Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • News & Views
  • Published:

Hematology

First-line bortezomib benefits patients with multiple myeloma

Bortezomib-based regimens are beneficial in the treatment of patients with symptomatic, newly diagnosed and relapsed or refractory multiple myeloma. Researchers who investigated the efficacy and safety of single-agent bortezomib as first-line therapy in patients with myeloma have particularly emphasized the incidence and management of peripheral neuropathy, which is the most common adverse effect of bortezomib administration.

This is a preview of subscription content, access via your institution

Relevant articles

Open Access articles citing this article.

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

References

  1. Richardson, P. G. et al. Bortezomib or high-dose dexamethasone for relapsed multiple myeloma. N. Engl. J. Med. 352, 2487–2498 (2005).

    Article  CAS  Google Scholar 

  2. Terpos, E. et al. Bortezomib in multiple myeloma. Expert Opin. Drug Metab. Toxicol. 4, 639–654 (2008).

    Article  CAS  Google Scholar 

  3. San Miguel, J. F. et al. Bortezomib plus melphalan and prednisone for initial treatment of multiple myeloma. N. Engl. J. Med. 359, 906–917 (2008).

    Article  CAS  Google Scholar 

  4. Pineda-Roman, M. et al. Sustained complete remissions in multiple myeloma linked to bortezomib in total therapy 3: comparison with total therapy 2. Br. J. Hematol. 140, 625–634 (2008).

    Article  CAS  Google Scholar 

  5. Richardson, P. G. et al. Single-agent bortezomib in previously untreated multiple myeloma: efficacy, characterization of peripheral neuropathy, and molecular correlations with response and neuropathy. J. Clin. Oncol. 27, 3518–3525 (2009).

    Article  CAS  Google Scholar 

  6. Harousseau, J. L. et al. Bortezomib plus dexamethasone as induction treatment before autologous stem cell transplantation in patients with newly diagnosed multiple myeloma: results of an IFM phase II study. Hematologica 91, 1498–1505 (2006).

    CAS  Google Scholar 

  7. Harousseau, J. L. et al. Bortezomib/dexamethasone versus VAD as induction before autologous stem cell transplantion (ASCT) in previously untreated multiple myeloma (MM): updated data from IFM 2005/01 trial [abstract]. J. Clin. Oncol. 26 (Suppl.), 8505 (2008).

    Article  Google Scholar 

  8. Cavo, M. et al. Bortezomib (Velcade)–thalidomide–dexamethasone (VTD) vs thalidomide–dexamethasone (TD) in preparation for autologous stem-cell (SC) transplantation (ASCT) in newly diagnosed multiple myeloma (MM) [Abstract 73]. Blood 110 (Suppl.), 30a (2007).

    Google Scholar 

  9. England, J. D. et al. Distal symmetric polyneuropathy: a definition for clinical research. Report of the American Academy of Neurology, the American Association of Electrodiagnostic Medicine, and the American Academy of Physical Medicine and Rehabilitation. Neurology 64, 199–207 (2005).

    Article  CAS  Google Scholar 

  10. Hulin, C. et al. Efficacy of melphalan and prednisone plus thalidomide in patients older than 75 years with newly diagnosed multiple myeloma: IFM 01/01 trial. J. Clin. Oncol. 27, 3664–3670 (2009).

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Meletios A. Dimopoulos.

Ethics declarations

Competing interests

M. A. Dimopoulos and E. Terpos declare that they are on the speakers' bureau and receive grant/research support from Janssen-Cilag.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Dimopoulos, M., Terpos, E. First-line bortezomib benefits patients with multiple myeloma. Nat Rev Clin Oncol 6, 683–685 (2009). https://doi.org/10.1038/nrclinonc.2009.171

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1038/nrclinonc.2009.171

This article is cited by

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing