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This article delves into the diagnosis and initial therapy options for multiple myeloma, comparing the benefits of various immunotherapy approaches. It explores the use of Imids, PIs, Steroids, and novel agents like Blinatumumab, highlighting ongoing trials and outstanding questions in the field.
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Choice of Initial Therapy More toxic Less convenient Is there a long-term benefit to more intensive up-front therapy?
Imids thalidomide lenalidomide pomalidomide PIs bortezomib carfilzomib ixazomib Steroids Dexamethasone Prednisone Cytotoxics cyclophosphamide melphalan doxorubicin bendamustine HDACi panobinostat MoAbs elotuzumab daratumumab
BiTE (bispecific T cell engager) Blinatumumab FDA-approved Baeuerle, Cancer Res 2009