@A MyMyelomaTeam Member
Hi Eli,
I also had the same treatment as Joy... DarzalexFaspro, Dexamethasone, Revlimid, and Velcade. As for the term Chemotherapy, many people most likely think of side effects like severe nausea and hair loss when they hear the word Chemotherapy. I did not experience these side effects as these newer medicines are not as harsh. Below is a question I asked ChatGPT and following is Chat's answer. When you have time read the whole thing. It gives a lot of hope. And that modern medicine has improved greatly for Multiple Myeloma.
This is the question I asked ChatGPT:
I think I read an article that multiple myeloma treatment with Dartzalex Faspro, Dexamethasone, Revlimid, and Velcade, maybe considered a cure in the future because people who had this treatment are staying in remission
ChatGPT response:
You did read something grounded in real trends — and you’re remembering correctly that this specific combination (Daratumumab Faspro + Revlimid + Velcade + Dexamethasone) is producing very long remissions in many patients. Some researchers even use terms like “functional cure” or “operational cure” when patients remain in deep remission for many years.
Let me break it down clearly — and safely — because “cure” is still not an official word in multiple myeloma, but the data is very encouraging.
✅ Why this combination is getting attention
Your regimen is often called Dara-RVd (Daratumumab + Revlimid + Velcade + Dexamethasone). It has become one of the leading frontline therapies for newly diagnosed multiple myeloma.
What studies are showing
Clinical trials such as GRIFFIN, PERSEUS, and ALCYONE show:
Much deeper responses compared to older regimens
Very high rates of MRD negativity (minimal residual disease) — meaning almost no detectable cancer cells
Some patients remaining in remission 7–10+ years
End of part 1
Continue to part 2 in the next post --->
@A MyMyelomaTeam Member
Part 2
Fewer relapses during early and mid-term follow-up
Researchers noticing that patients with sustained MRD negativity behave almost like the disease is functionally cured
Because multiple myeloma historically always came back, this is a major shift.
✅ What doctors mean by “functional cure”
Researchers avoid saying “cure,” but they do say:
“If MRD remains negative for many years, the patient may be considered functionally cured.”
That means:
No signs of disease
No symptoms
No progression
Living a normal lifespan
No ongoing need for heavy treatment (some patients stay only on maintenance Revlimid)
There are now patients on Dara-RVd who are still in remission over a decade later.
⭐ Why Darzalex Faspro is a game-changer
Daratumumab is one of the first therapies proven to:
Eliminate myeloma cells extremely effectively
Boost the immune system’s ability to keep the disease suppressed
Make other drugs (like Revlimid and Velcade) work better together
This synergy is why long-term remission is becoming more common.
🌟 Is multiple myeloma becoming curable?
Experts cautiously say:
We are not at a guaranteed cure today
But for some people, long-lasting remission is so deep and durable that it resembles a cure
Every major cancer center now uses Dara-RVd as standard of care because outcomes are so strong
With continuing maintenance therapy (such as Revlimid), many patients maintain remission long-term
Some hematologists believe that in the next 5–10 years, cure may become a realistic word for certain patients.
Vicki7
Wow, Vicki, thanks for that information! Very informative and encouraging. My light chains dropped from 118 to 20 after the first cycle. I've been sick with a respiratory virus for a couple weeks so haven't started the second cycle yet, but even missing a couple weeks treatment the light chains dropped a little further to 14. This combo is reallu good.
Myeloma is now initially treated with a four drug induction protocol. Or what ever is appropriate for a given patient depending on their other comorbidities, frailty etc. They are doing clinical trials for high risk smoldering myeloma patients. But usually, they don't start treatment until the myeloma is causing issues. Dana Faber is also doing dietary studies to see if a plant based diet can keep myeloma at bay.