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 …

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)-

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 …

Dexamethasone, which is also sold under the brand name Decadron, is a powerful corticosteroid. Multiple myeloma patients can use dexamethasone by itself or in combination with a number of other anti-myeloma agents.

Dexamethasone (dex) works so well with novel therapy agents like Velcade (bortezomib) and Revlimid (lenalidomide), the manufacturer should come up with an advertising slogan like: “Multiple myeloma drugs work better with dex!”

Dex can reduce inflammation and reduce bone pain. Most importantly, it contains powerful, unknown anti-myeloma properties! Because it has been around long enough to go generic, …

A recent study showed that relapsed and therapy-resistant multiple myeloma patients with an abnormality on chromosome 1, called 1q21 gain, did not respond as well to single-agent Velcade treatment in comparison to patients who lack this chromosomal abnormality.

The study found that the median duration of response, progression-free survival, and overall survival were significantly lower among patients with the 1q21 gain abnormality.

Chromosomal abnormalities are the result of unbalanced changes to the structure of a chromosome, which may occur through deletions, insertions, duplications, or movement of chromosomal regions. They are considered high-risk …

A Phase 2 clinical trial showed that plitidepsin alone had limited efficacy in heavily pretreated relapsed and refractory multiple myeloma patients. However, plitidepsin in combination with dexamethasone was effective enough to warrant further study. Plitidepsin alone or in combination with dexamethasone was well tolerated.

“Plitidepsin has not shown very significant efficacy when used in monotherapy,” explained Dr. María Mateos, the lead investigator of this study. “Nevertheless, in the present study we have seen some hints of activity in very heavily pretreated patients.”

Among the patients who received plitidepsin alone, 13 percent achieved …