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WCRC Researcher reviews promising new multiple myeloma trial

Dr Agisilaos Zerdelis

Dr Agisilaos Zerdelis, a researcher at the Wales Cancer Research Centre (WCRC), has been actively reviewing and assessing the latest clinical trial aimed at fighting multiple myeloma, a challenging type of blood cancer. 

The trial, known as MonumenTAL-6, has just enrolled its first two patients and is testing a new combination of drugs that could offer hope to patients whose cancer has relapsed or stopped responding to current treatments.

Multiple myeloma is a blood cancer that affects plasma cells in the bone marrow. While treatments exist, the cancer often returns (relapses) or becomes resistant to available therapies, making it increasingly difficult to treat. For patients in these stages, new treatment options are urgently needed.

MonumenTAL-6 is exploring a combination of medications designed to help the immune system better fight multiple myeloma. One of the drugs being tested, talquetamab, works by boosting the immune system’s ability to recognise and attack the cancer. It is being combined with pomalidomide, an established myeloma treatment, or teclistamab, a novel agent which might further enhance its immune effect. Another medication that will be the treatment option for some of the patients is called elotuzumab, a monoclonal antibody with established anti-myeloma effect.

Dr Zerdelis said: “The MonumenTAL6 trial represents a pivotal advancement in the exploration of myeloma treatment, poised to illuminate previously uncharted aspects of this critical field. At WCRC, we have already initiated patient recruitment, with additional participants in the process of enrolment. Our team is dedicated to ensuring a seamless experience for participants, while delivering exceptional care and support. Among our foremost priorities is the provision of care and services of the highest calibre, coupled with research excellence and an unwavering commitment to the safety of all involved. Compassion remains the cornerstone of our practice, enhancing the specialised cancer care we provide to this unique patient population.”

The primary objective of the trial is to evaluate how effective this drug combination is in controlling the cancer and preventing it from worsening. Researchers are also looking at how long patients live after treatment and how well they tolerate the new combination of drugs.

For patients with multiple myeloma that has become resistant to other treatments, MonumenTAL-6 offers a potential breakthrough. If successful, this new approach could provide a vital treatment option for those with limited alternatives. With the first patients now participating, researchers are hopeful about the potential impact this trial could have on the future of multiple myeloma therapy.