There have been a number of advances in the treatment of newly diagnosed multiple myeloma, namely the incorporation of quadruplet-based induction regimens for patients with newly diagnosed myeloma, whether they’re transplant eligible or ineligible. So I think it’s firmly established that CD38 proteasome inhibitor IMiD combinations, lenalidomide combinations, are the standard care for newly diagnosed multiple myeloma...
There have been a number of advances in the treatment of newly diagnosed multiple myeloma, namely the incorporation of quadruplet-based induction regimens for patients with newly diagnosed myeloma, whether they’re transplant eligible or ineligible. So I think it’s firmly established that CD38 proteasome inhibitor IMiD combinations, lenalidomide combinations, are the standard care for newly diagnosed multiple myeloma. In a patient who is quad eligible, then I definitely would consider administering the quadruple-based induction therapy, plus or minus transplant. I think the role of transplant is continually involved, especially based on the recently published MIDAS trial, which demonstrates in patients with standard risk multiple myeloma, potentially there could be a role to defer upfront transplant in this context. In patients who may not be quad eligible, then doing a triplet-based regimen would be the optimal induction regimen, either daratumumab, lenalidomide, dexamethasone, or potentially VRd, bortezomib, lenalidomide, dexamethasone for patients who may not be quad eligible.
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