Hematologic Malignancies

NCI-CCC Tumor Board Question   

These are questions being discussed by academics at NCI-Cancer Centers

Questions discussed in this category


Most would argue that gain(1q) in combination with another high-risk feature constitutes ultra-high-risk multiple myeloma, and most would argue (with ...

The OS benefit with Zometa was seen only in patients with myeloma bone disease achieving less than or equal to a partial response. SRE risk reduction ...

For many clinical trials, a screening bone marrow biopsy is necessary to get a new baseline. Do you do the same in real-world practice?

Previous questions have focused on the newly diagnosed setting and choice of bisphosphonate versus denosumab. IMWG guidelines do recommend resuming zo...

Please assume that IVIG is fine (as it is for many Jehovah's Witness patients, since IgG is often not considered a blood product per se).

Would you consider this de novo DLBCL (unable to assess for clonality)? How would you handle prior anthracycline exposure? 

Is the therapeutic purpose of the proteasome inhibitor to maximize total dosage per week or number of infusions per week?

This question seems quite specific but happens quite often. Multi-drug chemotherapy runs the risk of profound cytopenias and infections, while bispeci...

Do you utilize rituximab or any other specific management strategies?

Would you prefer CAR-T or bi-specific or neither? If CAR-T, how do you approach lymphodepletion? 

Which PI and at what dosing intervals? Dexamethasone or not? Emory has now published data with VRd consolidation as well as KPd consolidation, while ...

240-300 mg/m2 prior exposure. How would your management change in young fit/older individuals with comorbidities? Would you obtain interval TTE during...

Do you incorporate PEG-asparaginase or brentuximab vedotin (for CD30-expressing malignant cells) into anthracycline-based induction regimens? Do you c...

If tolerated through Cycle #1, how aggressively do you try to titrate the selinexor dose up toward 100mg weekly or 80mg twice-weekly? And does your a...

How much weight do you give to a hgb/hct threshold versus symptoms?

In this case, the patient had received daratumumab/lenalidomide/dexamethasone as part of a cooperative group trial. Would you say that the patient had...

Does a progressing kappa/lambda ratio > 100 at any point in time warrant treatment, or does one wait to treat patients in the setting of a slowly i...

Frailty Index per Palumbo et al. PMID 25628469Is it practical to apply in clinics? Have you made decision changes based on it?

Venetoclax has demonstrated efficacy in patients harboring t(11;14) mutations but is not FDA approved for MM. Can you expand on what situations you ma...

For example: shorten IMiD duration each cycle, add scheduled G-CSF, add antibacterial prophylaxis, etc.

CAR-T (any specific preference of product?) vs bispecific antibodies vs any other specific agents not previously utilized?

Patient in mid-30s with no major medical history presented with isolated left neck swelling. Incisional biopsy w/ HTLV1/2 associated ATLL, Ki67 of >...


Papers discussed in this category


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The Lancet. Oncology, 2018-07

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JAMA, 2016-11-15

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J Clin Oncol, 2019 Apr 10

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Leukemia, 2018-06

Haematologica, 2021 Jun 01

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The New England journal of medicine, 2015-11-05

Haematologica, 2018 May 24

Blood,

Leukemia, 2011 Jul 01

Haematologica, 2019 Sep 19

Blood, 2017 Aug 17

Blood, 2015 May 28

Clin Lymphoma Myeloma Leuk, 2020 Mar 07

Clin Lymphoma Myeloma Leuk, 2021 Jul 18

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British journal of haematology, 2014-06

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J Clin Oncol, 2016 Feb 29

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Lancet Oncol, 2020 Oct 29

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Leukemia, 2020 Jul 21

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Leukemia, 2022 Apr 11

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Blood Adv, 2022 May 10

Blood, 2022 Dec 15

Blood, 2016 Mar 21

Amyloid, 2017 Apr 23

Leukemia, 2015 Oct 07

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Blood Cancer J, 2018 May 24

Amyloid, 2019 Jan 20

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N Engl J Med,

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Br J Haematol, 2021 Aug 15

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J Clin Oncol, 2022 Jun 04

J Clin Oncol, 2022 Oct 21

Leukemia, 2019-03

Journal of the American Society of Nephrology : JASN, 2007-03

Lancet Haematol, 2019 Mar 11

Blood Cancer J, 2022 Sep 02

N Engl J Med, 2022 Jun 03

J Hematol Oncol, 2021 Oct 30

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Lancet,

N Engl J Med, 2021 Dec 11

Cancer, 2021 Jun 28

Leukemia, 2022 Feb 21

Cancer cell, 2017-06-12

J Neurooncol, 2022 Jun 20

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Lancet Oncol, 2022 Jul 12

Lancet, 2021 Jun 24

N Engl J Med, 2023 Jun 05

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Blood, 2022 Oct 20

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Blood, 2018 Aug 14

American journal of hematology, 2016-09

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The Lancet. Haematology, 2015 May 06

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Blood Cancer J, 2022 Sep 14

The Lancet. Haematology, 2023 Sep 11

The Lancet. Oncology, 2021 Sep 13

The New England journal of medicine, 2019-05-30

JAMA, 2023 Aug 8

Blood, 2017 Jan 31

Blood, 2023 Nov 30

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Blood, 2014 May 29

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Leukemia & lymphoma, 2021 Feb 03

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Blood, 2020 Apr 09

American journal of hematology, 2019-04

Blood advances, 2023 Mar 28

American journal of hematology, 2023 Jul 08

Blood, 2013-10-24

The Lancet. Oncology, 2018-03

Blood cancer journal, 2024 Apr 15

Blood cancer journal, 2019 Nov 25

British journal of haematology, 2019 Dec 09

The New England journal of medicine, 2023 Dec 12

Blood cancer journal, 2024 Apr 22