Articles tagged with: Revlimid
Results from a recent French study based on data from clinical practice indicate that vitamin K antagonists and low-molecular weight heparin are more effective than aspirin in preventing clots during myeloma treatment with the immunomodulatory drugs thalidomide or Revlimid.
Specifically, 7 percent of patients receiving aspirin developed blood clots, compared to 3 percent of patients receiving low-molecular weight heparin and 0 percent receiving a vitamin K antagonist such as warfarin (Coumadin).
Interestingly, the rate of blood clot formation was lowest among patients with the highest risk of developing blood clots, …
Reovirus Strain Shows Promise As An Anti-Myeloma Agent In Preclinical Study – Canadian researchers recently found that a specific strain of the reovirus may be an effective therapy for depleting residual multiple myeloma cells from stem cells collected for stem cell transplantation. Specifically, the researchers found that the virus was able to kill multiple myeloma cells in human stem cell samples without affecting the healthy blood stem cells. The researchers took human stem cell samples, added multiple myeloma cells to get a tumor burden of 2 percent to 6 percent, incubated the samples with either live or dead reovirus, and transplanted the stem cells into immunocompromised mice. All of the mice transplanted with stem cells incubated with the dead virus developed myeloma, while none of the mice transplanted with stem cells incubated with the live virus showed any signs of multiple myeloma. Reoviruses are typically found in the lungs and gastrointestinal tracts of animals. Many are not associated with any known illness. Previous studies have found that reovirus strains can selectively target and destroy cancer cells, while simultaneously triggering an immune response that helps destroy additional cancer cells. The reovirus strain tested in the Canadian study, reovirus serotype 3 (strain Dearing), also goes by the brand name Reolysin. It is under development by the company Oncolytics Biotech, and is currently being studied in a Phase 1 clinical trial as a monotherapy for relapsed or refractory multiple myeloma. For more information, please refer to the study in the journal Bone Marrow transplantation (abstract).
CD44 May Be A Good Indicator Of Revlimid Resistance In Myeloma – Findings from a recent preclinical study conducted at M. D. Anderson indicate that the protein CD44 may be a good marker of Revlimid (lenalidomide) resistance in multiple myeloma. In particular, the researchers found that Revlimid-resistant myeloma cells had significantly higher levels of CD44 compared to Revlimid-sensitive myeloma cells. CD44 is a protein that is involved in keeping cells attached to tissue; myeloma cells high in CD44 bind to bone marrow tissue, thereby resisting treatment with Revlimid. Another marker for Revlimid-resistance that has been recently discovered is cereblon; myeloma cells with low levels of cereblon do not respond to treatment with Revlimid (see related Beacon news). The M.D. Anderson researchers also found that the leukemia drug tretinoin (all-trans retinoic acid, Vesanoid) was able to reduce the amount of CD44 in myeloma cells and re-sensitized myeloma cells to Revlimid therapy in both human and mice samples. Based on the findings, the investigators believe that a combination of tretinoin and Revlimid may be effective in Revlimid-resistant patients. For more information, please refer to the study in the journal Leukemia (abstract).
Snake Venom Shows Anti-Myeloma Activity – Results from a recent preclinical study conducted in the Middle East show that venom from the desert black snake, also known as the desert cobra or desert python, may have anti-myeloma activity. The snake venom was administered by itself or inside of nanoparticles, which are extremely small objects that can deliver drugs to specific cells in the body. The researchers found that, in mice with multiple myeloma, the anti-myeloma effect of the snake venom was greater when delivered inside of nanoparticles. Previous preclinical studies have shown that snake venom also may be effective in treating solid tumors, such as breast, colon, and prostate cancer. For more information, please refer to the study in the journal Cellular Immunology (abstract).
A recent Greek study looks at the efficacy and safety of Revlimid plus dexamethasone for relapsed and refractory multiple myeloma patients in ‘the real world’ -- that is, in patients being treated in standard clinical practice rather than clinical trials.
The majority of the patients in the study (77 percent) responded to treatment with Revlimid and dexamethasone, with 20 percent achieving a complete response. According to the …
A new retrospective study provides insight into the benefit the new myeloma drugs Kyprolis and Pomalyst may provide to patients who are resistant to, or cannot tolerate, both Velcade and Revlimid.
The study's results highlight how challenging it can be to find an effective treatment for patients who are “dual refractory” (resistant to both Velcade and Revlimid).
Patients in the study who received either Kyprolis (carfilzomib) or Pomalyst (pomalidomide, Imnovid) after becoming dual refractory had longer overall survival than those who were not treated with the new …
Results from a Spanish Phase 3 study published late Wednesday in the New England Journal of Medicine indicate that treatment of high-risk smoldering multiple myeloma with Revlimid plus dexamethasone delays progression to symptomatic multiple myeloma and extends overall survival.
Despite these findings – which would tend to support active treatment of high-risk smoldering myeloma – myeloma experts believe it is too early to begin treating all high-risk smoldering myeloma patients with anti-myeloma therapies. …