Management of Newly Diagnosed Multiple Myeloma Today, and in the Future

Hematol Oncol Clin North Am. 2024 Apr;38(2):441-459. doi: 10.1016/j.hoc.2023.12.007. Epub 2024 Jan 2.

Abstract

Treatment options have expanded rapidly and widely in the past two decades for patients with multiple myeloma. Triplet novel agent-based induction regimens have been accepted as the standard practice wordwide over the last decade both for transplant-eligible and non-eligible patients. The addition of anti-CD38 monoclonal antibodies as part of quadruplet regimens has led to even deeper and longer-lasting responses. The impressive results shown by the quadruplets havebeen practice-changing where accessible in recent years. Chimeric antigen receptor T cell therapy and bispecific antibodies are being tested in the upfront setting and have the potential to once again shift the paradigm of treatment of newly diagnosed MM.

Keywords: Newly diagnosed MM; Quadruplets; T cell-directed therapies; Triplets.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents* / therapeutic use
  • Humans
  • Immunotherapy, Adoptive
  • Multiple Myeloma* / diagnosis
  • Multiple Myeloma* / therapy

Substances

  • Antineoplastic Agents