In a recent study, Spanish researchers found that oral busulfan increased progression-free survival following stem cell transplant in newly diagnosed multiple myeloma patients compared to melphalan. However, there was no difference in overall survival between the two treatments.  Furthermore, oral busulfan treatment was associated with an increased risk of death due to the drug’s side effects.

The current standard of care for multiple myeloma patients under the age of 65 is treatment with high dose chemotherapy followed by stem cell transplant.  High dose chemotherapy prior to stem cell transplant, often called a …

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. …

The results of a recent study suggest that consecutive low-dose melphalan and high-dose melphalan treatment combined with autologous stem cell transplants is an effective treatment for multiple myeloma patients with manageable side effects.

“The low-dose melphalan step led to complete response and very good partial response rates similar to those of combinations containing Velcade and steroids at a fraction of the cost,” wrote Dr. Nicolas Novitzky, the study’s lead author, in an email to The Myeloma Beacon.

Melphalan (Alkeran) is a chemotherapeutic drug that is frequently used in combination with stem cell …

Results of a Phase 3 trial showed that the addition of thalidomide (Thalomid) to Velcade (bortezomib), melphalan (Alkeran), and prednisone (referred to as VMPT), followed by long-term treatment with Velcade and thalidomide (VT), may become the new standard of care for elderly multiple myeloma patients. The results were presented by Dr. Antonio Palumbo of the University of Turin, Italy, on June 6 at the American Society of Clinical Oncology (ASCO) annual meeting in Chicago.

Dr. Palumbo and his colleagues compared VMPT followed by VT maintenance, which they hypothesized …

Advances in the development of multiple myeloma drugs have had a profound impact on the way the disease is treated. Given the efficacy and relative safety of these novel agents, studies are being conducted to determine whether they may be as effective, or possibly even more effective, than an autologous stem cell transplant (ASCT). Two such studies were presented June 6 at the American Society of Clinical Oncology (ASCO) annual meeting in Chicago.

Results from the two studies suggest that ASCT (in which a patient’s own stem cells are transplanted after …

The third day of the American Society of Clinical Oncology (ASCO) 2010 annual meeting in Chicago was tailor-made for morn­ing people interested in mul­ti­ple myeloma.  The key myeloma-related activity on Sunday, June 6 was a morn­ing abstract session start­ing at 9:30 a.m.  Nine abstracts were pre­sented and discussed over the course of three hours.

The first two pre­sen­ta­tions dealt with Velcade (bor­tez­o­mib)-related re­search.

Dr. Antonio Palumbo of the Uni­ver­sity of Turin pre­sented the re­­sults of the first study.  It com­pared two regi­mens for the treat­ment of newly diag­nosed elderly myeloma patients.  The first regi­men in­volved …

Yesterday -- Saturday, June 5 -- was the sec­ond day of the American Society of Clinical Oncology (ASCO) 2010 annual meeting in Chicago.  It was a busy day in terms of re­search posters and pre­sen­ta­tions re­lated to mul­ti­ple myeloma.  As a re­­sult, there is a lot of ground to cover in this up­date.

Almost 40 myeloma-related posters were up for meeting attendees to view during the daytime poster session on "lymphoma and plasma cell disorders."  Among those 40-or-so posters, six con­cerned re­search done by the myeloma team at the Uni­ver­sity of Arkansas for Medical Sciences (UAMS), …