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Establishment of a Human Multiple Myeloma Xenograft Model in the Chicken to Study Tumor Growth, Invasion and Angiogenesis
Published on: May 1, 2015
Novel therapeutic avenues in myeloma: changing the treatment paradigm
Joanne Ghobrial1, Irene M Ghobrial, Constantine Mitsiades
1Harvard Medical School Jerome Lipper, Multiple Myeloma Center, Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts 02115, USA.
Abstract:
Our better understanding of the complex interaction of multiple myeloma (MM) cells with their bone marrow microenvironment and the signaling pathways that are dysregulated in this process has resulted in a dramatic increase in the therapeutic agents available for this disease. A number of these new agents have demonstrated significant activity in patients with MM. Over the past 5 years, three drugs have received approval from the US Food and Drug Administration for therapy in MM--bortezomib, thalidomide, and lenalidomide. To date, the choice of therapy for MM is not individualized according to the biologic characteristics of the disease, but future studies should enable us to identify patients who may benefit most from certain therapeutic interventions, and thus develop individualized therapy for MM. In this review, we will present some of the treatment algorithms currently developed for patients with MM and focus on established advances in therapy, specifically with thalidomide, bortezomib, and lenalidomide. We will also discuss some of the emerging novel therapeutic agents showing promise in phase I/II clinical trials in MM.
Insights
Advances in multiple myeloma (MM) therapy include new drugs like bortezomib, thalidomide, and lenalidomide. Future research aims to personalize MM treatment based on individual disease biology.
Area of Science:
- Hematology
- Oncology
- Pharmacology
Background:
- Multiple myeloma (MM) involves complex interactions between cancer cells and the bone marrow microenvironment.
- Dysregulated signaling pathways are key to MM pathogenesis.
- Recent therapeutic advancements have significantly improved MM treatment options.
Purpose of the Study:
- To review current treatment algorithms for multiple myeloma.
- To highlight established therapeutic advances, focusing on bortezomib, thalidomide, and lenalidomide.
- To discuss emerging novel agents in MM clinical trials.
Main Methods:
- Review of recent clinical trial data and FDA-approved therapies for MM.
- Analysis of established treatment protocols and emerging therapeutic strategies.
- Focus on the mechanisms and efficacy of key MM drugs.
Main Results:
- Three new drugs (bortezomib, thalidomide, lenalidomide) approved by the FDA in the past 5 years show significant activity in MM.
- Current MM therapy choices are not yet individualized.
- Emerging agents show promise in early-phase clinical trials.
Conclusions:
- Understanding the MM microenvironment and signaling pathways has led to new therapies.
- Personalized medicine approaches are needed for optimal MM treatment.
- Ongoing research into novel agents offers future hope for MM patients.
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