Division of Medical Oncology and Haematology, Princess Margaret Cancer Centre, 700 University Avenue, Toronto, Ontario, M5G 1X6 Canada.
Division of Medical Oncology and Haematology, Princess Margaret Cancer Centre, 700 University Avenue, Toronto, Ontario, M5G 1X6 Canada.
Hematol Oncol Clin North Am. 2024 Apr;38(2):441-459. doi: 10.1016/j.hoc.2023.12.007. Epub 2024 Jan 2.
Treatment options have expanded rapidly and widely in the past two decades for patients with multiple myeloma. Triplet novel agent-based induction regimens have been accepted as the standard practice wordwide over the last decade both for transplant-eligible and non-eligible patients. The addition of anti-CD38 monoclonal antibodies as part of quadruplet regimens has led to even deeper and longer-lasting responses. The impressive results shown by the quadruplets havebeen practice-changing where accessible in recent years. Chimeric antigen receptor T cell therapy and bispecific antibodies are being tested in the upfront setting and have the potential to once again shift the paradigm of treatment of newly diagnosed MM.
在过去的二十年中,多发性骨髓瘤患者的治疗选择迅速广泛地扩大。三联新型药物诱导方案在过去十年中已被全世界接受,无论患者是否适合移植。将抗 CD38 单克隆抗体作为四联方案的一部分添加,导致了更深和更持久的反应。近年来,在可及的情况下,四联方案显示出的令人印象深刻的结果改变了实践。嵌合抗原受体 T 细胞疗法和双特异性抗体正在进行前期治疗的测试,有可能再次改变新诊断的多发性骨髓瘤的治疗模式。