I think there are still very significant unmet needs for myeloma patients. Obviously the treatment paradigm is improving all of the time. There are several things that still concern me.
I think first of all patients are still being diagnosed too late when the myeloma has done significant damage. So delayed diagnosis, number one unmet need...
I think there are still very significant unmet needs for myeloma patients. Obviously the treatment paradigm is improving all of the time. There are several things that still concern me.
I think first of all patients are still being diagnosed too late when the myeloma has done significant damage. So delayed diagnosis, number one unmet need.
I think we need to take thalidomide out of the treatment pathway because it is associated with high rates of neuropathy and we should be using Dara-VRd rather than Dara-VTd because we know that combination of Velcade and Thalidomide are very neurotoxic. I think so those are two unmet needs.
I think the third big unmet need is patients with ultra high risk cytogenetics more than two abnormalities or two or more abnormalities and even with improvements in conventional therapy those patients still don’t do very well.
So my three big unmet needs are we need to make diagnosis more rapidly, we need to get rid of thalidomide from Daro-VTd and replace it with Revlimid, and we need to have a stylized treatment regime for patients with high-risk cytogenetics.
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