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1finegrandma
Multiple Myeloma Discussion • November 2, 2024
Experiences With Bispecifics Before CAR-T?
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Hi I am switching my current treatment to pomalyst/darzalex, soon, but as we all know treatments only last for as long as they want to. When that happens, my next treatment of choice will be a CAR T or bispecific antibodies. My question to any of you is has anyone had a bispecific antibodies first and then the CAR T? What was your outcome if so? Thank you!
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Slapshot04
Multiple Myeloma Discussion • October 31, 2024
Dara-Only Maintenance After Deep Response?
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Diagnosed IGA Kappa smoldering in 2016, active in 2017. Had Rd induction and AST in 2018. MRD negative post transplant. On Revlimid maintenance for five years until relapsed a year ago. Switched to DKd in December 2023. Achieved very deep response - within five weeks, M protein disappeared and Kappa light chains dropped from 500 mg/L to about 6 mg/L (normal range is 3.3 - 19.4) and have stayed at this level since then. I have two myeloma oncologists. One is suggesting we drop the Kyprolis/Dex and just stay on Dara maintenance. Kd does have side effects - no sleep the night of the infusion and possible damage to heart. The other oncologist, who works for a well known myeloma research clinic, is reluctant to do that because no clinical trial has been conducted to determine if PFS would be adversely impacted by dropping the Kd. Question - after achieving a deep response on DKd, or any combination for that matter, has anyone gone on just Dara maintenance and if so, how long have you stayed in remission.
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amjadali
Multiple Myeloma Discussion • October 31, 2024
Skipping Transplant: Sharing Your Experience?
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Stem cell transplant eligible but declined it and went straight to maintenance. I am looking for feedback from those who are stem cell transplant eligible but skipped it.Did they take 3 drug regimen or 4 drug regimen for induction? What made them skip stem cell transplant? Did they achieve MRD negativity or not? How are they doing? How long did their first remission last?thank you.
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CarolP
Multiple Myeloma Discussion • October 30, 2024
Lenalidomide and Diarrhea: What to Expect?
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I had AST in September, and I will be starting Lenalidomide as maintenance treatment. I read somewhere that it sometimes causes diarrhea. How true is this? Is there anyone who is using this medication and has experienced the diarrhea.
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Meatwheel
Multiple Myeloma Discussion • October 30, 2024
Connecting Vets: Myeloma & Radiation Exposure?
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Hi All, I read that radiation exposure can increase the chances of getting Multiple Myeloma. I served in the Navy on a nuclear submarine tender where radiation exposure was always a possibility. Anyone out there in Health Tree who also served in the military where radiation exposure may also have increased the possibility for now having Myeloma? Peace, Brian
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brownChicken
Multiple Myeloma Discussion • October 29, 2024
My Diagnosis Story: Hip Pain to 9 Years Later
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I was a City Clerk for 35 years. During my last year I began having problems with my left hip. I retired, got boarded, and went to work at the County collectors office. I was constantly getting up and down with customers coming in to pay their taxes. After tax season I decided to go to doctor as I thought I had arthritis in my hip. They took X-rays. The next day I got on line to see if anything had been posted. The radiologist statement made me sick to my stomach. It said my hip bone looked like broken glass. I then went to a hip surgeon, followed by bloodwork and all kinds of tests. He called me at work and told me he was sure I had Multiple Myeloma and was sending me to a doctor who was an orthopedic oncologist. After more X-rays she told me to go home and not do anything for a week or my hip could shatter. I had surgery the following week where they placed a titanium rod in my thigh and connected it to my hip The crazy thing is I replaced a friend at the tax office that was diagnosed with MM. We are now MMSisters. This was 9 years ago. I was given 5 years. I went through several different chemotherapy and a stem cell treatment, that did not work. I feel blessed I have not been sick accept with the Stem Cell treatment.
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nancynomad
Multiple Myeloma Discussion • October 29, 2024
Comparing Darzalex FastPro vs. IV for Low Weight?
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After a year remission, my M-spike started to rise and I started Darzalex FastPro as a single agent on Oct. 14. I had done D-RVd in the first line of induction but couldn’t tell the effect of the Darzalex by itself when on all four. I am using it as a single agent because I had so many side effects from the four: pancreatic lesions, possible SCC in the back of the tongue, optic nerve damage, abnormal foramens and densities in my jaw, severe sinusitis, diverticulitis, and purple nails. I feel totally shut down after each injection. I have learned that the injection is 1800 mg regardless of weight, and that it is considered overdosing if you are lightweight like me. I weigh a little less than 115 lbs. If I were doing the Darzalex IV, which is by weight, the dose would be 16 mg/kg, which for me would be 832 mg. The injection is more than double that! There are risks, such as neutropenia, from overtreatment. There seem to be greater risk of adverse effects from the IV as opposed to the injection. I am wondering how to weigh the relative risks of overdosing vs IV delivery? And what about comfort and effectiveness? Has anyone experienced both the injection and IV, or has had the IV? I would love to feel less overwhelmed by the treatment, which seems logical to think would be possible with a lower dose. I would prefer to feel better on the treatment even if it were a little less effective, especially if it caused less side effects.
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Iliana • Admin
Multiple Myeloma Discussion • October 29, 2024
Share Your Elrexfio Experience
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If you or a loved one has been treated with ELREXFIO™, sharing your experience could make a meaningful difference for others. Interested in participating? Reach out by emailing Olivia at olivia@mypatientstory.com. ELREXFIO is a prescription medication used to treat adults with multiple myeloma who: •have already received at least 4 treatment regimens, including a proteasome inhibitor, an immunomodulatory agent, and an anti-CD38 monoclonal antibody to treat their multiple myeloma, and • their cancer has come back or did not respond to prior treatment