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Erschienen in: Annals of Hematology 1/2019

02.08.2018 | Review Article

Glucocorticoids in multiple myeloma: past, present, and future

verfasst von: Nicholas Burwick, Sanjai Sharma

Erschienen in: Annals of Hematology | Ausgabe 1/2019

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Abstract

Glucocorticoids are a backbone of treatment for multiple myeloma in both the upfront and relapsed/refractory setting. While glucocorticoids have single agent activity in multiple myeloma, in the modern era, they are paired with novel agents to induce high clinical response rates. On the other hand, toxicities of steroid therapy limit high dose delivery and impact patient quality of life. We provide a history of steroid use in multiple myeloma with the aim to understand how steroids have emerged and persisted in the treatment of multiple myeloma. We review mechanisms of glucocorticoid sensitivity and resistance and highlight potential future directions to evaluate steroid responsiveness. Further research in this area will aid in optimizing steroid utilization and help determine when glucocorticoid therapy may no longer benefit patients.
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Metadaten
Titel
Glucocorticoids in multiple myeloma: past, present, and future
verfasst von
Nicholas Burwick
Sanjai Sharma
Publikationsdatum
02.08.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
Annals of Hematology / Ausgabe 1/2019
Print ISSN: 0939-5555
Elektronische ISSN: 1432-0584
DOI
https://doi.org/10.1007/s00277-018-3465-8

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