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Mitigating time toxicity in lymphoma and multiple myeloma.

Authors :
Di, Mengyang
Su, Christopher T.
Cowan, Andrew J.
Gopal, Ajay K.
Banerjee, Rahul
Source :
Leukemia & Lymphoma; Oct2024, Vol. 65 Issue 10, p1418-1429, 12p
Publication Year :
2024

Abstract

The concept of time toxicity in oncology refers to the presence of frequent healthcare-related interactions that can interfere with patient well-being. In this review, we examine several manifestations of time toxicity in non-Hodgkin lymphoma and multiple myeloma and discuss their impact on decision-making with patients. For example, time toxicity may influence the choice of chemoimmunotherapy versus lenalidomide-rituximab in follicular lymphoma. In myeloma, it may inform the optimal dosing schedule for proteasome inhibitors and bisphosphonates. In both malignancies, varying time toxicity profiles are a key distinction between chimeric antigen receptor T-cell therapies and bispecific antibodies. We outline the challenges with measuring time toxicity as a trial endpoint but discuss its importance as a consideration for patient care, both in standard-of-care settings and in clinical trials. Throughout the review, we highlight strategies to lower the time toxicity of therapies in lymphoma and myeloma without compromising their efficacy or patient safety. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
10428194
Volume :
65
Issue :
10
Database :
Complementary Index
Journal :
Leukemia & Lymphoma
Publication Type :
Academic Journal
Accession number :
180040883
Full Text :
https://doi.org/10.1080/10428194.2024.2352086