Allograft for Myeloma: Examining Pieces of the Jigsaw Puzzle: Examining Pieces of the Jigsaw Puzzle
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Allograft for Myeloma: Examining Pieces of the Jigsaw Puzzle: Examining Pieces of the Jigsaw Puzzle. / Malek, Ehsan; El-Jurdi, Najla; Kröger, Nicolaus; de Lima, Marcos.
in: FRONT ONCOL, Jahrgang 7, 2017, S. 287.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Review › Forschung
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TY - JOUR
T1 - Allograft for Myeloma: Examining Pieces of the Jigsaw Puzzle: Examining Pieces of the Jigsaw Puzzle
AU - Malek, Ehsan
AU - El-Jurdi, Najla
AU - Kröger, Nicolaus
AU - de Lima, Marcos
PY - 2017
Y1 - 2017
N2 - Multiple myeloma (MM) cure remains elusive despite the availability of newer anti-myeloma agents. Patients with high-risk disease often suffer from early relapse and short survival. Allogeneic hematopoietic cell transplantation (allo-HCT) is an "immune-based" therapy that has the potential to offer long-term remission in a subgroup of patients, at the expense of high rates of transplant-related morbidity and mortality. Donor lymphocyte infusion (DLI) upon disease relapse after allo-HCT is able to generate an anti-myeloma response suggestive of a graft-versus-myeloma effect. Allo-HCT provides a robust platform for additional immune-based therapy upon relapse including DLI and, maintenance with immunomodulatory drugs and immunosuppressive therapy. There have been conflicting findings from randomized prospective trials questioning the role of allo-HCT. However, to this date, allo-HCT remains the only potential curable treatment for MM and its therapeutic role needs to be better defined especially for patients with high-risk disease. This review examines different aspects of this treatment and summarizes ongoing attempts at improving its therapeutic index.
AB - Multiple myeloma (MM) cure remains elusive despite the availability of newer anti-myeloma agents. Patients with high-risk disease often suffer from early relapse and short survival. Allogeneic hematopoietic cell transplantation (allo-HCT) is an "immune-based" therapy that has the potential to offer long-term remission in a subgroup of patients, at the expense of high rates of transplant-related morbidity and mortality. Donor lymphocyte infusion (DLI) upon disease relapse after allo-HCT is able to generate an anti-myeloma response suggestive of a graft-versus-myeloma effect. Allo-HCT provides a robust platform for additional immune-based therapy upon relapse including DLI and, maintenance with immunomodulatory drugs and immunosuppressive therapy. There have been conflicting findings from randomized prospective trials questioning the role of allo-HCT. However, to this date, allo-HCT remains the only potential curable treatment for MM and its therapeutic role needs to be better defined especially for patients with high-risk disease. This review examines different aspects of this treatment and summarizes ongoing attempts at improving its therapeutic index.
KW - Journal Article
KW - Review
U2 - 10.3389/fonc.2017.00287
DO - 10.3389/fonc.2017.00287
M3 - SCORING: Review article
C2 - 29322027
VL - 7
SP - 287
JO - FRONT ONCOL
JF - FRONT ONCOL
SN - 2234-943X
ER -