Recent advances in the pathophysiology and treatment of plasma cell dyscrasias

Kazuhito Suzuki1

  • 1Division of Clinical Oncology/Hematology, Department of Internal Medicine, The Jikei University School of Medicine, 3-25-8 Nishi-Shimbashi, Minato-Ku, Tokyo, 105-0003, Japan. kaz-suzuki@jikei.ac.jp.

PubMed

Insights

Multiple myeloma prognosis has improved with new therapies, especially for triple-class-exposed (TCE) patients. Functional cure, involving long-term disease control and suppressed minimal residual disease (MRD), is now a realistic goal.

Area of Science:

  • Hematology
  • Oncology
  • Immunology

Background:

  • Multiple myeloma is an incurable plasma cell cancer.
  • Previous treatments improved outcomes but not for triple-class-exposed (TCE) patients.

Purpose of the Study:

  • To review advancements in multiple myeloma treatment.
  • To highlight improved outcomes in TCE myeloma with novel therapies.
  • To define functional cure as a therapeutic goal.

Main Methods:

  • Literature review of recent clinical trials and therapeutic advancements.
  • Analysis of treatment outcomes in triple-class-exposed multiple myeloma.
  • Definition and exploration of functional cure in multiple myeloma.

Main Results:

  • CAR-T cell therapy and bispecific antibodies significantly improved prognosis in TCE myeloma.
  • Functional cure, characterized by sustained MRD suppression, is achievable.
  • A favorable immune microenvironment is key for long-term disease control.

Conclusions:

  • Novel therapies offer new hope for previously refractory multiple myeloma.
  • Functional cure represents a shift towards long-term management rather than complete eradication.
  • Continued research into immune modulation is crucial for achieving functional cure.

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