Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Transplant beats bortezomib-based therapy for MM, but questions remain

Key clinical point: Autologous hematopoietic stem-cell transplantation (HSCT) beat bortezomib-based intensification therapy in newly diagnosed myeloma, though more research is needed to determine the optimal upfront strategy in eligible patients.

Major finding: Median progression-free survival was 56.7 months for HSCT, compared to 41.9 months for bortezomib-based therapy (P = .0001).

Study details: Results of EMN02/HO95, a multicenter, randomized, open-label, phase 3 study including 1,503 MM patients up to 65 years of age.

Disclosures: The lead author reported receiving honoraria from multiple pharmaceutical companies, and is a member of speakers bureaus for Janssen and Celgene. Dr. Nadeem and Dr. Ghobrial reported serving on the advisory boards of multiple pharmaceutical companies.

Citation:

Cavo M et al. Lancet Haematol. 2020 Apr 30. doi: 10.1016/S2352-3026(20)30099-5.