Multiple myeloma
ICD-10 C90.0 · ICD-11 2A83.1

Treatment of Newly Diagnosed Multiple Myeloma in Patients Under 70 Eligible for Autologous Stem Cell Transplantation

Clinical Scenario

This protocol addresses patients with newly diagnosed multiple myeloma who are aged under 70 years, carry no significant comorbidities, and are medically fit for autologous stem cell transplantation (ASCT). This specific eligibility profile — younger age and absence of comorbidities — defines the treatment pathway described here.

Treatment Approach

Current evidence-based guidelines recommend quadruplet induction regimens as the preferred standard of care in this population, followed by stem cell collection and high-dose conditioning before autologous transplantation — the complete regimen selection, consolidation, and maintenance strategy are set out in the full protocol.

Instant Access to Structured Evidence-Based Regimens

References

  1. In patients aged <70 years without comorbidities, induction therapy followed by HDM and ASCT is recommended [I, A].
  2. Regarding induction therapy before ASCT, DaraVRd and IsaVRd provide the best risk–benefit profile to date among quadruplets and are recommended as the new SOC regimens [I, A], despite not being approved yet by the EMA.
DOI: 10.1038/s41571-025-01041-x
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