At the recent XII International Myeloma Workshop (IMW), physicians addressed the ongoing "cure versus control" debate in treating multiple myeloma. Though it can seem like a philosophical matter, the debate is extremely important to patient care. Whether a doctor aims to cure the patient or to control the disease will affect the type of treatment selected.

Even though there is still no cure for multiple myeloma, many physicians believe that the long-term survival experienced by many patients is nearly the same as a cure. At the same time, the line between disease …

At the XII International Myeloma Workshop held last month, physicians discussed induction therapy for patients who are not eligible for stem cell transplants.

Induction therapy is the initial treatment given to patients to reduce the number of cancer cells, usually given prior to subsequent treatments. For patients ineligible for transplants, such as the elderly, induction therapy has historically consisted of administering the drugs melphalan and prednisone, but this has changed considerably in recent years.

A number of clinical trials have investigated the combination of melphalan and …

At the XII International Myeloma Workshop (IMW), physicians presented data on new clinical trials for multiple myeloma treatment. Results from separate Phase 1 trials indicate that elotuzumab and panobinostat enhance Velcade's (bortezomib) efficacy in myeloma treatment.

Elotuzumab is an antibody that attaches to a cell surface protein called CS1, which is present in all myeloma cells but not in normal human cells. Dr. Jakubowiak, professor of hematology and oncology at the University of Michigan in Ann Arbor, conducted the Phase 1 trials.

In the study, patients were treated …

Physicians discussed upfront and induction therapy at the XII International Myeloma Workshop (IMW) last month. During their discussion, they focused on stem cell transplantation as an early treatment method for eligible multiple myeloma patients.

The concepts of upfront and induction therapy are very similar. Upfront therapy is any therapy given to previously untreated patients, while induction therapy is defined as the first treatment toward reducing the number of cancer cells in a patient before subsequent treatments. Therefore, this IMW discussion focused on the very first steps doctors take during treatment of multiple …

A num­ber of new drugs are on the horizon for re­lapsed and re­frac­tory patients, as discussed by physicians at the 2009 Inter­na­tional Myeloma Workshop (IMW). The dis­cus­sion covered drugs in all stages of devel­op­ment, from those still undergoing initial lab testing to ones already in inter­na­tional clin­i­cal trials.

Overall re­spon­siveness to treat­ment has im­proved dramatically with the recent in­tro­duc­tion of more potent agents such as Revlimid (lena­lido­mide) and Velcade (bor­tez­o­mib). Doctors are now testing com­bi­na­tions of these two drugs with newer pharma­ceu­ticals. Of the two, Velcade has been …

At the recent twelfth annual International Myeloma Workshop (IMW), physicians discussed strategies for managing multiple myeloma symptoms. Their topics included deep vein thrombosis (DVT), a potentially fatal blood clot in the body's large veins, and myeloma-induced bone disease, including "soft spots" and fractures.

DVT involves blood clot formation in the deep veins of the body, and if a clot dislodges, it may travel to other areas and block blood flow to vital organs. Researchers estimate that approximately 70 percent of all critical blockages of lung blood vessels originate from DVT in the …