Publications by authors named "M Streetly"

Unlabelled: Multiple myeloma remains an incurable plasma cell malignancy despite the rapidly evolving treatment landscape. Chimeric antigen receptor T cells targeted against BCMA have recently shown great promise in relapsed refractory multiple myeloma; however, all patients ultimately still progress from their disease. Lack of CAR T-cell persistence, impaired T-cell fitness in autologous CAR T-cell products and the presence of an immunosuppressive bone marrow (BM) microenvironment are contributory factors to treatment failure.

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Article Synopsis
  • The study compares a treatment protocol for multiple myeloma involving carfilzomib without stem cell transplantation to the standard bortezomib protocol followed by stem cell transplant to determine if the new method is equally effective.
  • Conducted in 19 hospitals in the UK, the CARDAMON trial involved 281 patients and focused on key outcomes, including response rates and progression-free survival after treatment.
  • Preliminary findings showed that the trial successfully randomized patients and is designed to assess the safety and efficacy of the new treatment regimen over a two-year period.
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Multiple myeloma (MM) is a systemic disorder characterised by proliferation of B-lymphocytes and plasma cells in the bone marrow. The primary aims of the management of spinal lesions in MM are pain control and fracture stabilisation. Vertebral augmentation procedures (VAP) can be subdivided into percutaneous vertebroplasty (VP) and balloon kyphoplasty (BKP).

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Chronic Kidney Disease (CKD) is a frequent complication in patients with multiple myeloma (MM) and is associated with adverse outcomes. The use of autologous stem cell transplantation (ASCT) has improved disease outcomes, however, the safety and efficacy of ASCT in patients with CKD has been the subject of debate. To investigate this, we conducted a retrospective analysis of 370 MM patients who underwent their first ASCT, including those with mild, moderate and severe CKD as well as normal renal function at the time of transplant.

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