The results of a recent study from Italy suggest that the combination treatment of melphalan, prednisone, and thalidomide may increase survival in newly diagnosed elderly multiple myeloma patients compared to melphalan and prednisone alone. However, the rate of side effects increased with the addition of thalidomide.

Despite the higher rate of side effects, the study authors suggested that the combination of melphalan (Alkeran), prednisone, and thalidomide (Thalidomid) …

Tags: Alkeran Melphalan Multiple Myeloma Prednisone Research Summary Thalidomide Thalomid

The use of mitoxantrone and melphalan prior to stem cell transplantation in multiple myeloma patients results in favorable survival rates and manageable side effects, according to the results of a Phase 2 clinical trial.

Although the results of the study are encouraging and confirm the results of previous trials, Dr. Anne Beaven, from Duke University Medical Center and lead author of the study, noted that the trial was conducted before the introduction of novel agents into routine clinical practice.

“Until a trial is performed combining this regimen with maintenance

Results of a recent study suggest that a single dose of Velcade given after high-dose melphalan results in better outcomes in newly diagnosed multiple myeloma patients after stem cell transplantation than a single dose of Velcade given before high-dose melphalan.  Side effects of the regimen with Velcade were similar to those seen with melphalan alone.

Treatment with high-dose chemotherapy followed by stem cell transplantion is a standard therapeutic approach for younger, newly diagnosed multiple myeloma patients.  High-dose chemotherapy prior to stem cell transplantation, often called a conditioning regimen, is administered…

Newly diagnosed multiple myeloma patients who achieved a complete response to the combination of Velcade, melphalan, and prednisone experienced longer time to disease progression, time to next therapy, and treatment-free interval compared to patients who achieved a partial response. 

The benefits associated with complete response were similar regardless of whether complete response was achieved early or late in the treatment course.

Based on these findings, the researchers concluded that the achievement of a complete response should be considered an important treatment goal. They recommended that VMP be continued in patients…

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…