Insights Into Multiple Myeloma Puerto Rico

Perspectives on current treatment practices regarding frontline therapy of multiple myeloma (MM), the evolving role of MRD testing in MM, current treatment practices in later lines of therapy, and attitudes toward recently introduced agents

Puerto Rico – August 15, 2020

Faculty Chair

Melissa Alsina, MD

Moffitt Cancer Center, Tampa, FL, US

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  • Treatment of Newly Diagnosed Multiple Myeloma
    – Risk stratification
    – Selection of induction therapy for transplant-eligible and -ineligible patients
    – Incorporation of 4-drug regimens
    – Transplant: eligibility, timing
    – Maintenance therapy: which patients, which agents (lenalidomide, bortezomib, now ixazomib?), for how long?
    – Evolving role of MRD in multiple myeloma
    – Impact of COVID-19
  • Treatment of Patients in Early Relapse
    – Optimal approach for patients progressing after 1 prior line of therapy
    – CANDOR trial (KdD vs Kd)
    – Optimal integration of mAbs: elotuzumab, daratumumab
    – Impact of prior therapy, depth and duration of prior response
  • Treatment of Patients in Later Relapse
    –  Approach to treatment of patients progressing after ≥2 prior regimens
    – Impact of prior therapy on selection among pomalidomide, daratumumab, or other
    – Weekly vs twice-weekly carfilzomib plus dexamethasone
    – Incorporation of selinexor and venetoclax
    – Impact of prior treatment, patient characteristics, and residual toxicities
    – Focus on emerging options: immune checkpoint inhibitors, CAR T therapy, bispecific antibodies


The group of advisors comprised of community oncologists from Puerto Rico.

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