Hon.Assoc.Professor
Univ of Birmingham,Head of Haematolgy, SWBH NHS Trust,interests in Myeloma/Lymph/leukemia,cricket, believes in duty of care@bkcf@bkma
With 20 new drug approvals in 20 years, the treatment of relapsed myeloma may appear complex and daunting. Here is a simple way to approach your patient.
In first relapse, you essentially 3 main choices: CART (ciltacel), Tec-Dara, or one of the standard triplets (DPd, DKd, etc).
In second or later relapse, you have an additional key choice, belantamab.
If the patient is not refractory to dara, omit the dara; bispecific alone or non-dara containing triplet (eg KPd).
How to choose?
We usually decide among these 3-4 key options based on patient choice and feasibility. Some patients may prefer the one shot approach with CART. In some, the disease is too aggressive to consider CART. In some, CART or bispecifics may just not be feasible or available and you have to go with triplet or belantamab.
https://t.co/SRJelvwfKj
Indirect comparison of Ciltacel Vs current 2ndlline regimens ( dvd,pvd,BPd)
Again citadel stands out
But not compared with Bispecific data ( eg majestic 3)
@bloodmed@BritSocHaem@drKamarajk@swbohw@MidlandMetUH
Majestic -3
30mth fup at BSH , TEC - Dara impressive PFS and OS post 1-3 lines of Len exposed / refractory Myeloma
Across all groups
? New SOC at ist relapse
Await NICE
@BritSocHaem@SWBHnhs@MidlandMetUH@bloodmed@SalimShafeek5
NEW BMJ Research: Weight regain after cessation of medication for weight management
https://t.co/EGtJiTeaog
@_WestSam
Linked Editorial exploring how weight management drugs are no magic bullets for treating obesity
https://t.co/E4Zcq4Di0D
Good note to end the year
I spoke to this 89 year old , one of first few elderly AML pts Rx with AZA/Ven, (AXL Mut)
In remission off Rx for 2 years, who would have imagined a few years ago !
Power of science @ASH_hematology@SWBHnhs@BritSocHaem
@MorphologyAmigo@DrNikitaMehra @DrAkhilX @nihardesai89 By the way
This is the current algorithm for managing ITP
There is one drug missing presented at ASH Ianalumab (anti BAFF)
🔹 @BritSocHaem Guideline🔹
Investigation and management of thrombocytosis without JAK2, CALR or MPL mutations: A British Society for Haematology Guideline
https://t.co/MYWkIr5rHd
Fantastic gift from a friend and a colleague!
Tried the new treatment called cricket.
Mood improved.
Happiness achieved.
Science confirmed. 🏏😄 #cricket
#ASH25 Key abstract to watch in acute myeloid leukemia #AML#leusm 🧵
Overall Takeaways
#Menin_inhibitors (revumenib, ziftomenib, enzomenib) are rapidly emerging as key agents in both frontline and R/R AML.
Triplet regimens (VEN/AZA + targeted therapy) show promise across AML subtypes.
Novel immunotherapies (bispecific FLT3×CD3) and CD123-directed therapy continue to expand the therapeutic landscape.
Real-world data in TP53-mutant AML remain critical for optimizing HMA selection.
#ASH25#ASHPlenary#PARADIGM trial
Great work, congratulations to Dr. Fathi and colleagues! #AML#leusm
Summary:
The study met PE for EFS.
Higher ORR and CR in VEN+AZA gp
More pt received transplant in VEN+AZA gp
Better QOL
A little behind the scenes at #ASH25 because so much heart goes into bringing this meeting to life. #ASHkudos to the crew behind the build and to the amazing attendees who make this meeting feel alive.
#Hematology#HemeOnc