Heinz Ludwig, MD, Wilhelminen Cancer Research Institute, Vienna, Austria, presents findings from a study (NCT02891811) comparing induction therapies carfilzomib, thalidomide, and dexamethasone (KTd) and carfilzomib, lenalidomide, and dexamethasone (KRd) followed by maintenance or observation in elderly patients with multiple myeloma (MM). The study reveals similar efficacy between the two regimens, but KRd is poorly tolerated due to neurocognitive issues. Patients receiving carfilzomib maintenance experience a decreased quality of life (QoL), suggesting it should only be used if there is a significant survival benefit, which was not observed in this population. This interview took place at The 10th World Congress on Controversies in Multiple Myeloma (COMy) in Paris, France.
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