Mine was caught early when I was asymptomatic with SMM in 2020. It became active in March '24 and the induction consisted of the typical 4 drug cocktail for about 4 months, and I was switched to maintenance until 2 years and got off all medications. I remained asymptomatic the entire time. It has been nearly 4 months since I had any treatment. I feel very fortunate.
13 hours ago
Great news that myeloma was caught early and without major complications — that's a real advantage when it comes to treatment options! After induction therapy, there are typically a few paths forward depending on how well the myeloma responded.
Here's a general overview of what may come next:
- Autologous Stem Cell Show Full Answer
Great news that myeloma was caught early and without major complications — that's a real advantage when it comes to treatment options! After induction therapy, there are typically a few paths forward depending on how well the myeloma responded.
Here's a general overview of what may come next:
- Autologous Stem Cell Transplant (ASCT): For eligible patients, this is often recommended after induction. Your own healthy stem cells are collected, high-dose chemotherapy is given to wipe out remaining myeloma cells, and then your healthy cells are returned to rebuild the bone marrow. Early-stage patients in good health are often strong candidates for this.
- Consolidation Therapy: A few additional rounds of chemotherapy may be given after induction (or transplant) to eliminate any remaining myeloma cells.
- Maintenance Therapy: This is a lower-dose, longer-term treatment to keep myeloma under control and delay relapse. Common options include:
- Lenalidomide (Revlimid) alone
- Lenalidomide with bortezomib (Velcade)
- Lenalidomide with daratumumab (Darzalex)
Being in good health with no organ complications generally means more treatment options are available and better tolerance of therapies. Always discuss with your care team which path fits your specific situation best.
September 20