcade given before high-dose melphalan.  Side effects of the regimen with Velcade were similar to those seen with melphalan alone.

Treatment with high-dose chemotherapy followed by stem cell transplantion is a standard therapeutic approach for younger, newly diagnosed multiple myeloma patients.  High-dose chemotherapy prior to stem cell transplantation, often called a conditioning regimen, is administered with the …

The combination of Velcade with Revlimid-dexamethasone treatment may help overcome the poor prognostic factors with certain chromosomal abnormalities more so than Revlimid-dexamethasone alone.

However, both treatment combinations were associated with an inferior response in patients with a deletion in chromosome 17. Additionally, prior resistance to thalidomide, increases in certain enzyme levels, and the presence of tumor cells outside of the bone marrow were also associated with poor outcomes in response to Revlimid-dexamethasone with or without Velcade.

In this recently published study, Greek researchers compared the efficacy of Revlimid (lenalidomide)-Velcade (bortezomib)-

Newly diagnosed multiple myeloma patients who achieved a complete response to the combination of Velcade, melphalan, and prednisone experienced longer time to disease progression, time to next therapy, and treatment-free interval compared to patients who achieved a partial response. 

The benefits associated with complete response were similar regardless of whether complete response was achieved early or late in the treatment course.

Based on these findings, the researchers concluded that the achievement of a complete response should be considered an important treatment goal. They recommended that VMP be continued in patients tolerating therapy, …

The National Institute for Health and Clinical Excellence, an organization that decides which treatments will be made available under the state-funded National Health Service in the United Kingdom, recommended thalidomide as a first line of treatment for multiple myeloma patients in a draft guidance published August 26. Velcade was also recommended as a first line of treatment, but only for patients unable to tolerate thalidomide.

This draft guidance follows a previous draft published by the National Institute for Health and Clinical Excellence (NICE) on June 2, which recommended both thalidomide (Thalomid) …