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A loading dose is an essential pharmacological strategy to rapidly achieve the target plasma drug concentration necessary for an immediate therapeutic effect. This approach is especially critical for drugs characterized by slow absorption or extended half-lives, where delaying therapeutic plasma levels could compromise treatment outcomes. By administering a loading dose, clinicians ensure a prompt onset of drug action, even for agents with complex pharmacokinetic profiles.Achieving steady-state...
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Continuous Renal Replacement Therapy (CRRT) is an essential intervention for patients experiencing severe kidney dysfunction. This therapy offers a continuous mechanism for removing fluids and toxins from the bloodstream, leveraging the patient’s blood pressure to facilitate filtration through a specialized filter. This method contrasts with intermittent dialysis, providing a gentler and more consistent removal of waste products and excess fluid, which is particularly beneficial in...
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Author Correction: Teclistamab-based induction treatment in transplant-eligible, newly diagnosed multiple myeloma: a phase 2 trial.

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Teclistamab-based induction treatment in transplant-eligible, newly diagnosed multiple myeloma: a phase 2 trial.

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Related Experiment Video

Updated: Feb 8, 2026

An Organotypic High Throughput System for Characterization of Drug Sensitivity of Primary Multiple Myeloma Cells
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Maintenance and continuous therapy for multiple myeloma.

Paul G Richardson1, Jacob Laubach1, Sara Gandolfi1

  • 1a Department of Hematology and Oncology , Dana-Farber Cancer Institute, Harvard Medical School , Boston , MA , USA.

Expert Review of Anticancer Therapy
|June 23, 2018
PubMed
Summary
This summary is machine-generated.

Maintenance therapy in multiple myeloma (MM) helps delay disease progression and prolong survival. Lenalidomide is approved for maintenance, with ongoing research into newer agents for relapsed/refractory MM.

Keywords:
Maintenance therapycontinuous therapyhistone deacetylase inhibitorsimmunomodulatory agentsmonoclonal antibodiesmultiple myelomaproteasome inhibitors

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Area of Science:

  • Hematology
  • Oncology
  • Clinical Trials

Background:

  • Maintenance therapy in multiple myeloma (MM) aims to prolong remission and survival post-induction.
  • Continuous therapy can suppress minimal residual disease, deepening and extending patient responses.

Purpose of the Study:

  • To review current clinical trial data on maintenance and continuous therapy in newly diagnosed and relapsed/refractory MM.
  • To analyze the role of established agents (lenalidomide, bortezomib) and emerging therapies.

Main Methods:

  • Systematic review of clinical trial data.
  • Analysis of efficacy and safety of various therapeutic agents.

Main Results:

  • Lenalidomide and bortezomib regimens show efficacy, with lenalidomide being the preferred maintenance agent per guidelines.
  • Lenalidomide plus low-dose dexamethasone (Rd) is supported as a standard for continuous therapy.
  • Newer agents are being incorporated into Rd regimens for relapsed/refractory MM.

Conclusions:

  • Maintenance and continuous therapies are vital for improving outcomes in multiple myeloma.
  • Optimal duration and specific regimens require further investigation.