How do you approach patients with AL amyloidosis with t(11;14) who have not achieved a hematologic complete response to induction therapy with 6 cycles of Dara-CyBorD?
Specifically, in the setting of patients that have had a PR or VGPR and are not actively progressing.
Answer from: Medical Oncologist at Community Practice
Achieving an early hem deep response (at least VGPR or better) is crucial for organ response and has demonstrated OS benefit.I would favor changing treatment even by cycle 4 if the hematologic response is <PR. Early switch in such situations led to improved EFS and better chances for an organ res...
Answer from: Medical Oncologist at Academic Institution
Excellent question, and always a frustrating scenario because of how excitedly we discuss the rise of daratumumab with our newly diagnosed patients when they're diagnosed and feeling terrible.I assume the patient here doesn't have any myeloma-defining events, which is a story for another day (and pr...
Comments
Medical Oncologist at University of Chicago Great answer - would you continue Dara if still in...
Medical Oncologist at University of Washington, Fred Hutchinson Cancer Research Center Excellent point, and I realized I didn't comment o...
Medical Oncologist at Los Angeles VA Medical Center Hi Dr. @Rahul Banerjee -- can you expand on why yo...
Medical Oncologist at University of Washington, Fred Hutchinson Cancer Research Center Great question @Anthony Bejjani - largely voodoo f...
Medical Oncologist at University of Chicago The whole idea about lenalidomide not being used i...
Medical Oncologist at University of Washington, Fred Hutchinson Cancer Research Center Very glad I asked you @Ben Derman - I thought this...