Real-world data on safety and efficacy of venetoclax-based regimens in relapsed/refractory t(11;14) multiple myeloma

Br J Haematol. 2020 Jun;189(6):1136-1140. doi: 10.1111/bjh.16454. Epub 2020 Feb 3.

Abstract

The treatment for relapsed/refractory multiple myeloma (RRMM) continues to be challenging despite recent therapeutic advancements. Venetoclax, an inhibitor of the anti-apoptotic protein BCL-2, is a promising agent, especially in patients harbouring t(11;14). Our objective was to review our experience with venetoclax-based regimens at our institution. All ten RRMM patients treated with venetoclax were included and had a median of six prior lines of therapy. The overall response rate was 78% and one patient with cardiac amyloidosis and MM achieved a cardiac organ response. Haematologic toxicities requiring red blood cell and platelet transfusion and non-haematologic toxicities, most commonly gastrointestinal upset, were observed.

Keywords: amyloid; amyloidosis; relapsed/refractory multiple myeloma; translocation; venetoclax.

Publication types

  • Clinical Trial
  • Multicenter Study

MeSH terms

  • Adult
  • Bridged Bicyclo Compounds, Heterocyclic* / administration & dosage
  • Bridged Bicyclo Compounds, Heterocyclic* / adverse effects
  • Chromosomes, Human, Pair 11 / genetics*
  • Chromosomes, Human, Pair 14 / genetics*
  • Erythrocyte Transfusion*
  • Female
  • Humans
  • Male
  • Multiple Myeloma* / diagnosis
  • Multiple Myeloma* / genetics
  • Multiple Myeloma* / therapy
  • Platelet Transfusion*
  • Proto-Oncogene Proteins c-bcl-2 / antagonists & inhibitors
  • Proto-Oncogene Proteins c-bcl-2 / genetics
  • Sulfonamides* / administration & dosage
  • Sulfonamides* / adverse effects
  • Translocation, Genetic*

Substances

  • BCL2 protein, human
  • Bridged Bicyclo Compounds, Heterocyclic
  • Proto-Oncogene Proteins c-bcl-2
  • Sulfonamides
  • venetoclax