Related Experiment Video
Updated: Jul 5, 2025

Establishment of a Human Multiple Myeloma Xenograft Model in the Chicken to Study Tumor Growth, Invasion and Angiogenesis
Published on: May 1, 2015
New Therapies on the Horizon for Relapsed Refractory Multiple Myeloma
Nadine Abdallah1, Shaji K Kumar1
1Division of Hematology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
Abstract:
Despite improved treatments, most patients with multiple myeloma (MM) will experience relapse. Several novel agents have demonstrated activity and tolerability in early phase clinical trials. Venetoclax is a B-cell lymphoma 2 (Bcl-2) inhibitor with activity in patients with t(11;14) and/or Bcl-2 expression. Iberdomide and mezigdomide are cereblon E3 ligase modulators with higher potency, immunomodulatory, and antiproliferative activity compared with lenalidomide and pomalidomide. They have shown promising activity in heavily pretreated patients. Modakafusp alfa is an immunocytokine that targets interferons to CD38+ cells. It has demonstrated single agent activity in relapsed/refractory MM in the phase 1 setting.
Insights
Novel therapies like venetoclax, iberdomide, mezigdomide, and modakafusp alfa show promise for relapsed multiple myeloma (MM). These agents offer new treatment options for patients with refractory disease.
Area of Science:
- Hematology
- Oncology
- Pharmacology
Background:
- Multiple myeloma (MM) frequently relapses despite advancements in treatment.
- There is a critical need for effective therapies for patients with relapsed or refractory MM.
Purpose of the Study:
- To review novel therapeutic agents for relapsed and refractory multiple myeloma.
- To highlight the mechanisms of action and early clinical trial findings of these agents.
Main Methods:
- Review of early-phase clinical trial data for novel MM agents.
- Summary of drug mechanisms, including B-cell lymphoma 2 (Bcl-2) inhibition, cereblon E3 ligase modulation, and immunocytokine therapy.
Main Results:
- Venetoclax demonstrates activity in MM patients with specific genetic markers (t(11;14) and/or Bcl-2 expression).
- Iberdomide and mezigdomide show enhanced potency and activity in heavily pretreated patients compared to existing therapies.
- Modakafusp alfa exhibits single-agent activity in relapsed/refractory MM.
Conclusions:
- Several novel agents are emerging as promising treatments for relapsed/refractory multiple myeloma.
- These agents offer new therapeutic avenues targeting distinct molecular pathways in MM.
More Related Videos
05:32Multimodal Bioluminescent and Positronic-emission Tomography/Computational Tomography Imaging of Multiple Myeloma Bone Marrow Xenografts in NOG Mice
Published on: January 7, 2019
09:34Dynamic Imaging of Chimeric Antigen Receptor T Cells with [18F]Tetrafluoroborate Positron Emission Tomography/Computed Tomography
Published on: February 17, 2022
Related Concept Videos
Targeted Cancer Therapies
There are several types of targeted therapies against...
Tumor Immunotherapy
Combination Therapies and Personalized Medicine
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...
Treatment Resistant Cancers
Stem Cell Therapy for Tissue Regeneration
Types of Stem Cells used in Stem Cell Therapy
The two main cell...
Cancer Therapies
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...