The Myeloma Institute Treats Multiple Myeloma Patients From All Over the World
The Myeloma Institute is an international leader in the treatment and study of multiple myeloma and related diseases and one of the largest referral centers in the world. With a team of dynamic scientists and clinicians, the Myeloma Institute translates advances in the laboratory to novel clinical treatments. The hallmark of the Myeloma Institute is a program of clinical trials that challenge the traditional body of thought on disease treatment in order to improve outcomes.
Superior clinical outcomes have been achieved at the Myeloma Institute through the "Total Therapy" approach, incorporating upfront tandem transplants. Outcomes have improved through the years with the incorporation of new agents such as thalidomide and bortezomib for consolidation and salvage therapies. Click here for graphs. Click here for a presentation on Treatment Approach at the Myeloma Institute.
MIRT utilizes information from Gene Array Analysis for patient management and planning of therapy.
The Myeloma Institute recently reported our Total Therapy outcome data at the annual ASCO meeting in Chicago. Results indicated that Total Therapy 3 (TT3) had improved results in the 85% of patients with low-risk myeloma, as defined by gene expression profiling (GEP). Thus, at 4 years from start of protocol therapy, 85% are estimated to be alive and 80% event-free; of the 70% entering complete remission (CR), almost 90% remain in CR at 4 years. This contrasts with less than one-half of the 15% with high-risk myeloma for these 3 endpoints.
We concluded from these data, as also portrayed in Dr. Barlogie's presentation (see below), that it will be difficult to improve upon TT3 in low-risk disease, while high-risk patients need to have a substantive change in treatment direction.
Consequently, we are now entering a new era of risk-adapted therapy using our very robust GEP predictive model.
Click here to read more about the data and our conclusions.
Click here for The Myth of Incurability, Dr. Bart Barlogie’s 2008 ASCO meeting presentation.
***** MYELOMA IN THE NEWS *****
Thalidomide Continues to Show Benefits Against Myeloma Click here for the story.
UAMS Performs Record 7,000th Myeloma Stem-Cell Transplant Click here for the story.
Part two: Living with Multiple Myeloma
Click here for the story
Myeloma: Quest for CR May Be Misplaced
Click here for the story
For 10 years, artist Cathy Joyce has been cancer-free. But she still takes life one day a time
Click here for the story
Myeloma Patients Flock to Little Rock
Click here for the story
Does a 10-year 10% Continuous Complete Remission Rate for Myeloma Patients Suggest Cure?
Click here for the story
Recent Publications from the Myeloma Institute
Going with the flow, and beyond, in myeloma. Barlogie B, Epstein J, Shaughnessy JD Jr.
Blood, 2008 Nov 15;112(10);3917-8. PMID: 18988869
Thalidomide arm of Total Therapy 2 improves complete remission duration and survival in myeloma patients with metaphase cytogenetic abnormalities.
Barlogie B, Pineda-Roman M, van Rhee F, Haessler J, Anaissie E, Hollmig K, Alsayed Y, Waheed S, Petty N, Epstein J, Shaughnessy JD Jr, Tricot G, Zangari M, Zeldis J, Barer S, Crowley J.
Blood, 2008 Oct 15;112(8);3115-21. PMID: 18492953
Infusion of haplo-identical killer immunoglobulin-like receptor ligand mismatched NK cells for relapsed myeloma in the setting of autologous stem cell transplantation.
Shi J, Tricot G, Szmania S, Rosen N, Garg TK, Malaviarachchi PA, Moreno A, Dupont B, Hsu KC, Baxter-Lowe LA, Cottler-Fox M, Shaughnessy Jr JD, Barlogie B, van Rhee F.
Br J Haematol, 2008 Oct 16; PMID: 18950462
Two Myeloma Institute researchers have received 2007 Fellow Awards from the Multiple Myeloma Research Foundation
Igor Entin, Ph.D., Instructor Osteoblast and their Mesenchymal Progenitors in Myeloma Monoclonal gammopathy of undetermined significance (MGUS) is a benign precurser to multiple myeloma, which is frequently accompanied by severe bone destruction. Progression of MGUS and low stage myeloma to overt osteolytic disease is accompanied by the disappearance of bone building cells, osteoblasts, while osteoclasts, the cells, which destroy bone, increase their activity. Recent findings show that osteoblasts from late stage myeloma can inhibit myeloma cell growth. The funded research proposal will address the hypothesis that interventions, which restore presence of inhibiting osteoblasts in bone, will prevent progression of myeloma and bone damage.
James Stewart, Ph.D., Instructor Investigating CDH2 Function in Myeloma Plasma Cells and Myeloma Stem Cells Multiple Myeloma is dependent on interactions with the bone marrow microenvironment for enhanced growth and survival. Using microarray technology, MIRT researchers have identified the gene, CDH2, which is aberrantly expressed in myeloma plasma cells when compared to normal controls and is reported to interact with cells in the immediate microenvironment. Investigation of CDH2 function will provide insights into the mechanisms by which malignant plasma cells are supported by the bone marrow microenvironment.
Listen to presentations from Myeloma Institute faculty at the June 2007 XIth International Myeloma Workshop:
John Shaughnessy, PhD Towards a Molecular-Based Risk Stratification of Multiple Myeloma
Joshua Epstein, DSc The Scid-hu model for Multiple Myeloma
Bart Barlogie, MD, PhD, Debate II - Should autologous transplant be part of the primary treatment in mm? YES
Our specialized and experienced staff provides
superb medical attention in an atmosphere of friendliness and compassion. Our clinical and basic program is unique in creating rapid application of scientific breakthroughs to treating mutliple
myeloma patients. The quality of the Myeloma Institute's innovative clinical and basic research is known nationally and internationally.
Dr. Bart Barlogie, M.D., Ph.D.
The Myeloma Institute is headed by Dr. Bart Barlogie, M.D., Ph.D., one of the world’s leading experts in the diagnosis and treatment of multiple myeloma.
Dr. Barlogie and his staff are finding out more
and more about myeloma every day and are committed to finding innovative ways to treat the disease. They refuse to settle for anything less than the best for their patients, just one of the reasons people from all over the world come here for treatment.
The Myeloma Institute for Research and Therapy,
evolving from the breakthrough advances of
the
UAMS
myeloma program, is committed to accelerating curative
therapies for multiple
myeloma and related disease
entities through innovative clinical and basic science
research
and outstanding patient care.
Move your mouse cursor over the image below and click on the play button to view a video vignette about Myeloma research at UAMS featuring Dr. Bart Barlogie. Click here for a larger video.
Ines Plog of Hamburg, Germany - Myeloma Institute for Research and Therapy patient, diagnosed Sept. 23, 2003, came to MIRT in December, 2003. In remission since May, 2005.
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