Results of a recent study show that newly diagnosed multiple myeloma patients initially treated with a combination of cyclophosphamide, Velcade, and dexamethasone have better response rates and less severe side effects than patients treated with Revlimid-dexamethasone or cyclophosphamide-Revlimid-dexamethasone.

The survival outcomes for the patients treated with cyclophosphamide, Velcade, and dexamethasone also are promising.

However, the difference in survival rates between the three treatment regimens is not statistically significant.

This is partly because “the numbers [of patients in the study] were too small to show differences in survival,” explained Dr. Craig Reeder…

Myeloma specialists from the Czech Republic have published clinical trial results that shed further light on chromosomal abnormalities and their impact on survival in newly diag­nosed multiple myeloma patients.

Specifically, the researchers found that patients with three or more chromos­omal abnor­malities, a gain in the 1q21 region, or the trans­location t(4;14) have reduced survival compared to patients without such abnormalities.

According to the researchers, their findings highlight the importance of chromosomal abnormalities when considering treatment options for myeloma patients.

They note, however, that their findings need to be confirmed in…

The results of a recent Phase 2 trial show that the addition of cyclophosphamide to Revlimid and low-dose dexamethasone may result in better responses for previously untreated myeloma patients.

“This [study] provides the efficacy of another regimen for use in patients with myeloma,” said the study’s lead author Dr. Shaji Kumar of the Mayo Clinic in Rochester, Minnesota. “It is a fairly safe combination and is quite efficacious,” he stated in an e-mail to The Myeloma Beacon.

According to the study authors, the combination of Revlimid (lenalidomide), cyclophosphamide…

Results of a recent study conducted in the United Kingdom show that elderly and transplant-ineligible multiple myeloma patients who are treated with a reduced-dose combination of cyclophosphamide, thalidomide, and dexamethasone as initial therapy achieve a greater overall response rate than patients who are treated with melphalan plus prednisone.

However, patients who received the three-drug combination had comparable overall survival and progression-free survival rates as patients who received melphalan plus prednisone.  Additionally, side effects were more common among patients treated with the three-drug combination.

High-dose chemotherapy followed by autologous stem cell…

A combination of cyclophosphamide, low-dose thalidomide, and dexamethasone is effective and well tolerated in multiple myeloma patients, according to a recent Polish study. Response rates were favorable for both newly diagnosed and relapsed or treatment-resistant multiple myeloma patients.

 “Low-dose thalidomide was well tolerated, and serious side effects described with high or even intermediate doses were diminished,” said Dr. Anna Dmoszynska, the lead author of the study, in an email to the Beacon.

In recent years, thalidomide (Thalomid) has proven to be an effective therapy for multiple myeloma when given…