MyeNews Summer 2016 Issue no 40 Contents President’s Report In this issue President’s Report 3 MyeNews History4 MSAG Inaugural National Myeloma Workshop 6 Profile – Liz De Nittis7 8 Nurses Report Botanical Art 10 MyeNURSE11 News from NSW 12 Media Release – New drug class gives hope for better treatments for incurable myeloma 13 Tips and Hints 14 Medicine, Nursing and Health Sciences 15 Myeloma Support Line Monday – Friday 9am – 5pm (AEST) 1800 MYELOMA (1800 693 566) A confidential service providing those living with myeloma, their family and friends and health professionals access to specialist myeloma nurses. Open to anyone with a question about myeloma or just to have a chat. NSW Division Report16 SA Division Report17 Victoria Division Report18 Red Day19 Medical Corner20 Calendar of Events 22-23 Wishing you all a Merry Christmas MyeNews – Contact Information For feedback, comments, questions or stories for consideration Contact Pina Civitarese: (03) 9428 7444 (toll free) 1300 632 100 [email protected] and Happy New Year! If you no longer wish to receive the MyeNews please let us know. Design & layout: Greg Loveder Graphics Printed by Eastern Press Find us on Facebook and Twitter Front cover photo: La Trobe Univeristy by Pina Civitarese. 2 MyeNews Summer 2016 Myeloma Australia will close for Chriastmas at 12 pm Friday December 23 and will re-open at 9am Wednesday January 4 President’s Report As I mentioned in the last edition, the Inaugural National Myeloma Workshop was held at the Yarra Valley Lodge. It began with a dinner on the Friday night with a welcome presentation by Professor Doug Joshua and finished at midday on the Sunday with Professor Miles Prince. There were thirty presentations made by physicians and researchers from Australia and New Zealand as well as two overseas visiting speakers, Dr Constantine Mitsiades from the Dana Faber Cancer Institute in Boston, USA and Professor Wee Joo Chng from the National University Cancer Institute, Singapore. There were also a number of posters displayed showing the results of various research projects. About 100 people attended this workshop over the weekend with the general feedback being very good. We are planning on holding this workshop every two years as it was an excellent opportunity for young and established researchers to present their work to their peers. Prizes were awarded to the four top papers presented and they went to Dr Mrozik, University of Adelaide, Dr Hocking, Monash University, Dr Gong, Walter and Eliza Hall Institute and Dr Low, Walter and Eliza Hall Institute. I would like to thank Associate Professor Simon Harrison and his committee for the concept and contents of this Workshop and the Myeloma Staff for the efficient way they managed the weekend. The Services Committee is preparing a five year plan of how we want to grow our services. Our initial thoughts are that we need to increase the number of nurses by another three so that we can increase our level of support to a larger number of our community and spread the word throughout Australia. To do this we need to raise larger amounts of funds and the first step is that we have now employed a fund raiser in Liz De Nittis to help. We welcome her to Myeloma Australia and wish her all the best. Finally she had the operation and everything went very smoothly with the overactive gland removed. Her calcium levels are finally getting back to normal for about the first time in a very long time and as she recovers from the operation we are hoping that she will be feeling very much better. We have now celebrated Ros’ birthday and the 20th anniversary of her diagnosis with myeloma. To Ros this has been a very important milestone and we are planning now for the next 20 years. In December our CEO Steve, Victorian support nurse Nella and myself are off to San Diego, USA to attend the American Society of Haematology’s Annual Meeting and all the associated meetings tagged on. I am looking forward to hearing about the further advances in myeloma treatments and the latest research on the new drugs. We will report on the meeting in the next edition. Best regards I would like to give an update on my wife’s personal journey which I outlined in the last edition. Briefly, her calcium readings had become very high and after several tests and about five different doctors she was referred to a surgeon with the plans to remove a para-thyroid gland which was overactive. On the day before the operation Ros had a heavy cold and the operation was postponed for three weeks. We had been due to go on holidays to Far North Queensland with our two children and our six grandchildren to celebrate our birthdays but this had to be cancelled because of the pending operation. Summer 2016 MyeNews 3 MyeNews History Look how far we’ve come! from strength to strength and continues to grow in a steady and positive way. This has of course been made possible by a small group of Founders who had a strong belief in a cause that not many people were aware of, and the continued work by volunteers, staff, the Board and so many other people. Reproduced on the next page is the front cover of the first edition of the MyeVic newsletter, which has evolved into the MyeNews magazine we produce today. The first edition from November 1999 was four pages long and included up to date information of the day. We always welcome new stories, tips, contributions and ideas that will help us improve the MyeNews, so if you have anything to share please feel free to send it in for consideration to [email protected] That hasn’t changed except for the fact that there is plenty more of it as well as patient stories, fundraising, event news, state reports and news from around the World. MyeNewsMyeNe ws MyseNews We often receive feedback from supporters about how much they enjoy the articles and look forward to reading the magazine. We could not produce it without the contribution of so many people from doctors, scientists, state representatives, our nurses and of course our readers and supporters. We are very proud of the journey we have travelled so far and are excited about where we are headed in the future. Myeloma Australia has gone w MyeNe s New e y M ws e eeNws y eN MyM 015 g2 rin Sp n 2016 Autum 2015 mer Sum e no Issu 35 on cti aA lom ye na M ien l 34 no a Issue b nV o r 2015 Gl eet i Winte m no Issue 16 Winter 20 Issue no 38 Spring 201 6 Issue no 39 Summ er 201 6 Issue no 40 37 Issue no 36 k or tw Ne ws MyeNe n 2016 Autum 37 Issue no 2016 8:59 AM 5/04/ d 1 v1.ind n16_ autum ews_ myen Photo © Nella Combe Steve, Bob & Brian. 