#Myeloma Paper of the Day: Phase 3 CEPHEUS study of Dara+VRd vs. VRd finds MRD-negativity 60.9% for quad vs. 39.4% w/ VRd; ≥CR rates 81.2% vs. 61.6%; sustained MRD negativity (≥12 mos) 48.7% vs. 26.3%, giving 43% lower progression or death risk: https://t.co/42vj4aZyq7. #mmsm
Amyloid neuropathies are treatable and should not be missed. @gabifpucci and I updated the @neudrawlogy amyloid neuropathy infographic and tweetorial that I share below.
Remember that amyloid neuropathy is one of the causes of rapidly progressive neuropathy and that's why you must order serum SPEP/immunofixation, free light chains, and fat aspirate in all these patients and consider a nerve biopsy If rest of work up is inconclusive.
1/x
#ASH24 great talk by @RahulBanerjeeMD hopefully elimination of 24hr UPEP for follow up in MM will become a much needed practice change! No more urine in the fridge
PERSEUS MRD Data:
Maintenance upgraded MRD(-) responses up to 2-3 years later, and appears to be more profound with Dara-R maintenance.
Dara-VRd/Dara-R doubled chances of reaching MRD negativity & sustaining it.
I am more convinced of benefit of dara as part of maintenance
#mmsm
Suggested approach to 1st relapse of myeloma post #ASCO24
Its suddenly more complicated-and bispecifics will change this too.
Bela based triplets >> Dara/Bort/Dex, but CD38+Carfil/Dex still great.
Safety of cilta-cel remains in Q, hard to broadly recommend for now.
#mmsm
🚨 Out now DREAMM-7 from NEJM
BVd vs DVd @NEJM
Full disclosure: I am a co-author
🧵 BVd vs DVd in early relapse myeloma:
N=494 (BVd, n=243; DVd, n=251)
Median follow-up 28.2 months
Median Age: 65
High risk cytogenetics: 17%
EMD: 5% vs 10%
mLOT: 1
Prior dara 1% vs 2%
PI refractory: 9% vs 10%
IMiDs refractory : 39% vs 41%
Lenalidomide refractory: 33% vs 35%
https://t.co/K11DfYOwk3
#mmsm #myeloma #MedEd #medtwitter #USMIRC #Oncology @oncoalert #ASCO24 @USMIRCNEWS
A much overdue great day for people with #sicklecelldisease. Now we need to implement these treatments. Safely. Efficiently. Ethically. Equally.
@nascc_org will be here to help!
https://t.co/ZseZkLrQBV
👏🏽 Dr. Courtney Fitzhugh for pointing out there is no data that #hydroxyurea increases risk of malignancy compared to those not taking, and the benefits are so great, should not be withheld from patients w/ #sicklecell
Dr. Shivi Jain from Rush University Medical Center speaking at the first Sickle Cell Consortium meeting that she has organized at Chicago today along with her esteemed colleagues.