Myeloma specialists from the Czech Republic have published clinical trial results that shed further light on chromosomal abnormalities and their impact on survival in newly diag­nosed multiple myeloma patients.

Specifically, the researchers found that patients with three or more chromos­omal abnor­malities, a gain in the 1q21 region, or the trans­location t(4;14) have reduced survival compared to patients without such abnormalities.

According to the researchers, their findings highlight the importance of chromosomal abnormalities when considering treatment options for myeloma patients.

They note, however, that their findings need to be confirmed in a pro­spective, …

The results of a recent Phase 2 trial show that the addition of cyclophosphamide to Revlimid and low-dose dexamethasone may result in better responses for previously untreated myeloma patients.

“This [study] provides the efficacy of another regimen for use in patients with myeloma,” said the study’s lead author Dr. Shaji Kumar of the Mayo Clinic in Rochester, Minnesota. “It is a fairly safe combination and is quite efficacious,” he stated in an e-mail to The Myeloma Beacon.

According to the study authors, the combination of Revlimid (lenalidomide), cyclophosphamide (Cytoxan) and …

Results of a recent study conducted in the United Kingdom show that elderly and transplant-ineligible multiple myeloma patients who are treated with a reduced-dose combination of cyclophosphamide, thalidomide, and dexamethasone as initial therapy achieve a greater overall response rate than patients who are treated with melphalan plus prednisone.

However, patients who received the three-drug combination had comparable overall survival and progression-free survival rates as patients who received melphalan plus prednisone.  Additionally, side effects were more common among patients treated with the three-drug combination.

High-dose chemotherapy followed by autologous stem cell transplantation is …

A combination of cyclophosphamide, low-dose thalidomide, and dexamethasone is effective and well tolerated in multiple myeloma patients, according to a recent Polish study. Response rates were favorable for both newly diagnosed and relapsed or treatment-resistant multiple myeloma patients.

 “Low-dose thalidomide was well tolerated, and serious side effects described with high or even intermediate doses were diminished,” said Dr. Anna Dmoszynska, the lead author of the study, in an email to the Beacon.

In recent years, thalidomide (Thalomid) has proven to be an effective therapy for multiple myeloma when given alone or …

Results of a recent study suggest that etoposide used in combination with G-CSF is a safe and effective mobilization strategy prior to stem cell transplantation in multiple myeloma patients. The combination treatment resulted in a high stem cell harvest after one day of collection in most patients.

Stem cell mobilization is the process of increasing the number hematopoietic (blood forming) stem cells in the circulating blood to ensure that enough are available to be collected for the transplant. Hematopoietic stem cells are primarily found in the bone marrow and circulate in very …

A Phase 2 trial of Hycamtin, cyclophosphamide, and melphalan showed that the drug combination is a safe and effective treatment regimen for patients with relapsed and refractory multiple myeloma or patients in first remission. The combination, followed by stem cell transplantation, resulted in an overall response rate of 85 percent and a four-year overall survival rate of 66 percent, making this drug combination comparable in efficacy to treatment with melphalan alone.

High-dose melphalan (Alkeran) is the standard conditioning treatment for multiple myeloma patients who will receive an autologous stem cell transplant. …

A recent study showed that initial treatment of multiple myeloma with a combination of cyclophosphamide and thalidomide negatively impacts a patient’s ability to collect stem cells for transplant.

Physicians were able to collect almost 50 percent fewer stem cells from patients treated with cyclophosphamide and thalidomide (Thalomid) compared to patients treated with other commonly used myeloma treatments. This combination therapy may prevent stem cells from moving from the bone marrow into the circulating blood, where they are harvested for stem cell transplantation.

Treatment of multiple myeloma typically begins with a …