How do you approach patients with AL amyloidosis with t(11;14) who have not achieved a hematologic complete response to induction therapy with 6 cycles of Dara-CyBorD?
Specifically, in the setting of patients that have had a PR or VGPR and are not actively progressing.
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How do you approach patients with AL amyloidosis with t(11;14) who have not achieved a hematologic CR, but not progressing, to induction therapy with 6 cycles of Dara-CyBorD?
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2 Answers
Mednet MemberInvited Expert
Medical Oncology · Mayo Clinic Rochester
Answered on
Achieving an early hem deep response (at least VGPR or better) is crucial for organ response and has demonstrated OS benefit.
I would favor changing treatment even by cycle 4 if the hematologic response is <PR. Early switch in such situations led to improved EFS and better chances for an organ respon...
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Mednet MemberInvited Expert
Medical Oncology · University of Washington, Fred Hutchinson Cancer Research Center
Answered on
Excellent question, and always a frustrating scenario because of how excitedly we discuss the rise of daratumumab with our newly diagnosed patients when they're diagnosed and feeling terrible.
I assume the patient here doesn't have any myeloma-defining events, which is a story for another day (and pr...
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