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Multiple Myeloma Induction Challenges and Future Options

Experts discuss challenges in induction regimens for transplant-ineligible myeloma patients, and evolving approaches, quad regimens, dynamic frailty, and upcoming trials shaping future treatment options.

This is a video synopsis/summary of a Peer Exchange featuring Joshua Richter, MD; Rafat Abonour, MD; Faith Davies, MD; and Amrita Krishnan, MD.

Richter discusses challenges with induction regimens for patients with transplant-ineligible myeloma. Krishnan highlights an emerging challenge of blepharitis and hordeolum associated with bortezomib, affecting some patients more than neuropathy. Davies emphasizes a mixed approach at NYU Langone Health, tailoring regimens to individual patients. The discussion delves into deep, lasting remissions as the primary goal, with regimens such as DRd (daratumumab, lenalidomide, and dexamethasone) and VRd (bortezomib, lenalidomide, dexamethasone) being part of the varied approaches. The panel acknowledges the evolving definition of transplant eligibility and the importance of assessing dynamic frailty. Krishnan previews the PERSEUS trial results (NCT03710603) and discusses the significance of quadruplet induction becoming standard for young, fit patients. The conversation concludes with insights into ongoing trials, including SWOG S1803 (NCT04071457), and addressing maintenance duration based on minimal residual disease status.

Video synopsis is AI-generated and reviewed by AJMC® editorial staff.

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