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Panelists discuss how insights from ASH 2024 are shaping the treatment and management of multiple myeloma (MM) with amyloidosis, emphasizing early diagnosis, novel therapies, and personalized treatment strategies to improve patient outcomes.
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Treatment and Management of Multiple Myeloma With Amyloidosis – Insights From ASH 2024
The 2024 ASH conference highlighted key advancements in the treatment and management of MM with amyloidosis, emphasizing early diagnosis, risk stratification, and personalized therapy approaches.
Early Detection and Risk Stratification:
Early diagnosis remains critical to improving outcomes, with biomarkers and imaging playing a growing role.
Risk-adapted approaches help tailor treatment, considering cardiac and renal involvement.
Frontline Therapy:
Daratumumab-based regimens (eg, Dara-VCD, Dara-CyBorD) are preferred for newly diagnosed patients, showing improved hematologic and organ responses.
High-dose melphalan with autologous stem cell transplantation remains an option for eligible patients, although risk-benefit assessment is crucial.
Novel Agents and Combinations:
Emerging data support using BCMA-targeted therapies, including chimeric antigen receptor T cells and bispecific antibodies, particularly in relapsed/refractory cases.
Venetoclax shows promise in t(11;14)-positive amyloidosis, offering a targeted approach.
Supportive Care and Organ Protection:
Managing cardiac and renal complications remains a cornerstone of care.
Novel therapies aim to reduce amyloid burden and improve organ function.
Future Directions:
Ongoing clinical trials explore next-generation immunotherapies and combination strategies to enhance depth and durability of response.
Overall, a multidisciplinary, individualized approach remains essential for optimizing patient outcomes in MM with amyloidosis.