For patients who require aggressive debulking in multiple myeloma, what is your preferred chemotherapy regimen and why?
Modified HyperCVAD? V(R)D-PACE? DCEP? Are there any data to favor one over the other?
Answer from: Medical Oncologist at Academic Institution
I prefer VDPACE or KDPACE +/- lenalidomide, for EMD and aggressive myeloma! Our team has good data retrospectively even in patients heavily treated and who are triple RRMM.
There are no prospective data, but happy to collaborate to seek retrospective data to compare efficacy and safety in this popu...
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Medical Oncologist at University of Washington, Fred Hutchinson Cancer Research Center Love this, and completely agree! Every patient who...
Answer from: Medical Oncologist at Academic Institution
I don’t think you will find any convincing data to guide any particular approach. It’s important to note that VD-PACE like regimens, while effective in many ‘hairy’ circumstances, are quite toxic and the decision to move ahead should not be taken likely.
The usual situa...
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Medical Oncologist at University of Washington, Fred Hutchinson Cancer Research Center This is excellently stated on all fronts - I compl...
Medical Oncologist at University of Chicago I dose cyclophosphamide 2 g/m² in two doses, ...
Medical Oncologist at University of Washington, Fred Hutchinson Cancer Research Center Thank you, this is very helpful - likely the simpl...
Medical Oncologist at Virginia Mason Medical Center For upfront therapy and assuming adequate renal fu...
Medical Oncologist at University of Washington, Fred Hutchinson Cancer Research Center Completely agree with this excellent clarification...
Medical Oncologist at Winship Cancer Institute of Emory University Along @Ben Derman's thoughts, remember that VDT-PA...
Medical Oncologist at University of Washington, Fred Hutchinson Cancer Research Center Very well stated, @Craig C. Hofmeister - hear hear...
Love this, and completely agree! Every patient who...