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What post-auto maintenance therapy do you recommend for patients with high-risk multiple myeloma?

Given recent retrospective study showing potential lack of benefit with bortezomib-based maintenance therapy (Bumma et al., PMID 37021929). High-risk as defined by: deletion 17p/monosomy 17, t(14;16), t(4;14), t(14;20), or abnormality in 1q (gain or amplification)
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Medical Oncology · Winship Cancer Institute of Emory University
Answered on

This is tough. You want each particular risk group to correspond to a maintenance treatment that is likely to benefit the patient - not too much nor too little.

The definition of high risk has changed from one single characteristic or one cytogenetic abnormality to a more additive model such as the ...

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