Advances in targeted therapy for the treatment of patients with relapsed/refractory multiple myeloma
Emmanuelle Le Ray1, Sundar Jagannath2, Antonio Palumbo3
1a Hematology Department , CHU Cochin, Paris V René Descartes University , Paris , France.
Abstract:
The development of proteasome inhibitors (PIs) and immunomodulatory drugs has significantly improved outcomes for patients with relapsed/refractory multiple myeloma (RRMM); however, not all patients benefit from treatment with these agents and some patients can become drug refractory over time. Due to the largely incurable nature of multiple myeloma, the development of newer agents is ongoing and includes new oral PIs (ixazomib), immunotherapies (e.g., CD38- or SLAMF7-targeted antibodies), and small molecules. This review provides an overview of the advances in targeted therapy for patients with RRMM, including recently approved agents, with a focus on monotherapy and combined targeted therapies.
Insights
New targeted therapies offer improved outcomes for relapsed/refractory multiple myeloma (RRMM) patients. This review covers new proteasome inhibitors and immunotherapies for RRMM treatment.
Area of Science:
- Oncology
- Hematology
- Pharmacology
Background:
- Relapsed/refractory multiple myeloma (RRMM) outcomes have improved with proteasome inhibitors (PIs) and immunomodulatory drugs.
- However, treatment resistance and limited efficacy remain challenges in managing multiple myeloma.
- The incurable nature of multiple myeloma necessitates continuous development of novel therapeutic agents.
Purpose of the Study:
- To provide an overview of recent advances in targeted therapy for RRMM.
- To discuss newly approved agents and emerging treatment strategies.
- To focus on monotherapy and combination targeted therapies for RRMM.
Main Methods:
- Literature review of recent clinical trials and studies.
- Analysis of data on novel oral PIs, immunotherapies (e.g., CD38- or SLAMF7-targeted antibodies), and small molecules.
- Synthesis of information on efficacy and safety of targeted agents in RRMM.
Main Results:
- Recent approvals include new oral PIs (ixazomib) and novel immunotherapies.
- Combination targeted therapies show promise in overcoming drug resistance.
- Ongoing research focuses on expanding treatment options for RRMM patients.
Conclusions:
- Targeted therapies, including novel PIs and immunotherapies, represent significant progress in RRMM management.
- Personalized treatment approaches combining targeted agents are crucial for improving patient outcomes.
- Continued research and development are essential to address unmet needs in multiple myeloma therapy.
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