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December 8, 2025BloodOpen Access

A novel conditioning regimen combining selinexor with melphalan  Improves Survival in Patients with multiple myeloma:a prospective study

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Authors

LMLiangliang MaSYShanglun YangRLRuting Liao

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Overview

Prospective study shows melphalan with selinexor enhances survival in multiple myeloma, indicating manageable toxicity.

Key Points

  • To evaluate the efficacy and safety of a selinexor-melphalan conditioning regimen in patients with multiple myeloma.
  • Prospective study design involving 32 patients with multiple myeloma
  • Selinexor and melphalan administered prior to autologous hematopoietic stem cell transplantation
  • Conditioning dosage adjusted for renal function in one patient with vomiting due to side effects
  • 45% of evaluable patients achieved deeper responses post-transplant
  • 1-year progression-free survival estimated at 90.9%
  • Minimal residual disease was negative in 56% of patients with pre-transplant residual disease
  • No grade 4-5 adverse events or transplant-related deaths observed

Cite This Study

Ma et al. (2025) studied this question.

synapsesocial.com/papers/693624dd4fa91c937236d192https://doi.org/10.1182/blood-2025-5837
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