4 MyeNews Summer 2016 From the archives… Summer 2016 MyeNews 5 MSAG Inaugural National Myeloma Workshop By Elizabeth Johnson For some time, the MSAG had planned to hold a myeloma-specific workshop to L-R: Dr Peter Mollee, A/Prof Dipti Talaulikar, Dr Hang Quach, Prof Andrew Roberts & Prof Joy Ho. increase the engagement of the national scientific and clinical communities monitoring, to new therapeutics. Two international invited around myeloma research. The untimely death of Prof speakers added greatly to the meeting: Prof Wee Joo Chng Laurence Catley in September 2015 provided the impetus to from the National University Cancer Institute, Singapore, who bring the Workshop to fruition. Laurence was an outstanding is a world-renowned genomics expert; and Prof Constantine myeloma clinician-scientist with a long list of achievements Mitsiades of the Dana Farber Cancer Centre, Boston USA, in the ‘bench-to-bedside’ translation of discoveries to whose work focuses on novel therapeutic targets. improved treatments and understanding of the immune basis A former colleague of Laurence Catley, Constantine was of the disease. an ideal choice to deliver the inaugural Catley Memorial Prof Simon Harrison took the reins as Convenor, ably assisted Lecture. He highlighted the key principles and discoveries by a program committee comprising Prof Joy Ho, Deputy of Laurence’s work, their lasting impact and how they have Chair of MSAG, and Prof Andrew Spencer. Myeloma Australia helped shape the important therapeutic advances now being took up the challenge of managing the meeting logistics and seen in myeloma. He also spoke movingly about Laurence’s did a sterling job. scientific integrity, his ethical approach to science and The program covered scientific and clinical presentations from his overriding principle of care for patients. The memorial the biology of plasma cells, through genomics and disease oration was rounded out with presentations from three brilliant junior scientists, worthy winners of the Catley awards, and who demonstrated that those principles continue among the new generation of researchers. It was a particular honour to have Laurence’s parents, Bob and Patricia Catley present for the ceremony, having driven over from Adelaide. They were pleased to meet with Constantine and some of Laurence’s colleagues from South Australia and Queensland. L-R: Brian, Nella, Steve, Alex & Hayley. 6 MyeNews Summer 2016 Formal evaluation feedback from the meeting indicated that the quality of all aspects of the Workshop was highly rated (with the exception that participants wanted more time for discussions!). The content appealed equally to scientists and clinicians, with the majority indicating they Photo supplied and used with permission Now in its 10th year, MSAG was delighted to celebrate its anniversary by staging the Inaugural National Myeloma Workshop. The Workshop was held in beautiful surrounds at Yarra Valley Lodge over the weekend of 9-11 September and attracted an audience of more than 100 from around Australia and New Zealand. Prof Simon Harrison, Bob & Patricia Catley & Prof Constantine Mitsiades. Prof Wee Joo Chng, Prof Simon Harrison & Prof Constantine Mitsiades. had made new contacts with whom they were planning to follow up after the meeting. Thus the fostering of new translational research connections appeared to have been successfully engendered. The outstanding success of this inaugural Workshop and the demand expressed for future opportunities will see this conference become a biannual event. Profile Liz De Nittis Liz De Nittis was recently appointed as the Fundraising Executive with Myeloma Australia and brings to the organisation nine years of successful experience and skills in the not-for-profit sector. During these years Liz was appointed to senior positions with the Cancer Council Victoria as Chairmanager, FIA Vic Board as Sponsorships Director and the President of the Rotary Club of Albert Park in 2012-2013. These positions were a credit to her reputation in community fundraising. Photo © Pina Civitarese Graduating with a Degree in Management in 2015, Liz based her entire units of study on the NFP sector and this has attributed to her valuable knowledge together with additional courses and networking in the fundraising sector. Liz has been an active member of her Rotary club for the past 17 years and is also an active member of her local life saving club. Her daughter has been a member of the club for nine years and is competing this year to represent the State in the National Championships. They both love being active in outdoor sports. Summer 2016 MyeNews 7 Nurses Report Over the last three months, our myeloma support nurses have been involved in a number of education programs and conferences as well as planning the 2017 calendar. In September, Jo hosted a ‘Myeloma Quiz Night’ in Adelaide with the HSANZ nurses group. Each nurse was given a copy of Myeloma Australia’s Comprehensive Guide which they could use to find the answers to the questions asked. It was a very successful night and we hope to expand the educational evening into our other states next year. Also in September, Nella attended the MSAG Inaugural National Myeloma Workshop in the Yarra Valley where we had two guest speakers Professor Constantine Mitsiades (USA) and Professor Wee Joo Chng (Singapore) as well as a number of Australian speakers both clinicians and scientists. It was a great opportunity to hear about research and network with others who have a special interest in myeloma and its treatment. In November, the annual Australian Haematology conference (HAA) was held in Melbourne with Jo, Nella and Stuart attending lectures and master classes lead by world renowned myeloma clinicians. The first HSANZ symposium of the conference was a ‘Myeloma Update’ where we heard from Professor Andrew Spencer on biology of myeloma followed by a presentation by international speaker Professor Thierry Facon from France on ‘Optimal treatment ASH San Diego, USA. in de novo and myeloma in first relapse’; two excellent talks and very relevant to our roles as support nurses. The international nurse speaker Sandy Kurtin was brilliant and we all gained a lot from her talks on living with cancer from the lens of the survivor and from the lens of the caregiver and the nursing masterclass presentation ‘The continuum of care in MM redefined’. During HAA we attended a breakfast meeting where we were updated on the Myeloma and Related Disease Registry (MRDR) and heard about some of the data that is already being generated by the project and the nurses spent time with Brian and Steve on the trade stand meeting clinicians from across Australia and promoting our resources and services. HAA Stand Melbourne. 