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Updated: Mar 8, 2026

An Organotypic High Throughput System for Characterization of Drug Sensitivity of Primary Multiple Myeloma Cells
Published on: July 15, 2015
Integration of Novel Agents into the Care of Patients with Multiple Myeloma
Robert Z Orlowski1,2, Sagar Lonial3,4
1Department of Lymphoma/Myeloma, The University of Texas MD Anderson Cancer Center, Houston, Texas. rorlowski@mdanderson.org.
Abstract:
The pace of therapeutic drug development in multiple myeloma has reached unprecedented levels, with five regulatory approvals for relapsed and/or refractory disease of either new drugs or new drug regimens in 2015, one already in 2016, and still others anticipated. This has provided a wide array of options to be considered by patients and their health care providers in the event of relapse after or progression on front-line therapy. Most of these agents are currently being evaluated in earlier patient populations, including as parts of induction, consolidation, and maintenance therapy approaches, where their benefits may be even greater. Moreover, additional randomized studies have been completed with our previous stable of novel agents that inform their use in these settings as well. In the current contribution to this CCR Focus on multiple myeloma, we will present an overview of some of the key recent data that have supported the addition of these new therapeutics to our armamentarium against multiple myeloma. Also, we will provide some guidelines about possible best practices in applying these regimens and attempt to extrapolate how they will be used as parts of our future standards of care. Clin Cancer Res; 22(22); 5443-52. ©2016 AACR SEE ALL ARTICLES IN THIS CCR FOCUS SECTION, "MULTIPLE MYELOMA MULTIPLYING THERAPIES".
Insights
Recent advancements have expanded treatment options for multiple myeloma, offering new therapeutic drugs and regimens for relapsed or refractory disease. These novel agents are also being investigated for earlier use, potentially improving outcomes in induction, consolidation, and maintenance therapies.
Area of Science:
- Hematology
- Oncology
- Pharmacology
Background:
- Multiple myeloma therapeutic drug development has accelerated, evidenced by multiple regulatory approvals for relapsed/refractory disease since 2015.
- A growing number of novel agents and drug regimens are available for patients experiencing relapse or progression after initial treatment.
Discussion:
- Emerging data from randomized studies are informing the use of established novel agents in earlier lines of therapy.
- New therapeutics are being evaluated in induction, consolidation, and maintenance settings, where they may offer greater benefits.
Key Insights:
- The landscape of multiple myeloma treatment is rapidly evolving with numerous new therapeutic options.
- Guidelines for best practices in applying these novel regimens are being developed.
- Recent clinical trial data support the integration of these new drugs into the multiple myeloma treatment armamentarium.
Outlook:
- Future standards of care in multiple myeloma will likely incorporate these novel agents more extensively.
- Ongoing research aims to optimize the use of these therapies in various stages of the disease.
- Continued evaluation in earlier patient populations may reveal enhanced efficacy and improved patient outcomes.
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