Abstract
The plasma cell disorders constitute a heterogeneous group of diseases. Accumulation of knowledge in the field has helped us to understand these diseases better, stage them more precisely, prognosticate more accurately and manage them more effectively. The paradigm shift in the management of multiple myeloma over the last one-and-a-half decades shows no signs of slackening. In addition to novel therapies, better supportive care and high-dose melphalan with autologous hematopoietic stem cells have contributed to this positive outcome. This review summarizes the developments in this sphere in the recent past.
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References
Kyle RA, Rajkumar SV (2004) Multiple Myeloma. N Engl J Med 351:1860–1873
Palumbo A, Anderson K (2011) Multiple myeloma. N Engl J Med 364:1046–1060
Rajkumar SV, Dimopolos MA, Palumbo A et al (2014) International Myeloma Working Group updated criteria for the diagnosis of multiple myeloma. Lancet Oncol 15:e538–e548
Kumar Shaji, Rajkumar SV, Dispenzieri A et al (2008) Improved survival in multiple myeloma and the impact of novel therapies. Blood 111:2516–2529
Mateos M-V, Hernandes M-T, Giraldo P et al (2013) Lenalidomide and dexamethasone for high-risk smoldering multiple myeloma. N Engl J Med 369:438–447
Palumbo A, Avet-Loiseau H, Oliva S et al (2015) Revised International staging system for multiple myeloma: a report from International Myeloma Working Group. J Clin Oncol 33:2863–2869
Palumbo A, Bringhen S, Mateos M-V et al (2014) Geriatric assessment predicts survival and toxicities in elderly myeloma: an International Myeloma Working Group report. Blood 125:2068–2074
Kumar S, Paiva B, Anderson KC et al (2016) International Myeloma Working Group consensus criteria for response and minimal residual disease assessment in multiple myeloma. Lancet Oncol 17:e328–e346
Dimopoulos MA, Sonnevel P, Leung L et al (2010) International Myeloma Working Group recommendation for the diagnosis and management of myeloma-related renal impairment. J Clin Oncol 28:4967–4984
Sonneveld P, Avet-Loiseau H, Lonial S et al (2016) Treatment of multiple myeloma with high-risk cytogenetics: a consensus of the International Myeloma Working Group. Blood 127:2956–2962
Palumbo A, Mina R (2013) Management of older adults with multiple myeloma. Blood Rev 27:133–142
Laorca A, Palumbo A (2015) Optimizing treatment for elderly patients with newly diagnosed multiple myeloma: a personalzed approach. J Cliin Oncol 34:3600–3604
Huilin C, Belch A, Shustil C et al (2016) Updated outcomes and impact of age with lenalidomide and low-dose dexamethasone or melphalan, prednisolone, and thalidomide in the randomized, phase III FIRST trial. J Clin Oncol 34:3609–3617
Mohty M, Harousseau J-L (2014) Treatment of autologous stem cell eligible multiple myeloma patients: ten questions and answers. Haematologica 99:408–416
Moreau P, Attal M, Facon T (2015) Frontline therapy of multiple myeloma. Blood 125:3076–3084
Nooka AK, Karstritis E, Dimopoulos MA, Lonial S (2015) Treatment options for relapsed and refractory multiple myeloma. Blood 125:3085–3099
Laubach J, Garderet L, Mahindra A et al (2016) Management of relapsed multiple myeloma; recommendations of the International Myeloma Working Group. Leukemia 30:1005–1017
Stewart KA, Rajkumar VS, Dimopoulos MA et al (2015) Carfilzomib, lenalidomide, and dexamethasone for relapsed multiple myeloma. N Engl J Med 372:142–152
Shah JJ et al (2015) Carfilzomib, pomalidomide, and dexamethasone for relapsed or efractory myeloma. Blood 126:2284–2290
Moreau P, Masszi T, Grzasko N et al (2016) Oral ixazomib, lenalidomide, and dexamethasone for multiple myeloma. N Engl J Med 374:1621–1634
Palumbo A, Chanan-Khan A, Weisel K et al (2016) Daratumumab, bortezomib, and dexamethasone for multiple myeloma. N Engl JMed 375:754–766
Dimopoulos MA, Oriol A, Nahi H et al (2016) Daratumumab, lenalidomide, and dexamethasone for multiple myeloma. N Engl J Med 375:1319–1331
Lonial S, Dimopoulos M, Palumbo A et al (2015) Elotuzumab therapy for relapsed or refractory multiple myeloma. N Engl J Med 373:621–631
Richardson PG, Hungria VTM, Yoon S-S et al (2016) Panobinostat plus bortezomib and dexamethasone in previously treated multiple myeloma. Blood 127:713–721
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Saikia, T.K. Developments in the Field of Myeloma in the Last Decade. Indian J Hematol Blood Transfus 33, 3–7 (2017). https://doi.org/10.1007/s12288-017-0777-0
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DOI: https://doi.org/10.1007/s12288-017-0777-0