8 MyeNews Summer 2016 At the end of November, Nella is travelling to San Diego for the annual American Society of Haematology (ASH) conference. She will be representing the nurses and will meet up with our international counterparts, attending advocacy meetings and attend lectures to hear about the latest research and clinical trial data from around the globe. Photos © Nella Combe & Pina Civitarese MSAG Inaugural Workshop. From the Support Line We recently had a call from a man in his 40’s who had just returned from his haematologist appointment. He was responding well to his initial treatment and the haematologist had discussed with him the option of having a donor (allogeneic) transplant. He wanted to know more about what was involved with a donor transplant and what was the difference between an allogeneic and autologous transplant. They spoke for around 25 minutes and during this time the myeloma support nurse was able to answer his questions about the processes involved, treatment aims, stem cell collection, potential side effects and where to find further information. ASH, Brian Rosengarten & Susie Novis IMF. The nurses have also been working on a survey for our support groups as we recognise that an important aspect of our nursing work is to continuously evaluate what we are doing so that we ensure we are best meeting the needs of the myeloma community. With this in mind, it is envisaged that an evaluation of the support groups will be undertaken early in 2017. It is hoped this will provide us with some useful statistical data but more importantly enable us to recognise areas of improvement in our current model, we are looking forward to hearing from participants and what recommendations they have. As we quickly approach the end of 2016 it is an exciting time to be part of Myeloma Australia and the wider myeloma community. We look forward to an even busier 2017 and hopefully a few steps closer to our ultimate goal- a world without myeloma. Nella Combe Jo Gardiner Jacqui Keogh BUSINESS OF WINNING LUNCHEON 2017 Photos © Pina Civitarese and used with permission. The Business of Winning Luncheon will be held at the MCG Members Dining Room on Friday 10th March 2017. Speakers include Geelong, Sydney and Carlton great and duel Brownlow medallist Greg (Diesel) Williams, Collingwood legend Peter Daicos, Footscray Bulldogs Vice President and Australian of the year nominee Dr Susan Alberti AC, legendary AFL coach David Parkin with more people to be confirmed. TICKETS WILL BE AVAILABLE FROM JANUARY 2017 THROUGH TRYBOOKINGS.COM.AU Summer 2016 MyeNews 9 Botanical Art Myeloma Australia would like to introduce Patricia Elizabeth Ball Victoria State Opera and then Opera Australia. In addition to many Oratorio and concert engagements, Patricia had a long association as a soloist with the Bach Festival at Christ Church South Yarra. Patricia’s involvement with the Myeloma Foundation came in response to her daughter Alexandra’s diagnosis in 2011. Alex underwent an initial treatment with Lenalidomide and a stem cell transplant, as well as having a pin inserted in her left thigh-bone. Alex maintains a career in music as a piano teacher and conductor with the National Boys Choir of Australia, and Director with Melbourne Gang Show. She also enjoys an active recreational life, snow and water skiing each year, and travelling overseas (but not as frequently as she would like!). Alex & Patricia. A professional background in art and music is the backdrop to Patricia Ball’s botanical artwork. A child of English immigrants, she was encouraged to explore the beauty of the natural world and was surrounded by active music making in the home. Her love of art led her to complete training as an art teacher, and she taught in Geelong and England in the late 1950s. After raising three children, Alexandra, Michael and Martin, she returned to work in the 1970s, teaching in several Melbourne secondary schools. In parallel with her teaching, Patricia also enjoyed a 33-year professional singing career as a mezzo-soprano with the 10 MyeNews Summer 2016 In her retirement, Patricia continues to sing, presenting concerts to raise funds for charity, with active support from husband David. On some occasions she is also joined by her children Alexandra and Martin. When the flowers are in bloom, and there are no rehearsals to prepare, she finally finds time to paint! A beautiful series of botanically inspired greeting cards painted by Patricia, will be sold via Myeloma Australia. Patricia and husband, David have kindly donated the cards and all proceeds will help continue our services. Photos © Pina Civitarese Patricia Ball with some of her work. MyeNURSE Nurses work to help improve the lives of those living with myeloma: An update from the HSANZ Myeloma Nurses Group It’s been a busy 2nd half of the year for the myeloma nurses group with hosting of our first annual myeloma nurses seminar at the Alfred hospital in Melbourne; the creation of a communication App ‘myeNURSE’ for our group and a variety of other projects and work in progress. I include a summary of a few achievements in this brief report. “My Muscles”: A program to improve strength, vitality and overall health for those living with myeloma Jacqui Jagger, Nurse Practitioner in Haematology at Gosford Hospital (NSW), has been working on collaboration between the Central Coast Myeloma Support group (CCMSG), the Leukaemia Foundation and local exercise physiology to provide a myeloma specific exercise program. After a few months of preparation the 1st 8 week ‘pilot’ program began on October 20th. Jacqui says “don’t worry if your lycra workout gear has been in the back of the wardrobe since 1984, we won’t be doing that kind of exercise! Please wear comfortable clothes, walking shoes and bring a drink bottle along”. “My Muscles” aims to improve strength, vitality and overall health for people with myeloma by adding exercise physiology to their existing treatment plan. Participants will develop an individualised exercise plan with an accredited Exercise Physiologist Anna, which will be adjusted throughout the program. Anna will also lead group discussions to help build knowledge and confidence in exercising with myeloma. Partners and carers are welcome to join the fun. Medical clearance is essential for everyone! My Muscles is funded by CCMSG from monies raised at the annual myeloma movie night. Registry (MRDR), and had the opportunity to update those 110 nurses in attendance, to the work of our M-SPN. It is clear from listening to the speakers deliver their presentations that MM remains a complex blood cancer with new understanding of tumour biology and the bone marrow microenvironment, providing new targets for treatment. Prof Spencer outlined some of the newer targeted therapies we are able to access in Australia through clinical trials and expanded access programs. Dr Gibbs, Director of the VIC/TAS amyloidosis service presented an overview of amyloidosis, with a focus on systemic AL amyloidosis (monoclonal Ig light chain). A key message form his talk was that AL amyloidosis is a treatable condition with early diagnosis and use of new targeted therapies (as per MM), improving outcomes for patients. The afternoon session focused more on supportive care in myeloma with Daniela Klarica presenting an overview of disease and treatment related effects in MM with a focus on bone and renal issues. She reinforced the nurses role in managing common symptoms and early identification and of side effects to improve outcomes overall. Trish Joyce completed the formal program with an excellent overview of the challenges of identifying and managing infections in this very vulnerable patient group. Infections remain a significant challenge in MM and the nurse’s role in education, assessment and management was again highlighted. If you live in the local Gosford area in NSW and would like to find out more about the CCMSG or the “My Muscles” program, please contact: Photos supplied and used with permission • Jacqui Jagger (CCMSG coordinator) • (02) 43209641 or [email protected] The Inaugural M-SPN Nurses Annual Educational Seminar 2016, The Alfred Hospital, Melbourne: ‘Making sense of a complex cancer: clinical updates and treatment approaches’ The nurses group held its first annual educational seminar at The Alfred Hospital in Melbourne on 6th August. Our focus was on clinical updates and new treatments with a star cast of speakers from The Alfred, VCC, Box Hill and Monash University presenting on a range of subjects aligned to best practice in the treatment of myeloma and amyloidosis. We also had an update form the Myeloma and Related Disease Tracy King recognised for her contribution to the myeloma community as an international affiliate of the IMF Nurse Leadership Board. Summer 2016 MyeNews 11 Our group aims to host an annual nurses meeting and plans are well underway for 2017. The International Myeloma Foundation (IMF) recognises nursing contribution to the myeloma community – The IMF Nurse Leadership Board celebrates 10 year anniversary As one of only 2 international affiliates of the IMF Nurse Leadership Board, I recently attended the annual meeting in Boca Raton, Florida. I believe I was on the plane as long as I was at the meeting! Hosted by Diane Moran from the IMF and chaired by Beth Faiman and Kevin Brigle, the nurse’s board worked towards a range of educational and research projects and publications relating to supportive care in myeloma. At a dinner meeting that night celebrating 10 years of the nurses group, the nurse members were recognised by Diane Moran and the IMF “for their distinguished service to the myeloma community”. International nurse expert attends Haematology Annual Conference in Melbourne Sandra Kurtin, Nurse Practitioner, Clinical A/Professor of Medicine and Adjunct Clinical A/Professor of Nursing at the University of Arizona Cancer Centre (USA) was our international nursing speaker at this year’s annual Haematology conference. Sandra has over 30 years’ experience in caring for those with blood cancers with a specialist interest in Myeloma and Myelodysplastic syndromes. Alongside looking after those living with blood cancers Sandy is undertaking her PhD research studies focusing on caregivers needs and reducing symptom burden. Sandy gave several wonderful lectures during the conference including a nursing ‘Masterclass’ on managing patients undergoing treatment for myeloma. We benefited greatly from Sandy’s time with us in Australia, learning much from her experiences and expert knowledge. Sandy was L-R: Sandy Kurtin (USA), Rosie Hoyt (NZ), Julija Sipavicius (Aus) during HAA 2016 Melbourne. kind enough to participate in some extra visits whilst here, attending meetings at several Melbourne hospitals and RPA in Sydney on her way home to the USA. Our group has made plans to remain in touch with Sandy and will be working on some joint projects ahead. Do you have a nurse with a specialist interest or role in myeloma? Why not recommend they join our group? If you have a nurse who you feel has an interest in myeloma or would like to join our group and benefit from extra information, education and mentorship from other nurses – please encourage them to contact the nurses at Myeloma Foundation who can tell them more. 1300 632 100 Alternatively interested nurses can contact me directly at:[email protected] Tracy King RN MN Chair HSANZ NG Myeloma Nurses Group A guide for people with myeloma The updated version now available for download on our website www.myeloma.org.au/information/ Please note that this is an online version only, there are no hard copies available at this stage. 12 MyeNews Summer 2016 Photo supplied and used with permission Managing Peripheral Neuropathy Media Release “Our research shows that switching off MCL-1 has the potential to be effective new treatment approach for the majority of patients with myeloma,” Dr Gong said. New drug class gives hope for better treatments for incurable myeloma Melbourne researchers have discovered that a new class of anti-cancer agents may be effective in treating multiple myeloma, an incurable bone marrow cancer. The research revealed that the majority of myelomas rely on a protein called MCL-1 to stay alive. Potential drugs that inhibit MCL-1, which are in pre-clinical development, may be a promising new treatment for multiple myeloma. Each year more than 1700 Australians are diagnosed with multiple myeloma, which is a cancer of immune cells called plasma cells. Currently available treatments are only able to halt the progression of the disease and relieve symptoms, but cannot cure the disease. Walter and Eliza Hall Institute researchers Dr Jianan Gong, Dr David Segal, Ms Yuan Yao, Professor Andrew Roberts and Professor David Huang, working with researchers at the Australian Centre for Blood Diseases, Monash University and the Alfred Hospital, investigated the ‘survival proteins’ that keep myeloma cells alive, allowing the cancer to persist. The survival of many cancer types relies on a family of related survival proteins called BCL-2 family proteins, Professor Huang said. “In the past decade there has been considerable interest in the using anti-cancer agents called ‘BH3-mimetics’ to kill cancer cells by blocking the BCL-2 family proteins,” he said. “Recent clinical trials have demonstrated that a BH3mimetic that switches off the protein BCL-2 is an effective treatment for certain forms of leukaemia. “Our latest research has focused on which BH3-mimetics would be the most effective in treating multiple myeloma, a cancer for which new treatments are urgently needed,” Professor Huang said. Dr Gong said the team discovered that the majority of myeloma samples died when MCL-1 was switched off. “In contrast, only