Current Hematologic Malignancy Reports

, Volume 13, Issue 2, pp 114–124 | Cite as

Common Adverse Effects of Novel Therapies for Multiple Myeloma (MM) and Their Management Strategies

  • Kristen B. McCullough
  • Miriam A. Hobbs
  • Jithma P. Abeykoon
  • Prashant Kapoor
Multiple Myeloma (P Kapoor, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Multiple Myeloma


Purpose of Review

The purpose of this review was to evaluate management strategies for common adverse effects of novel therapies in multiple myeloma (MM), including immunomodulatory drugs, proteasome inhibitors, monoclonal antibodies, and a histone deacetylase inhibitor.

Recent Findings

There are several adverse effects that occur across multiple classes of antimyeloma drugs, including rash, peripheral neuropathy, infusion reactions, and cardiotoxicity, but most can be managed without complete discontinuation of the agent or abandonment of the class. Additionally, several agents have critically important drug-drug interactions or dose-modification implications in hepatic or renal insufficiency that can be easily overlooked, and exacerbate adverse effects.


As treatment of MM moves from fixed-duration traditional chemotherapy to novel agent-based regimens, commonly administered continuously until disease progression or intolerable toxicities, providers must adopt their management strategies for both acute and long-term adverse effects. Early and frequent monitoring for therapy-related complications, dose adjustments when needed, and timely treatment for toxicities are all important steps toward ensuring longevity of treatment from a limited array of therapeutic options that currently exist for a disease with a relapsing and remitting course.


Toxicities Immunomodulatory drugs Proteasome inhibitors Daratumumab Elotuzumab Panobinostat 


Compliance with Ethical Standards

Conflict of Interest

Kristen B. McCullough, Miriam A. Hobbs, and Jithma P. Abeykoon each declare no potential conflicts of interest.

Prashant Kapoor reports grants from Takeda, Amgen, and Sanofi, of which he is a Principal Investigator of trials. Dr. Kapoor is a section editor for Current Hematologic Malignancy Reports.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Kristen B. McCullough
    • 1
  • Miriam A. Hobbs
    • 2
  • Jithma P. Abeykoon
    • 3
  • Prashant Kapoor
    • 2
  1. 1.Department of Pharmacy ServicesMayo ClinicRochesterUSA
  2. 2.Division of HematologyMayo ClinicRochesterUSA
  3. 3.Department of Internal MedicineMayo ClinicRochesterUSA

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