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Adam D Cohen, MD
@CohenAd_MMdoc
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Myeloma Amyloidosis Immunotherapy
Joined November 2013
@SandyWong02111 @brendanweiss anyone know if the European VMD vs. MD trial stratified by cytogenetics? #amyloidosisjc
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Intriguing data but small numbers overall. Mayo group couldn't confirm findings in their series. #amyloidosisjc
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Hi everyone. About 60% had t(11;14). is this representative of what you are generally finding in your practices? #amyloidosisJC
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@myelomacinderel @mtmdphd Depends on target, but haven't seen increased infections with chkpt inhibitors or Elo #mmsm
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@NorthTxMSG agreed. may need combinations of approaches - mAbs, vaccines, cellular therapy to eradicate disease #mmsm
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#mmsm T4 Active vaccination aims to induce patient’s own immune system to attack myeloma cells
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@MyelomaTeacher yes, that's been seen with ckpt inhibitors in other cancers. usually controllable. #mmsm
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@MyelomaTeacher That's the hope but too early to know if will work in myeloma and for how long. #mmsm
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#mmsm Multiple CAR targets in MM: CD19, CD38, CS1, BCMA, CD138, kappa. Recent review http://t.co/PQAq6QKTuM
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@MyelomaTeacher yes, takes patient's own T cells, adds receptor to target MM cell, then infuses back to patient. http://t.co/0cVTp8ub8K
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@myelomacinderel that's the idea that you may get better memory immune response, but not proven yet in humans #mmsm
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@MyelomaTeacher #mmsm ckpt inhibitor here means removing a brake on the immune system. Yes, mAb target receptors on outside of cell
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#mmsm Urelumab: Anti-CD137 agonist Ab – provides costimulatory signal to enhance T and NK cell proliferation, persistence, function
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#mmsm Nivolumab (antiPD1) with no single-agent responses but prolonged SD in subset of rel/ref MM http://t.co/vknllaCHt7
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