Samir Parekh, MD, Icahn School of Medicine, Mount Sinai, New York City, NY, discusses the discovery of pathogenic germline variants in around 8% of patients with multiple myeloma (MM). Many of the affected genes are part of the known causative genes for familial cancer syndromes, such as BRCA1 and BRCA2, and they all disrupt DNA repair mechanisms. Interestingly, patients with these mutations respond better to certain chemotherapies, such as alkylating agents, than patients without germline variants. Prof. Parekh suggests that screening pathways and specific treatment approaches can be developed for these patients. This interview took place during the 2024 American Society of Clinical Oncology (ASCO) Meeting in Chicago, IL.
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