around one-quarter were susceptible to inhibiting BCL-2,” she said. “This finding is in keeping with earlier research at the Walter and Eliza Hall Institute that pinpointed MCL-1 as the likely protein that keeps myeloma cells alive. Professor Roberts said that there had been considerable interest in developing anti-cancer agents that target MCL-1. “As yet, these inhibitors are still in pre-clinical development,” he said. “Our results suggest that, once necessary laboratory testing for safety is completed, clinical trials of their effectiveness in treating patients with multiple myeloma that is no longer responding to current therapies would be well justified.” The research was published in the journal Blood. Ms Yao is a medical student Tsinghua University, Beijing, who is a visiting Masters student at The University of Melbourne. Professor Roberts is a clinical haematologist at The Royal Melbourne Hospital and holds the Metcalf Chair of Leukaemia Research at The University of Melbourne. The research was supported by the National Health and Medical Research Council, Cancer Council Victoria, the US Leukemia and Lymphoma Society, the Australian Cancer Research Foundation, the China Scholarship Council and the Victorian Government Operational Infrastructure Support Scheme. The Walter and Eliza Hall Institute is the research powerhouse of the Victorian Comprehensive Cancer Centre, an alliance of leading Victorian hospitals and research centres committed to controlling cancer. For more information contact Vanessa Solomon, Communications Adviser, on +61 3 9345 2971, +61 431 766 715 or [email protected]. In 2017 we will be publishing limited advertisements and promotions in our quarterly MyeNews for the first time. If you would like to promote business or services to the myeloma community Australia wide call Liz at our offices on 03 9428 7444 for details. All advertisements will be subject to Myeloma Australia’s editorial discretion. MyeNews Advertising Rate Ca rd COMMENCED CIRCULATION 1998 DEMOGRAPHIC 2,200 35 - 80 Years READERSHIP 6,500 FREQUENCY Quarterly Overview MyeNews is Myelom a Australia’s own magazine and is widely throughout distributed the myeloma commun includes patients ity in Australia. This and their families, clinics, hospitals, professionals and health supporters of the myeloma commun provides readers ity. MyeNews with the latest expert well with myelom information on how to live a, advice and tips on nutrition, health as well as providin and lifestyle g international and national news on details on local and community research and events. Each edition is read by over 6,000 of the magazine people Australia wide. Advertising rates ¼ Page ½ Page Full Page Back Cover Page per edition (min. $500 ation Quarter Page 122mm (H) x 90mm For all editorial four editions) $ 750 $1,000 Price on Applic Digital artwork must be supplied to the magazine specifications Please note: Rates One-off advertisi are for advertising over four issues. ng is subject to a 30% surcharge Half Page 122mm (H) x 90mm (W) (W) enquiries and advertis Quarterly distribution to the myeloma commu nity HARD COPIES 1,200 DIGITAL SUBSCRI BERS 1,000 BROAD READERS HIP 6,500 ing opportunities please contact Full Page 122mm (H) x 90mm (W) Full Page with bleed 297mm (H) x 210mm (W) +5mm bleed on all sides myenews@myelo ma.org. Summer 2016 MyeNews au 13 Tips and Hints Tips & Hints is from the M-SPN article by Lauren Atkins from Peter MacCallum Cancer Centre Eating well before, during and after your treatment can improve your treatment tolerance, quality of life and survival. DID YOU KNOW: 34% of Victorian haematology patients are malnourished? During treatment, it is important to try and maintain your weight. Weight lost during treatment is often from your muscle mass. This can reduce your strength and energy levels in the short term, and can also slow your metabolism meaning you’re more likely to put on weight in the long term. Choose a well-balanced diet rich in quality protein foods like meat, chicken, fish, eggs, nuts, seeds, legumes and dairy products. Speak to a dietitian through your hospital or GP if you are worried about your nutritional intake, eating less than usual or losing weight. High protein Piňa Colada Smoothie Recipe DID YOU KNOW: A ‘chronic disease management plan’ through your GP can gain you access to 4 subsidised dietitian visits per year. “I know nothing about the subject, but I’m happy to give you my expert opinion!” INGREDIENTS: 2. 1 frozen banana 3. ½ cup pineapple (fresh, frozen or tinned) 4. ½ cup coconut milk or coconut cream 5. ½ cup ice 6. 2 tbsp honey 7. 1 serve vanilla protein powder (e.g. 3 scoops Sustagen or 1 scoop whey protein) 8. 1 tablespoon of shredded coconut Method: Blend all ingredients in blender until smooth. TIPS: • Substitute mango or avocado in place of pineapple for different flavours • Leave out the shredded coconut if you have painful mouth ulcers or a sore throat If in doubt, ask a real expert – an Accredited Practising Dietitian Request a referral through your hospital or GO, or find a dietitian locally at: http://daa.asn.au/for-the-public/find-an-apd/ 14 MyeNews Summer 2016 Medicine, Nursingand andHealth Health Sciences Sciences Medicine, Nursing News from the Myeloma and Related Diseases Registry News from the Myeloma and Related Diseases Registry Recruitment update Recruitment update In November we reached over 1370 patients registered on the MRDR. This would not be possible without the In November we reached over 1370 patients registered support of all participants and participating hospitals. We on the MRDR. This wouldapproved, not be possible without the now have 24 hospitals with Epworth support of all participants and participating hospitals. We Freemasons and Liverpool Hospital amongst the most now have 24 hospitals approved, with Epworth recent. Hollywood Private Hospital in Western Australia is Freemasons the most also now and activeLiverpool and severalHospital new sitesamongst in Queensland will soon Medicine, Medicine, Nursing and Nursing Health and Health recent. Private Hospital in Western Australia is Sciences be Hollywood coming on board. Sciences also now active and several new sites in Queensland will soon Takeda Corp continue to support the MRDR. We be coming on board. News from News thefrom Myeloma the Myeloma and Related and Related DiseasesDiseases RegistryRegistry appreciate their support which enables this important research to continue. Takeda Corp continue to support the MRDR. We appreciate their support which enables this important Newtostaff research continue. RecruitmentRecruitment update update In November we In reached November we 1370reached patients over registered 1370who patients The MRDR welcomes Gordana Kel, over a Research