MMRF Accelerator Magazine Summer 2016 Edition | Page 9

New drug approvals signal a new era in myeloma therapy Novel drugs and new combinations show promising results for patients. Darzalex® (daratumumab) Ninlaro® (ixazomib) Darzalex, an immunotherapy, Ninlaro is the first belongs to a class of agents oral proteasome inhibitor called monoclonal antibodies (PI) to be approved by (MAb) that have been used successfully the FDA. Proteasomes help remove in the treatment of different cancers. waste created by plasma cells when Daratumumab is the first MAb to be they produce proteins. Proteasome approved in multiple myeloma. It targets inhibitors prevent the waste from a common protein found on myeloma being removed so the toxins in it can cells, CD38, and exerts an attack destroy the myeloma cell. This approval directly on the cell. It also signals the marks a new era of oral convenience for “The MMRF has led the way immune system to take action against proteasome inhibition and may enable funding research on drugs the myeloma cells. an expanded use of PIs in myeloma and that have helped me and Empliciti™ (elotuzumab) Empliciti is the second MAb other plasma cell disorders. Farydak® (panobinostat) many, many others. Right approved for myeloma. It targets Farydak is the first now I’m taking one that a myeloma-unique surface approved myeloma was just approved and it therapy in a class of has changed my life.” protein, CS-1 (also known as SLAMF7). The expression of this receptor is also medicines known as histone deacetylase found on other immune cells, including inhibitors. Farydak inhibits multiple natural killer (NK) cells. This may enzymes that cancer cells need to explain why Empliciti controls myeloma grow and survive. It appears to act by an indirect mechanism, involving synergistically with other anti-myeloma activation of other immune cells such drugs. Farydak also inhibits the growth of as NK cells. new blood vessels needed to fuel tumors. NE W D RU GS — Bob Dickey, multiple myeloma patient 9