Table 2

Frequently asked questions in relapsed patients with myeloma

QuestionsConsiderations
1. To treat or not to treat asymptomatic relapses When treatment can be safely delayed? 
When early treatment should be administered? 
2. When retreatment should be considered What should be the response duration cutoff? 
3. Which are the best drug associations? Additive effect? 
Synergistic effect? 
4. How to use available drugs Sequential approach? 
Multidrug combination approach? 
5. For how long should a rescue treatment be continued Limited number of cycles? 
Indefinite? 
6. When to consider a rescue second ASCT? What should be the minimal response duration from the first ASCT? 
7. Is there a role for allogeneic transplantation? When should it be considered? 
QuestionsConsiderations
1. To treat or not to treat asymptomatic relapses When treatment can be safely delayed? 
When early treatment should be administered? 
2. When retreatment should be considered What should be the response duration cutoff? 
3. Which are the best drug associations? Additive effect? 
Synergistic effect? 
4. How to use available drugs Sequential approach? 
Multidrug combination approach? 
5. For how long should a rescue treatment be continued Limited number of cycles? 
Indefinite? 
6. When to consider a rescue second ASCT? What should be the minimal response duration from the first ASCT? 
7. Is there a role for allogeneic transplantation? When should it be considered? 

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