Assistant registered on the MRDR. Thisonwould the MRDR. not beThis possible wouldwithout not be the possible without the Newhasstaff recently commenced with the and registry. Gordana hasWe support of all participants support of allparticipating participants hospitals. and participating hospitals. We Prof. Andrew Spencer presenting at the MRDR breakfast meeting at HAA. have 24 hospitals now approved, have 24 hospitals with Epworth approved, with Epworth experience in now medical research and research administration in Freemasons and Kel, Freemasons Liverpool Hospital and Liverpool amongst the Hospital most amongst the most The MRDR welcomes Gordana a Research Assistant who both clinical and laboratory settings and will provide valuable recent. Hollywood recent. Private Hollywood Hospital in Private Western Hospital Australia in isWestern Australia is progress and the latest data. In addition, the MRDR was has recently withandthe registry. Gordana now active also several active sites and inseveral Queensland newhas sites will in soon Queensland will soon Prof. Andrew Spencer presenting at the MRDR breakfast meeting at HAA. supportcommenced in thealso administration ofnow thenew registry at Monash represented in two oral presentations at HAA about severe renal be coming on board. coming on board. experience in medical research be and research administration in University. impairment in myeloma (Dr Elizabeth Moore), and Autologous Stem Takeda Corp continue Takeda to support Corp continue the MRDR. to support We the MRDR. We both clinical and laboratory settings and will provide valuable progress and the latest data. In addition, the MRDR was Transplantation in Newly Diagnosed Multiple Myeloma (Dr appreciate their support appreciate which their enables support thiswhich important enables this important Cell MRDR attends the Inaugural National support in the administration of the registry at Monash research to continue. research to continue. Krystal Bergin).in two oral presentations at HAA about severe renal represented University. Myeloma Workshop impairment in myeloma (Dr Elizabeth Moore), and Autologous Stem New staff New staff The Myeloma 1000 project Two MRDR posters on severe renal impairment and Cell Transplantation in Newly Diagnosed Multiple Myeloma (Dr The MRDR welcomes TheGordana MRDR welcomes Kel, a Research Gordana Assistant Kel, a Research who Assistant who MRDR attends the Inaugural National autologous stem cell transplants in multiple wereGordana has Krystal Bergin). Recruitment to the Myeloma 1000 Project, a blood biobank has recently commenced has recently with the commenced registry.myeloma Gordana with thehas registry. Prof. Andrew Spencer presenting Prof. Andrew at the Spencer MRDR breakfast presentingmeeting at the MRDR at HAA. breakfast meeting at HAA. experience in medical experience researchinand medical research research administration and research in administration insubstudy of the MRDR, has reached 140 patients between the presented Workshop at the successful inaugural National Myeloma Myeloma both clinical and laboratory both clinical settings and laboratory and will provide settings valuable and will provide valuable progressAlfred, and the latest progress data.and In addition, theFrankston latestthe data. MRDR Inand addition, wasBoxthe was Workshop in Victoria in September. The event was organised St Vincent’s, HillMRDR Hospitals in The Myeloma 1000 project support in the administration supportimpairment in the of the administration registry at Monash of the registry at Monash Two MRDR posters on severe renal and represented in tworepresented oral presentations in two at oral HAA presentations about severe atrenal HAA about severe renal University. University. by Myeloma Australia Melbourne. Thankyou to patients and the hospitals involved for impairment in myeloma impairment (Dr Elizabeth in myeloma Moore), (Drand Elizabeth Autologous Moore), Stem and Autologous Stem autologous stem cell transplants in multiple myeloma were Recruitment theproject. Myeloma 1000 Project, a blood biobank Cell Transplantation Cell in Newly Transplantation Diagnosed inMultiple Newly Diagnosed Myeloma (Dr Multiple Myeloma (Dr and the Medical and your support oftothis MRDR attends MRDR the Inaugural attends the National Inaugural National presented at the successful inaugural National Myeloma Krystal Bergin). Krystal Bergin). substudy of the MRDR, has reached 140 patients between the Scientific Advisory Group The Myeloma 1000 Project is supported by Amgen Myeloma Workshop Myeloma Workshop Workshop in Victoria in September. Theand event was organised Alfred, St Vincent’s, Frankston and Box Hill Hospitals in a on registry-related The 1000 Myeloma project 1000 project Australia, Bristol Myers-Squibb & Janssen-Cilag. Two MRDR postersTwo on severe MRDRrenal posters impairment severeand renal impairment and The Myeloma bystem Myeloma Australia Thankyou toa blood patients anda blood the biobank hospitals involved for invited presentation wasmyelomaRecruitment autologous stem cell autologous transplants in multiple cell transplants myeloma in were multiple were Melbourne. to the Recruitment Myeloma 1000 to the Project, Myeloma 1000 biobank Project, presented at the successful presented inaugural atdelivered the successful National inaugural substudyyour of thesupport MRDR, substudy has reached of the MRDR, 140 patients has reached between 140the patients between the and the Medical byMyeloma ZoeandNational Myeloma of this project. Workshop in Victoria Workshop in September. in Victoria The event in September. was organised The event was organised Alfred, St Vincent’s,Alfred, Frankston St Vincent’s, and Box Hill Frankston Hospitals andinBox Hill Hospitals in McQuilten titled Group Scientific Advisory by Myeloma Australia by Myeloma Australia Melbourne. Thankyou Melbourne. to patients Thankyou and theProject to hospitals patientsinvolved and for hospitals involved The Myeloma 1000 is the supported by for Amgen "Putting the pieces and the Medical and and the Medical your and support of thisyour project. support of this project. and a registry-related Australia, Bristol Myers-Squibb & Janssen-Cilag. Scientific Advisory Group Scientific Advisory Group together – epidemiology, The Myeloma 1000 The Project Myeloma is supported 1000 Project by Amgen is supported by Amgen invited presentation was Season’s Greetings! and a registry-related and a registry-related Australia, Bristol Myers-Squibb Australia, Bristol & Janssen-Cilag. Myers-Squibb & Janssen-Cilag. practice and outcomes in invited was presentation wasAs 2015 comes to a close, we thank you for your contribution! delivered bypresentation Zoe invited Australia and Newdelivered by Zoe delivered by Zoe McQuilten titled We would not have