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Where are we headed with new agents and transplant approaches in myeloma? Dr. Paul Richardson, MD, Dana-Farber Cancer Institute
Learn about all myeloma happenings on the new Myeloma Crowd site: the first comprehensive site for myeloma patients and caregivers. Dr. Paul Richardson, MD Jerome Lipper Center for Multiple Myeloma Dana-Farber Cancer Institute Interview Date: May 16, 2014
Dr. Paul Richardson, a key leader of significant national and international myeloma clinical trials, shares three platforms for today's therapies: targeting the tumor environment, leveraging the immune system, and targeting how and when myeloma mutates. The latest in immunotherapies includes fast-tracking new monoclonal antibodies like elotuzumab (targeting protien CS1/SLAMF7) and daratumumab and SAR (targeting protein CD38), re-activating normal T cell functions by affecting the PD-1 pathway, and using vaccines to impact the immune system. He describes a new clinical trial that is studying multiple questions at the same time: the DETERMINATION study (see link) will have 1300 patients (700 in France and over 600 in the US) to determine when transplant is best used in newly diagnosed myeloma patients now that newer therapies are available. The study will also look at how the Revlimid/Velcade/Dex combo works as initial treatment and how lenalidomide affects progression as maintenance therapy. He gives a preview of his upcoming discussion at ASCO on panobinostat; that its use with dex and bortezomib is better than dex and bortezomib alone. He describes a mind-body peace study at Dana-Farber that shows how stress activates cell signaling pathways and the proof that using relaxation techniques can make a difference in myeloma growth because of the NF-kappaB pathway. He recommends that patients should consider continuous maintenance therapy until progression and cites studies showing the importance. He also suggests that any time patients have a bone marrow biopsy, they should request cytogenetics and FISH tests at the same time to keep an overarching picture of their personal disease biology in place. The live mPatient Myeloma Radio podcast with Dr. Paul Richardson
Learn about all myeloma happenings on the new Myeloma Crowd site: the first comprehensive site for myeloma patients and caregivers. Dr. Paul Richardson, MD Jerome Lipper Center for Multiple Myeloma Dana-Farber Cancer Institute Interview Date: May 16, 2014
Dr. Paul Richardson, a key leader of significant national and international myeloma clinical trials, shares three platforms for today's therapies: targeting the tumor environment, leveraging the immune system, and targeting how and when myeloma mutates. The latest in immunotherapies includes fast-tracking new monoclonal antibodies like elotuzumab (targeting protien CS1/SLAMF7) and daratumumab and SAR (targeting protein CD38), re-activating normal T cell functions by affecting the PD-1 pathway, and using vaccines to impact the immune system. He describes a new clinical trial that is studying multiple questions at the same time: the DETERMINATION study (see link) will have 1300 patients (700 in France and over 600 in the US) to determine when transplant is best used in newly diagnosed myeloma patients now that newer therapies are available. The study will also look at how the Revlimid/Velcade/Dex combo works as initial treatment and how lenalidomide affects progression as maintenance therapy. He gives a preview of his upcoming discussion at ASCO on panobinostat; that its use with dex and bortezomib is better than dex and bortezomib alone. He describes a mind-body peace study at Dana-Farber that shows how stress activates cell signaling pathways and the proof that using relaxation techniques can make a difference in myeloma growth because of the NF-kappaB pathway. He recommends that patients should consider continuous maintenance therapy until progression and cites studies showing the importance. He also suggests that any time patients have a bone marrow biopsy, they should request cytogenetics and FISH tests at the same time to keep an overarching picture of their personal disease biology in place. The live mPatient Myeloma Radio podcast with Dr. Paul Richardson

Paul Richardson, MD

Jennifer Ahlstrom