MULTIPLE MYELOMA

Nina Shah, MD, discusses the promise of the CAR T-cell therapy bb21217 in the complex treatment paradigm of relapsed/refractory multiple myeloma.

David S. Siegel, MD, PhD, discusses a trial in which patients with multiple myeloma who progressed on lenalidomide were treated with a pomalidomide-based regimen.

Maintenance therapy with lenalidomide (Revlimid) significantly improved progression-free survival compared with observation alone in patients with newly diagnosed multiple myeloma and the benefit was seen in both transplant-eligible and -ineligible groups.

Based on findings from the phase Ib EQUULEUS (MMY1001) trial, a split-dosing regimen of daratumumab has been approved by the FDA for patients with multiple myeloma, providing physicians the option to split the first infusion of the CD38-directed monoclonal antibody over 2 consecutive days or complete in a single session.

<br /> &#8203;Maria-Victoria Mateos, MD, PhD, discusses the key takeaways from the findings from the phase III ALCYONE trial for patients with multiple myeloma.

The phase III ICARIA-MM trial has met its primary endpoint of improving progression-free survival with the combination of&nbsp;pomalidomide and low-dose dexamethasone&nbsp;in patients with relapsed/refractory multiple myeloma compared with pomalidomide and dexamethasone alone.

The FDA&#39;s Oncologic Drugs Advisory Committee will hold a hearing on&nbsp;February 26, 2019, to discuss&nbsp;a new drug application for selinexor in combination with dexamethasone for the treatment of patients with penta-refractory multiple myeloma.

A look back at all the&nbsp;FDA news&nbsp;in oncology from the month of&nbsp;January 2019, including several new approvals, breakthrough therapy designations, and a partial clinical hold.

FDA approval is being sought for the combination of&nbsp;daratumumab with&nbsp;lenalidomide and dexamethasone for the treatment of newly diagnosed patients with multiple myeloma who are not candidates for high-dose chemotherapy and autologous stem-cell transplant. Genmab,&nbsp;which co-develops daratumumab with Janssen Biotech, announced that a&nbsp;supplemental Biologics License Application has been initiated with the FDA.

In an interview with <em>Targeted Oncology</em>, Robert M. Rifkin, MD, highlighted the results of a trial evaluating the safety of split-dosing administration of daratumumab in patients with multiple myeloma.

Maria-Victoria Mateos, MD, PhD, discusses updated findings from the ALCYONE trial in patients with newly diagnosed multiple myeloma.&nbsp;

David M. Siegel, MD, PhD, discusses one of the biggest dilemmas to arise recently in the treatment of multiple myeloma.

Cristina Gasparetto, MD, discusses findings from an ongoing trial of&nbsp;selinexor, daratumumab, and dexamethasone in patients with multiple myeloma

C. Ola Landgren, MD, PhD,&nbsp;discusses the role of MRD negativity and the emergence of CAR T-cell therapy in multiple myeloma.

Several oncology experts discuss the FDA approvals they found most significant in 2018.

During a <em>Targeted Oncology </em>case-based peer perspectives program, Keith Stewart, MB, ChB, discussed his clinical considerations for the management of multiple myeloma, especially in light of new data from the 2018 ASH Annual Meeting that could be reaching the clinic soon.

In an interview with&nbsp;<em>Targeted Oncology&nbsp;</em>during the 2018 ASH Annual Meeting<em>,&nbsp;</em>Peter Voorhees, MD, discussed the safety and efficacy findings from the safety run-in cohort and the next steps for the Griffin study.

Peter Voorhees, MD, investigator, department of hematologic oncology &amp; blood disorders, Levine Cancer Institute/Atrium Health, discusses the rationale for adding daratumumab to triplet regimen bortezomib, lenalidomide, and dexamethasone in patients with multiple myeloma.

Although there were a variety of encouraging data presented at the 2018 ASH Annual Meeting, CLL and multiple myeloma undoubtedly ruled the day, according to poll results. As these topics heated up on Twitter, a few experts took a moment to discuss their thoughts on some of the top abstracts that were presented.

Ajai Chari, MD, discusses the biggest challenge in treating patients with multiple myeloma.

Each of the many BCMA-targeted CAR T cells in development demonstrate a different efficacy and safety profile, and each have different constructs. None of the agents have reached the FDA yet, but data for many of the agents were presented at the 2018 ASH Annual Meeting.

A look back at all the FDA news that happened in the month of November 2018, including several new approvals, priority reviews, a fast track designation, and an accelerated approval, across a variety of cancer types.

According to the phase III MAIA trial, triplet regimen&nbsp;daratumumab, lenalidomide, plus dexamethasone reduced risk of disease progression or death by 44%&nbsp;in newly diagnosed patients with multiple myeloma who were not candidates for high-dose chemotherapy and autologous stem-cell transplant, compared to patients who received&nbsp;lenalidomide plus dexamethasone.

An overall response rate of 26.2% was induced by selinexor, an oral XPO1 inhibitor,&nbsp;combination in heavily pretreated patients with penta-refractory multiple myeloma. According to the findings from part 2 of the pivotal STORM trial, selinexor is now the first investigational oral therapy to show activity in these patients.

Initial results from a phase I study showed an objective response rate of 83.3% had been achieved in&nbsp;heavily pretreated patients with relapsed/refractory multiple myeloma who had been treated with the anti-BCMA CAR T-cell therapy bb21217.