Medical Oncology

, Volume 27, Supplement 1, pp 62–66 | Cite as

Future directions in immunomodulatory therapy

  • Sagar LonialEmail author
Original Paper


The role of immunomodulatory-based therapy with thalidomide or lenalidomide is clearly established in the management of patients with myeloma in all phases of their disease. Recent preclinical and clinical works have demonstrated that in addition to combination therapy with dexamethasone, there is significant activity when combined with the proteasome inhibitor bortezomib. More recent clinical studies have also demonstrated significant activity when combined with akt inhibitors, HDAC inhibitors, and even monoclonal antibodies. Further clinical development of immunomodulatory agents should continue to be based on preclinical rationale, which has resulted in a number of promising and clinically active combinations.


Multiple myeloma Immunomodulatory therapy combination 



The author has received an honorarium for their participation in this supplement.

Conflict of interest statement

Dr Lonial is a consultant for Millennium, Celgene, Novartis, and BMS, and has received research support from Millennium.


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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  1. 1.Emory University School of MedicineAtlantaUSA

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