The Changing Landscape of Maintenance Therapy in Newly Diagnosed Multiple Myeloma: A Systematic Review With Network Meta-Analysis of the European Myeloma Network (EMN).

Am J HematolJun 18, 2026 (epub)
Clinical ResearchHematologyOncology (Medical)Open access

Heinz Ludwig, Evangelos Terpos, Francesca Gay et al.

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In 30 seconds

This systematic review and network meta-analysis evaluated maintenance therapies for newly diagnosed multiple myeloma. It found that lenalidomide, proteasome inhibitors, and CD38 antibodies improved progression-free survival (PFS), with lenalidomide showing overall survival (OS) benefits in transplant-eligible patients. The daratumumab-lenalidomide regimen provided the greatest PFS advantage.

Key findings

  • Daratumumab-lenalidomide (DR) showed the greatest PFS benefit compared to observation.
  • Significant OS prolongation in transplant-eligible patients was observed with KR, DR, and lenalidomide alone.
  • CD38-directed therapy indicated a trend toward improved OS, unlike proteasome inhibitors.

Why it matters

Understanding the effectiveness of various maintenance therapies is crucial for optimizing treatment strategies in multiple myeloma, particularly in improving patient outcomes such as progression-free and overall survival.

Source

Published in Am J Hematol. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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AI-generated summaries may contain errors or omissions. Verify clinically important information with the original publication.

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