come this far without your generous McQuilten titled McQuilten titled Zealand". "Putting pieces "Putting the pieces "Putting thethe pieces support. We wish you a very happy and safe holiday season. together – epidemiology, together – epidemiology, Season’s Greetings! Season’s Greetings! together – epidemiology, Elizabeth Moore with the MRDR poster at the National Myeloma Workshop practice and outcomes practice in and outcomes inSeason’s Greetings! As 2015MRDR: comes to aAs close, 2015 we comes thank toyou a close, foryou your we thank contribution! youinvolved? for your contribution! How can be practice and and outcomes in and NewWe would not haveWe Australia New Australia come would thisnot far without have come your this generous farthank without your generous As 2015 comes to a close, we youcontributes for your contribution! Ask your treating specialist if your hospital data to Zealand". Zealand". MRDR at the HAA conference Australia and New support. We wish you support. a veryWe happy wishand yousafe a very holiday happy season. and safe holiday season. We would not have come this far without your generous the MRDR and if you are eligible to participate. You will receive Elizabeth Moore with the Elizabeth MRDR poster Moore at with the National the MRDR Myeloma postermeeting at Workshop the Nationalin Myeloma Workshop The MRDR held its annual registry interest group Zealand". MRDR: How MRDR: can you How be involved? can you bethe involved? support. We wish you a very happy and safe holiday season. a patient information sheet about registry, including how to November at HAA, the combined annual scientific meeting of MRDR at theMRDR HAA conference at the HAA conference Ask your treating specialist Ask youriftreating your hospital specialist contributes if your hospital data tocontributes data to opt off ifthe you change your theMoore Haematology Society ofat Australia &interest New Zealand, thein group meeting Elizabeth with the MRDR poster the National Myeloma Workshop the MRDR are MRDR eligible andtoifparticipate. you aremind. eligible You will to participate. receive You will receive The MRDR held its annual The MRDR registry held its annual group registry meeting interest in and if you How be a patient information a patient sheet about information thecan registry, sheet you about including thehow registry, to involved? including how to November at HAA, November the combined HAA, annual the scientific combined meeting annual ofscientific meeting ofMRDR: Australian & New Zealand Society ofatBlood Transfusion, and you change opt your off mind. if youthe change MRDR: your mind. To contact the HAA Haematology Society the Haematology of AustraliaSociety & New of Zealand, Australia the& New Zealand,opt theoff ifAsk your treating specialist if your hospital contributes data to MRDR at the conference the Australasian Society of Thrombosis and Haemostasis. The Australian & New Zealand Australian Society & New of Blood Zealand Transfusion, Society of Blood and Transfusion, and Phone:the 1800 811 326 To contact To MRDR: contact the MRDR: meeting wasitswell attended by 60 attendees representing the Australasian Society the over Australasian of Thrombosis Society and of Haemostasis. Thrombosis The and Thethe MRDR and if you are eligible to participate. You will receive The MRDR held annual registry interest group meeting in Haemostasis. Phone: Email: 1800 811Phone: 326 1800 811 326 [email protected] meeting wasfamily, well attended meeting by wasover well60 attended attendees by representing overindustry 60 attendees representing myeloma patients and clinicians, researchers, a [email protected] patientEmail: information sheet about the registry, including how to November at HAA,myeloma the combined annual scientific of Email: [email protected] patients and myeloma family, patients clinicians, andresearchers, family,meeting clinicians, industry researchers, industryVisit our website!: https://mrdr.org.au and government organisations. They were informed of registry Visit our website!: Visit https://mrdr.org.au our website!: https://mrdr.org.au opt off if you change your mind. and government organisations. and government They organisations. were informed They of registry were informed of registry the Haematology Society of Australia & New Zealand, the Australian & New Zealand Society of Blood Transfusion, and To contact the MRDR: the Australasian Society of Thrombosis and Haemostasis. The Phone: 1800 811 326 meeting was well attended by over 60 attendees representing Email: [email protected] myeloma patients and family, clinicians, researchers, industry CRICOS Provider: Monash CRICOS UniversityProvider: 00008C.Monash MMS388697 University 00008C. MMS388697 Visit our website!: https://mrdr.org.au and government organisations. They were informed of registry CRICOS Provider: Monash University 00008C. MMS388697 Summer 2016 MyeNews 15 NSW Division Report As 2016 rapidly draws to a close I thought it fitting to reflect on my short time with Myeloma Australia. It has been a busy and interesting seven months since beginning my role as NSW Support Nurse. It seemed appropriate that I commenced as the Support Nurse in May Jacqui Keogh. Myeloma Awareness month. During my first few weeks I attended the National Myeloma Day which was held at the Royal North Shore Hospital (in conjunction with the Leukaemia Foundation). The theme this year was ‘The Immune System- Friend and Foe’ and was well attended with over 100 participants. As many of you may be aware, my appointment was the beginning of a new collaboration between Myeloma Australia and the Cancer Council (CC) NSW. I am based at the CC Sydney office at Woolloomooloo which provides a very supportive environment. Being based in the 13 11 20 office (CC Information and support line) fits well with the Myeloma support line role and I now co facilitate the fortnightly Myeloma Telephone Support group with the CC. This is a free, state wide service and provides a valuable opportunity for those individuals living with Myeloma to access support from the comfort and privacy of their home. If you are interested in joining the myeloma telephone support group you can either contact me through Myeloma Australia or the Cancer Council directly on call. View of Sydney. Over the past few months I have been busy getting out and meeting people and attempting to visit as many of the support groups as possible. NSW has a large geographical spread and there are currently five Myeloma Information and Support Groups; Royal Prince Alfred (RPA), Westmead, Central Coast, Newcastle and Shoalhaven. As I am sure you can appreciate the geographical spread and number of support groups presents challenges working only two days per week. However, by the end of the year I hope to have