By Jennifer Ahlstrom | Posted - Jun 18th, 2019

 

 

 

 

ASCO 2019: Venetoclax Updates with Mike Thompson, MD, PhD, Advocate Aurora Health

Venetoclax is the first drug that was determined to work for a specific type of genetic feature found in multiple myeloma patients called the 11;14 translocation. This means that part of chromosome 11 has swapped places with parts of chromosome 14 on the myeloma cells. This is the most common translocation found in myeloma patients (20% of patients) and is found to be a standard risk feature. Venetoclax works as a BCL-2 inhibitor and other relapsed or refractory myeloma patients can respond to it as well. 

In a Phase 1/2 study (ECOG-ACRIN EAA172), researchers compared daratumumab/bortezomib/dex with daratumumab/bortezomb/dex/venetoclax. In these early studies, safety and dosing are always the goal. This study went on clinical hold (meaning it could not recruit new patients) because of data that came out in a separate study using venetoclax with bortezomib and dex (the BELLINI trial). 

Combination therapy with daratumumab and bortezomib (DVd) has become a standard of care in relapsed/refractory myeloma and the hypothesis is that adding venetoclax could improve outcomes, especially for the t(11;14) patients.

In the Phase II study, 240 patients will be included with 1/3 of patients having t(11;14) and 2/3 of patients having no t(11;14). Investigators are looking forward to the continuation and results of this study. 

 

 

 
Jennifer Ahlstrom
About the Author

Jennifer Ahlstrom - Jenny A - Myeloma survivor, patient advocate, wife, mom of 6. Believer that patients can help accelerate a cure by weighing in and participating in clinical trials. Founder of Myeloma Crowd, Myeloma Crowd Radio, HealthTree and the CrowdCare Foundation.

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