Is a stem cell transplant the best treatment for myeloma? It's a great question, and the honest answer is: it depends on the individual.
For many people with myeloma, an autologous stem cell transplant (using your own stem cells) is a key part of the treatment plan. It's not a cure, but it can help achieve deeper Show Full Answer
Is a stem cell transplant the best treatment for myeloma? It's a great question, and the honest answer is: it depends on the individual.
For many people with myeloma, an autologous stem cell transplant (using your own stem cells) is a key part of the treatment plan. It's not a cure, but it can help achieve deeper remissions and extend the time myeloma stays under control. A stem cell transplant is typically used as part of a broader treatment approach, which includes:
- Induction therapy – to shrink the myeloma before the transplant
- High-dose chemotherapy – to destroy myeloma cells
- Maintenance therapy – after the transplant to keep myeloma under control longer
Studies have shown maintenance therapy with lenalidomide after a transplant can sustain remission for around 57 months in half of patients, compared to 30 months without it. Not everyone is a candidate for a transplant. Age, overall health, and organ function all play a role in whether it's the right option. There are also newer treatments like CAR T-cell therapy and monoclonal antibodies that are changing the landscape.
The best step is to have an open conversation with a hematologist-oncologist to explore what fits best for your specific situation.
August 18
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