Table 1.

Recent advances in the treatment of myeloma

Recent advances
Triplet induction with VRD that combines a proteasome inhibitor and an immunomodulatory drug improves OS14  
ASCT improves PFS in the context of modern therapy15  
Posttransplant maintenance (lenalidomide in standard-risk myeloma and bortezomib in intermediate- and high-risk myeloma) improves OS16-18  
Identification and approval of new effective drugs 
 • Carfilzomib (irreversible proteasome inhibitor)19  
 • Pomalidomide (new immunomodulatory analog of lenalidomide)20  
 • Panobinostat (deacetylase inhibitor)21  
 • Elotuzumab (anti-SLAMF7 monoclonal antibody)22  
 • Daratumumab (anti-CD38 monoclonal antibody)23,24  
 • Ixazomib (oral proteasome inhibitor)25  
Identification of investigational drugs with single-agent activity26 
 • Isatuximab (anti-CD38 monoclonal antibody) 
 • Marizomib (proteasome inhibitor) 
 • Oprozomib (oral proteasome inhibitor) 
 • Filanesib (kinesin spindle protein inhibitor) 
 • Dinaciclib (cyclin-dependent kinase inhibitor) 
 • Venetoclax (selective BCL-2 inhibitor) 
 • LGH-447 (pan PIM kinase inhibitor) 
Recent advances
Triplet induction with VRD that combines a proteasome inhibitor and an immunomodulatory drug improves OS14  
ASCT improves PFS in the context of modern therapy15  
Posttransplant maintenance (lenalidomide in standard-risk myeloma and bortezomib in intermediate- and high-risk myeloma) improves OS16-18  
Identification and approval of new effective drugs 
 • Carfilzomib (irreversible proteasome inhibitor)19  
 • Pomalidomide (new immunomodulatory analog of lenalidomide)20  
 • Panobinostat (deacetylase inhibitor)21  
 • Elotuzumab (anti-SLAMF7 monoclonal antibody)22  
 • Daratumumab (anti-CD38 monoclonal antibody)23,24  
 • Ixazomib (oral proteasome inhibitor)25  
Identification of investigational drugs with single-agent activity26 
 • Isatuximab (anti-CD38 monoclonal antibody) 
 • Marizomib (proteasome inhibitor) 
 • Oprozomib (oral proteasome inhibitor) 
 • Filanesib (kinesin spindle protein inhibitor) 
 • Dinaciclib (cyclin-dependent kinase inhibitor) 
 • Venetoclax (selective BCL-2 inhibitor) 
 • LGH-447 (pan PIM kinase inhibitor) 

BCL-2, B-cell lymphoma 2; OS, overall survival; PFS, progression-free survival; PIM, proto-oncogene serine/threonine-protein; SLAMF-7, signaling lymphocytic activation molecule F7.

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