Elotuzumab in the treatment of relapsed and refractory multiple myeloma

Future Oncol. 2021 May;17(13):1581-1591. doi: 10.2217/fon-2020-1088. Epub 2021 Jan 22.

Abstract

Multiple myeloma (MM) is still considered an incurable disease. However, drugs with different mechanisms of action that can improve the efficiency of treatment offer hope. Still, there are concerns about an unacceptable increase in toxicity with such regimens. The results of recently published clinical studies of elotuzumab in combination with lenalidomide/dexamethasone or pomalidomide/dexamethasone confirm previous hopes to improve the effect of that treatment. Humanized monoclonal antibodies aimed at SLAMF7 stimulate natural killer cells to fight against MM cells. Elotuzumab used in combination with lenalidomide/dexamethasone or with pomalidomide/dexamethasone is approved by the US FDA to treat patients with relapsed and/or refractory MM. The article is a summary of the recent knowledge about the possibility of using elotuzumab in the treatment of relapsed and/or refractory MM and shows its potential uses in the future.

Keywords: SLAMF7; efficacy; elotuzumab; immune-stimulating therapy; monoclonal antibody; multiple myeloma; safety; treatment.

MeSH terms

  • Antibodies, Monoclonal, Humanized / pharmacology
  • Antibodies, Monoclonal, Humanized / therapeutic use*
  • Antineoplastic Combined Chemotherapy Protocols / pharmacology
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Bortezomib / pharmacology
  • Bortezomib / therapeutic use
  • Cell Line, Tumor
  • Clinical Trials as Topic
  • Dexamethasone / pharmacology
  • Dexamethasone / therapeutic use
  • Drug Resistance, Neoplasm / drug effects
  • Drug Resistance, Neoplasm / immunology
  • Humans
  • Killer Cells, Natural / drug effects
  • Killer Cells, Natural / immunology
  • Lenalidomide / pharmacology
  • Lenalidomide / therapeutic use
  • Mesenchymal Stem Cells / drug effects
  • Mesenchymal Stem Cells / immunology
  • Multiple Myeloma / drug therapy*
  • Multiple Myeloma / immunology
  • Multiple Myeloma / mortality
  • Multiple Myeloma / pathology
  • Neoplasm Recurrence, Local / drug therapy*
  • Neoplasm Recurrence, Local / immunology
  • Neoplasm Recurrence, Local / mortality
  • Neoplasm Recurrence, Local / pathology
  • Progression-Free Survival
  • Thalidomide / analogs & derivatives
  • Thalidomide / pharmacology
  • Thalidomide / therapeutic use

Substances

  • Antibodies, Monoclonal, Humanized
  • elotuzumab
  • Thalidomide
  • Bortezomib
  • Dexamethasone
  • pomalidomide
  • Lenalidomide