Year in Review — Multiple Myeloma: 2007-2008

About Year in Review

Year in Review is a unique CME activity that attempts to distill the more than 300 data sets and journal articles in multiple myeloma published in 2007-2008 into a convenient summary of the most clinically relevant papers and presentations. Four myeloma clinical investigators and 25 community oncologists rated each of the aforementioned myeloma articles and presentations based on importance and potential to impact clinical practice. The top 25 papers as determined by these ratings were then divided into two categories — “essential for all oncologists” and “recommended but not crucial to patient care” and are included in Year in Review. Each selected paper is presented as a slide summary highlighting the key findings. Case-based questions that correspond to the papers are also included to enhance didactic presentations and self-directed learning. For a complete overview of the comprehensive vetting process used to select the papers for inclusion in Year in Review, please consult the Editor’s Note.

EDITOR
Neil Love, MD

FACULTY
Andrzej J Jakubowiak, MD, PhD
Sagar Lonial, MD
Robert Z Orlowski, MD, PhD
Paul G Richardson, MD

EDITOR'S NOTE
Year in Review

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PowerPoint Presentations
   

Michele Cavo et al. Bortezomib (Velcade)-thalidomide-dexamethasone (VTD) vs thalidomide-dexamethasone (TD) in preparation for autologous stem-cell (SC) transplantation (ASCT) in newly diagnosed multiple myeloma (MM). Proc ASH 2007.

S Vincent Rajkumar et al. A randomized trial of lenalidomide plus high-dose dexamethasone (RD) versus lenalidomide plus low-dose dexamethasone (Rd) in newly diagnosed multiple myeloma (E4A03): A trial coordinated by the Eastern Cooperative Oncology Group. Proc ASH 2007.

Paul Richardson et al. Lenalidomide, bortezomib, and dexamethasone (Rev/Vel/Dex) as front-line therapy for patients with multiple myeloma (MM): Preliminary results of a phase 1/2 study. Proc ASH 2007.

Sundar Jagannath et al. Bortezomib appears to overcome the poor prognosis conferred by chromosome 13 deletion in phase 2 and 3 trials. Leukemia 2007;21(1):151-7.

Asher Alban Chanan-Khan et al. Activity and safety of bortezomib in multiple myeloma patients with advanced renal failure: A multicenter retrospective study. Blood 2007;109(6):2604-6.

Meletios Dimopoulos et al. Lenalidomide plus dexamethasone for relapsed or refractory multiple myeloma. N Engl J Med 2007;357(21):2123-32.

Donna M Weber et al; Multiple Myeloma (009) Study Investigators. Lenalidomide plus dexamethasone for relapsed multiple myeloma in North America. N Engl J Med 2007;357(21):2133-42.

Robert Z Orlowski et al. Randomized phase III study of pegylated liposomal doxorubicin plus bortezomib compared with bortezomib alone in relapsed or refractory multiple myeloma: Combination therapy improves time to progression. J Clin Oncol 2007;25(25):3892-901.

Jesus F San Miguel et al. MMY-3002: A Phase 3 study comparing bortezomib-melphalan-prednisone (VMP) with melphalan-prednisone (MP) in newly diagnosed multiple myeloma. Proc ASH 2007.

Jean Luc Harousseau et al. VELCADE/dexamethasone (Vel/D) versus VAD as induction treatment prior to autologous stem cell transplantation (ASCT) in newly diagnosed multiple myeloma (MM): Updated results of the IFM 2005/01 trial. Proc ASH 2007.

Thierry Facon et al. Melphalan and prednisone plus thalidomide versus melphalan and prednisone alone or reduced-intensity autologous stem cell transplantation in elderly patients with multiple myeloma (IFM 99-06): A randomised trial. Lancet 2007;370(9594):1209-18.

Michele Cavo et al. Prospective, randomized study of single compared with double autologous stem-cell transplantation for multiple myeloma: Bologna 96 clinical study. J Clin Oncol 2007;25(17):2434-41.

Jeffrey A Zonder et al. Superiority of lenalidomide (Len) plus high-dose dexamethasone (HD) compared to HD alone as treatment of newly-diagnosed multiple myeloma (NDMM): Results of the randomized, double-blinded, placebo-controlled SWOG Trial S0232. Proc ASH 2007.

Amitabha Mazumder et al. The effect of induction therapy with novel agents on stem cell mobilization in multiple myeloma. Proc ASCO 2007.

Marco Ladetto et al. Consolidation with bortezomib, thalidomide and dexamethasone induces molecular remissions in autografted multiple myeloma patients. Proc ASH 2007.

Cyrille Hulin et al. Melphalan-prednisone-thalidomide (MP-T) demonstrates a significant survival advantage in elderly patients ≥ 75 years with multiple myeloma compared with melphalan-prednisone (MP) in a randomized, double-blind, placebo-controlled trial, IFM 01/01. Proc ASH 2007.

Paul G Richardson et al. Safety and efficacy of bortezomib in high-risk and elderly patients with relapsed multiple myeloma. Br J Haematol 2007;137(5):429-35.

Jesus F San-Miguel et al. Efficacy and safety of bortezomib in patients with renal impairment: Results from the APEX phase 3 study. Leukemia 2008;22(4):842-9.

Paul G Richardson et al. Extended follow-up of a phase 3 trial in relapsed multiple myeloma: Final time-to-event results of the APEX trial. Blood 2007;110(10):3557-60.

Bart Barlogie et al. Incorporating bortezomib into up-front treatment for multiple myeloma: Early results of total therapy 3. Br J Haematol 2007;138(2):176-85.

Rakesh Popat et al. Bortezomib, doxorubicin and dexamethasone (PAD) front-line treatment of multiple myeloma: Updated results after long-term follow-up. Br J Haematol 2008;141(4):512-6.

Antonio Palumbo et al. Melphalan, prednisone, and lenalidomide treatment for newly diagnosed myeloma: A report from the GIMEMA — Italian Multiple Myeloma Network. J Clin Oncol 2007;25(28):4459-65.

Antonio Palumbo et al. Prevention of thalidomide- and lenalidomide-associated thrombosis in myeloma. Leukemia 2008;22(2):414-23.

Ashraf Badros et al. Neurotoxicity of bortezomib therapy in multiple myeloma: A single-center experience and review of the literature. Cancer 2007;110(5):1042-9.

Verena Sagaster et al. Bortezomib in relapsed multiple myeloma: Response rates and duration of response are independent of a chromosome 13q-deletion. Leukemia 2007;21(1):164-8.

CLINICAL CASE SCENARIOS AND POLL QUESTIONS

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