A follow-up analysis of recent trial results suggests that reducing Velcade administration from twice weekly to once weekly when given in combination with melphalan, prednisone, and thalidomide reduces side effects in elderly multiple myeloma patients.  The less frequent administration did not affect the efficacy of the treatment.

The researchers had reported earlier this summer that the addition of thalidomide (Thalomid) to Velcade (bortezomib), melphalan (Alkeran), and prednisone (referred to as VMPT), followed by long-term treatment with Velcade and thalidomide (VT), improved response rates and progression-free survival…

A recent study conducted in Spain demonstrated that for multiple myeloma patients treated with Velcade, prior vincristine-based treatment and the absence of neurological monitoring are factors that may increase the risk of developing nerve damage in their limbs.

The study authors suggested that patients be given a clinical and neurological assessment prior to treatment with Velcade.  If the patients’ resulting score is high enough to suggest the development of a severe form of Velcade-induced nerve damage, patients should continue to be monitored during Velcade therapy.

Velcade (bortezomib) is a neurotoxic…

Yesterday was the fourth day of the American Society of Clinical Oncology (ASCO) annual meeting in Chicago. Although today is the final day of the meeting, the multiple myeloma-related sessions concluded yesterday.

The day began with a meeting-wide session to review the highlights of the previous day across all cancer types. There were six presentations, and despite all of the types of cancers being discussed at the meeting, an entire presentation was devoted to myeloma.

Dr. Jean-Luc Harousseau from the Rene Gauducheau Cancer Center in France presented the myeloma highlights.…

Leading myeloma specialists from across Europe recently published an article in the journal The Oncologist that summarized the current treatment options and availability of therapeutic agents for multiple myeloma patients in Europe. This article, Part 4 in the series, summarizes the European authors’ recommendations for the management of side effects.

The European authors provided recommendations for managing side effects related to novel agent use in myeloma patients. The recommendations are similar to how the side effects are managed in the United States.

Blood Clots

Blood clots are one…

Peripheral neuropathy (PN) is a common side effect of a number of chemotherapy drugs used to treat multiple myeloma. Symptoms range from tingling or numbness of the toes, fingers, feet, hands, or legs, to severe pain—and everything in between.

Like many multiple myeloma patients, I suffer from PN. Some of it began even before I began treatment, most likely caused by nerve compression in and around my damaged vertebrae. Once I began treatment, it rapidly got worse.

My hands became so unsteady it was (and still is) difficult for me…