Mednet Logo
CommunityMedical Oncology

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.
Community PollStarted

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?

17 physicians have voted

Join Mednetto vote and see how they answered.

2 Answers
Mednet Member
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...

Join for free or sign in to see the full answer

Mednet Member
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...

Join for free or sign in to see the full answer