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December 8, 2025BloodOpen Access

First-line treatment in patients with transplant-ineligible, newly diagnosed multiple myeloma by age, frailty, and comorbidity

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Authors

LHLaura HesterACArantza CampoDZDongyu Zhang

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Overview

Observational data shows first-line treatment varies by frailty and comorbidity burden in transplant-ineligible multiple myeloma patients.

Key Points

  • To characterize first-line treatment patterns in transplant-ineligible patients with newly diagnosed multiple myeloma based on age, frailty, and comorbidity.
  • Identified transplant-ineligible NDMM patients using US health insurance claims databases (Optum, HealthVerity)
  • Categorized patients based on frailty and comorbidity indices
  • Calculated standardized mean differences to analyze treatment regimen patterns
  • Identified 14,933 transplant-ineligible NDMM patients across two databases
  • Most common regimens included VRd, Vd, and Rd
  • Patients with higher frailty more likely to receive doublets over triplets and quadruplets.

Cite This Study

Hester et al. (2025) studied this question.

synapsesocial.com/papers/69362f574fa91c937236da4dhttps://doi.org/10.1182/blood-2025-2784
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