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Clinical Challenges in the Transplant-Eligible Patient With Newly Diagnosed Multiple Myeloma. Multiple Myeloma Choice of Induction Regimen . Multiple Myeloma Competing Induction Regimens.
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Clinical Challenges in the Transplant-Eligible Patient With Newly Diagnosed Multiple Myeloma
Choice of Induction Regimen Use the best drugs early to get maximum remission for as long as possible, both for the standard-risk as well as the high-risk patients.
Timing of HDT/ASCT Patients with no high-risk disease, who are responsive and tolerate therapy, may do extremely well with delayed HDT/ASCT.
Consider No Maintenance For patients with standard-risk disease, stringent CR, normal FLC ratio, who are immunofixation negative in urine and serum, and have completely negative BM.
Consider Triplet Maintenance For patients with a truly high-risk disease (eg, stage III myeloma with high-risk cytogenetics).