Yubin Kang, MD
Several triplet and now quadruplet regimens have demonstrated utility in patients with transplant-eligible and -ineligible multiple myeloma, and these advances are being echoed in the relapsed/refractory setting with monotherapies, such as selinexor and venetoclax (Venclexta).
The combination of carfilzomib (Kyprolis), lenalidomide (Revlimid) and dexamethasone (KRd) is one such regimen poised to enter the paradigm after demonstrating superior objective response rates, irrespective of risk status, and attainment of minimal residual disease negativity compared with carfilzomib and cyclophosphamide/dexamethasone in patients with newly diagnosed disease.
In the relapsed/refractory setting, selinexor and venetoclax have shown potent activity in heavily pretreated and high-risk patient populations, respectively. Pending confirmatory data from the phase III BOSTON trial, which is anticipated to read out by July 6, 2019, the FDA will make a decision on approving selinexor.
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