A new study published in the journal Leukemia determined that when treated with Revlimid (lenalidomide) and dexamethasone (Decadron), relapsed and refractory myeloma patients with genetic risk factors experience lower response rates and shorter progression-free and overall survival durations.

Researchers also discovered that prior treatment with thalidomide (Thalomid) was associated with a decreased progression-free and overall survival.

Multiple myeloma patients with the chromosomal abnormalities del(13), t(4;14) or del(17p) are associated with a poorer prognosis in response to traditional chemotherapy. However, new drug and treatment options have the potential to overcome …

A recent paper published in the Journal of Clinical Oncology updated the outcomes of multiple myeloma trials conducted by the Intergroupe Francophone du Myelome, the Southwest Oncology Group, and the University of Arkansas for Medical Sciences.

The update provides a fuller, long-term picture of the advantages of some of the autotransplant regimens being tested. It represents the first international effort at systematically updating previously reported trial results, which had indicated that autotransplantation with high-dose melphalan (Alkeran) therapy significantly extends the survival of multiple myeloma patients.

Autologous stem cell transplantation, or autotransplantation, …

The use of thalidomide (Thalomid) in induction and maintenance therapies for multiple myeloma patients receiving a stem cell transplant resulted in better overall response rates but did not significantly improve overall survival, according to a Phase 3 study recently published in the journal Blood.

In their study, researchers randomly assigned 556 patients to receive three cycles of either vincristine (Oncovin), doxorubicin, and dexamethasone [VAD] or thalidomide, doxorubicin (Adriamycin), and dexamethasone (Decadron) [TAD] as induction therapy. All patients received high-dose melphalan (Alkeran) with an autologous stem cell transplant, …

The year 2009 brought a lot of new and ex­cit­ing ad­vancements in the field of mul­ti­ple myeloma. Over the course of 2009, The Myeloma Beacon covered more than 100 im­por­tant myeloma-related stud­ies.

To highlight the most im­por­tant of these stud­ies, the Myeloma Beacon surveyed lead­ing physicians and re­searchers in the field. These physicians and re­searchers were asked to name the three peer reviewed journal articles pub­lished in 2009 and the three conference abstracts from 2009 that have the most im­por­tant findings or implications relating to mul­ti­ple myeloma.

The top three journal …

Curcumin has been garnering increased attention as a potential anticancer treatment. It is the major active compound in turmeric, a popular Indian spice made from the rhizomes, or underground stalks, of a plant in the ginger family.

In multiple myeloma and the precursor condition monoclonal gammopathy of undetermined significance (MGUS), cell culture studies and one animal study have shown that curcumin can kill cancer cells and prevent them from multiplying. The Beacon also found two early-stage clinical trials studying curcumin’s effects in people with multiple myeloma and …

Patients who do not respond at least partially to treatment with Revlimid (lenalidomide) or thalidomide (Thalomid) prior to a stem cell transplant may have significantly shorter survival times, according to a recent study published in the journal Blood.

Currently, the standard treatment plan involving stem cell transplantation begins with induction therapy, which decreases the number of abnormal cells and proteins in a patient’s bone marrow before collection of stem cells for the transplant. Next, patients undergo high-dose chemotherapy and transplantation, after which, some patients receive consolidation or maintenance therapy.

Past …

A recent study suggests that the addition of defibrotide to the combination regimen of melphalan (Alkeran), prednisone, and thalidomide (Thalomid) may result in fewer side effects in multiple myeloma patients. The Phase 1 clinical trial results were recently published in the journal Haematologica.

With the development of multiple myeloma therapies, the traditional melphalan-prednisone (MP) treatment regimen has been combined with substances such as Velcade (bortezomib) and thalidomide for more effective results. In particular, clinical trials have shown that these new combination treatments produce greater responses in patients …