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Related Concept Videos

Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
Treatment Resistent Cancers02:56

Treatment Resistent Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Tumor Immunotherapy01:27

Tumor Immunotherapy

Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.

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Related Experiment Video

Updated: Jun 18, 2026

An Organotypic High Throughput System for Characterization of Drug Sensitivity of Primary Multiple Myeloma Cells
09:41

An Organotypic High Throughput System for Characterization of Drug Sensitivity of Primary Multiple Myeloma Cells

Published on: July 15, 2015

Triple MEL100 therapy in multiple myeloma.

D Berz1, G A Colvin, E M McCormack

  • 1Brown University, Providence, Rhode Island, USA. David_Berz@Brown.edu

Transplantation Proceedings
|November 18, 2009
PubMed
Summary

This study shows that a dose-dense, triple melphalan (MEL100) transplant regimen is well-tolerated in multiple myeloma patients. It offers comparable progression-free survival to standard tandem regimens with manageable side effects.

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Percutaneous Hepatic Perfusion (PHP) with Melphalan as a Treatment for Unresectable Metastases Confined to the Liver
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Percutaneous Hepatic Perfusion (PHP) with Melphalan as a Treatment for Unresectable Metastases Confined to the Liver

Published on: July 31, 2016

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Last Updated: Jun 18, 2026

An Organotypic High Throughput System for Characterization of Drug Sensitivity of Primary Multiple Myeloma Cells
09:41

An Organotypic High Throughput System for Characterization of Drug Sensitivity of Primary Multiple Myeloma Cells

Published on: July 15, 2015

Percutaneous Hepatic Perfusion (PHP) with Melphalan as a Treatment for Unresectable Metastases Confined to the Liver
09:02

Percutaneous Hepatic Perfusion (PHP) with Melphalan as a Treatment for Unresectable Metastases Confined to the Liver

Published on: July 31, 2016

Area of Science:

  • Hematology
  • Oncology
  • Stem Cell Transplantation

Background:

  • Tandem high-dose melphalan with autologous stem cell support is standard for multiple myeloma.
  • Mucositis and GI issues are common side effects.
  • Previous triple transplant studies used a less frequent schedule for high-risk patients.

Purpose of the Study:

  • To investigate a novel, dose-dense triple melphalan (MEL100) regimen.
  • To evaluate this approach in patients without prohibitive comorbidities.
  • To assess tolerability and survival outcomes of the every-3-weeks schedule.

Main Methods:

  • Prospective study of 13 standard or high-risk stage III multiple myeloma patients.
  • Three cycles of melphalan 100 mg/m(2) on days 1, 20, and 41, with autologous stem cell infusions on days 0, 21, and 42.
  • Peripheral blood stem cells were collected, divided into three sets, and frozen.

Main Results:

  • All 13 patients completed all three MEL100 cycles.
  • 54% received treatments on the exact every-3-weeks schedule; some delays occurred.
  • Median progression-free survival was 854 days; no serious adverse events or Grade III/IV mucositis were recorded.

Conclusions:

  • The every-3-weeks triple MEL100 regimen is well-tolerated in multiple myeloma.
  • Progression-free and overall survival appear comparable to standard tandem regimens.
  • Further studies with larger cohorts are warranted to confirm these findings.