The response rate to bortezomib of 50% or more was found to be a good indicator for prolonged remission at one year. This rate is comparable to many previously published results of the European Commission-approved dose schedules. Bortezomib should be considered as a therapeutic option in patients with multiple myeloma, even in the most critical settings as long as treatment results are carefully monitored.
The most common treatments for multiple myeloma are proteasome inhibitor treatment plus dexamethasone for induction, thalidomide, and bortezomib for consolidation, and autologous stem cell transplantation . In addition, if you want to join a new clinical trial, you can search recent trials by treatment, condition, or location.
Hypercalcaemia, anorexia and abdominal pain are common. Increased kidney function can occur early on and can indicate the presence, and later stage, of multiple myeloma. The degree of renal impairment can predict the time of death.\n
Multiple myeloma affects males more often than females. In our area, nearly all patients are over the age of 70 before diagnosis and patients diagnosed before age 40 have a survival comparable with patients diagnosed later. Survival from multiple myeloma remains short and depends on the disease-free interval, number of courses of therapy, age, and comorbidities at diagnosis.
The causes of multiple myeloma are complex, and vary between the American and European populations. The association between multiple myeloma and infection appears to differ between American and European populations. In the U.S. we have found a clear association while in Europe the data are not as clear-cut.
The National MM Registry of the US National Cancer Institute (USNCI) estimates over 19,000 multiple myeloma patients will be diagnosed in the United States in 2020. The number who are currently diagnosed with multiple myeloma is approximately 10,000 (range 6,000 to 12,000). This number is expected to increase by 3,500 cases over the next 10 years.
There is a limited number of studies and studies are of varying quality. The majority of the trials were single center, of low quality and have results that cannot be generalized. There are no adequately powered prospective randomized controlled trials. Trials should include more patients, study larger geographical areas, and examine the effect of sequential therapies that are known to be effective in relapsed and refractory disease.
The median survival in the United States declined by 11% between 2003 and 2004, but more than half of these deaths occurred in people under 60. The percentage of people with multiple myeloma living 10 years or longer almost doubled between 2001 and 2003, which suggests that multiple myeloma is slowly gaining on-stage survivors.
Survival following treatment with ASCT is longer for all stages of myeloma, although mortality rates still exist. In particular, ASCT has prolonged life and may improve outcomes in patients with myeloma at stage 3 or 4 with ISS or in those older than 80 years with no ISS.
Ixazomib is used as a single agent or in combination with a number of treatments in the treatment of multiple myeloma and in combination with a number of agents in other solid tumors, even in patients with CNS involvement and with bortezomib-refractory disease.
[A large fraction of patients are eligible for MMM with an acceptable complication rate and low treatment delay to follow-up visits. However, the vast majority of trials in MMM have poor power and are likely to reach type II error or even fail to achieve type I error because of inclusion criteria; therefore, patients should probably not be excluded unnecessarily unless there are other concerns.]{Read more about this decision-making process at http://www.withpower.
Genetic predisposition, environmental factors or a combination of both may account for the onset of MM in individual patients. These factors differ from patient to patient indicating different pathogeneses.