visited all the groups at least once. My most recent visit was to the Central Coast to meet with Jacqui Jagger and the support group at Gosford. I was warmly welcomed and participated in lively and interesting discussions. Many of the participants of this group were also part of the “My Muscle” pilot program. This is a myeloma specific exercise program that is referred further in Tracy King’s Myeloma Nurses report. The benefit of exercise has been a recurring topic at all the meetings throughout the year. All the support group leaders are doing an amazing job and I will continue to work with them next year as needed to secure speakers and attract new members to the groups. As we move towards 2017 planning is beginning for the various myeloma related education workshops and seminars. Please look out for future dates for NSW activities in 2017. I look forward to meeting many more of you in the myeloma community next year. Jacqui Keogh Myeloma Support Nurse Peripheral Neuropathy booklet available online at www.myeloma.org.au 16 MyeNews Summer 2016 Photo supplied and used with permission As part of the Myeloma Support Nurses group (Hayley, Nella & Jo) across the states we review and develop publications, presentations and workshops. There has been an update to the Peripheral Neuropathy guide as well as the Comprehensive Guide both of which are available on the Myeloma Australia Website, www.myeloma.org.au SA Division Report By Ian Driver We have been very busy since the last magazine, with meetings, activities and a seminar and I have been so grateful for the help from my fellow committee members for filling in for me while I’ve been sick, especially our support nurse, Jo Gardiner and committeeman Dom Scoleri. In October, we had an oncology massage therapist, AnneMarie Halligan explain what the therapy entailed and how it can help cancer patients. Many studies have been undertaken and there are statistics showing improvements for patients in areas like pain management, fatigue, anxiety, nausea and depression. This slower form of massage stimulates the cell surface receptors which helps the immune system. Some hospitals and wellness centres are taking up this therapy. At the December meeting, we tackled the topic of pain management. We had Dr. Medhat Wahba from Flinders Medical Centre explain how pain pathways and different families of pain medications work. He emphasised that treating chronic pain is about caring for the whole person, mentally, emotionally and physically. How chronic pain is felt depends on an individual’s previous exposure to pain, emotional and medical history, social support, level of physical activity and determining if the cause of the pain aligns with what the patient perceives is the cause of their pain. The Mid-North Support Group had their regional seminar on Saturday, 19th November with great speakers, Dr. Cindy Lee, a haematologist from the Royal Adelaide Hospital (RAH), talking about myeloma, treatment, drugs and clinical trials. Dr. Lawrie Palmer from the Pain Management Unit at Modbury Hospital explained how modern drugs can minimalize the pain caused by myeloma and the side effects of the treatment drugs. The Mid-North is his area of influence, so he was a useful choice of speakers. On all reports, there was a good turnout and a good day. Anne-Marie Halligan & Jo Gardiner. The South-East Support Group have been going along very well in its short history. Being a long way from treatment centres in Adelaide, the patients & carers have bonded very well and become a very tight social unit. They are now looking towards their next main event with the regional seminar on Friday, 10th February, 2017. We have been very fortunate to secure Stuart McDonald, Myeloma Australia’s Holistic Consultant as key speaker, with our support nurse, Jo Gardiner as second speaker. Snowtown Seminar. We are very grateful to Assoc/Prof. Andrew Zannettino for allowing us to, once again visit his Myeloma Laboratory in the SAHMRI Building on North Terrace, Adelaide. Andrew is always a great host and tour guide and has already offered us another tour, probably in April, 2017. Photos © Ian Driver The Committee is already planning on guest speakers for next year’s support group meetings and seminars, so we hope everyone gets behind these events. We hope that everyone has a Merry Christmas and a happy and healthy New Year and continue to support each other in 2017. Dr. Medhat Wahba. Ian Driver, Chairman T: 08 8552 6097 E: [email protected] Summer 2016 MyeNews 17 VIC Division Report By Nella Combe The Victorian information and support groups continue to provide the opportunity for people with myeloma and their carers, to come together and hear from a variety of speakers, ask questions and share knowledge. Our Mount Eliza group had a presentation from the Nordic Academy about the benefits that this particular type of exercise can have particularly for those with balance issues, fatigue, weakness and peripheral neuropathy. Patrick was an energetic speaker and we hope to have him present at some of our support groups next year. At our Geelong and Beaumaris groups we had some new members attend for a Q&A session. These sessions are Geelong Support Group Xmas lunch. always interactive and enjoyable, the group can guide the discussions and share information from their experiences to help others. An example of some of the many topics discussed include side effect management, stem cell transplants, clinical trials and monoclonal antibodies for myeloma. Our Kew group has two new leaders, Jill and Helen who have been involved as members of the group and Victorian Committee for a number of years. They have been very proactive in their new roles and have already completed an evaluation of the group in the form of a survey to help guide them in their roles and make the meetings as productive as possible. From the evaluation we have received feedback that participants like the current structure and have provided some very good suggestions for future topics of discussions and speakers. A number of people commented on the importance of the ‘social aspect’ of the meetings as being equally as important as the presentations and speakers. This provides the opportunity for members to mingle over a cuppa and discuss things in a less formal way. The final meeting of the year for each of the groups is an informal Christmas lunch at a local eatery which the groups have organised. Next year we will start a new group at the Coburg Library which will meet second monthly. It is the first information and support group in Melbourne’s northern suburbs and we are looking forward to bringing together the myeloma community who are seen at hospitals such as the Austin, Western, Northern and Peter MacCallum. Jo Gardiner. Prof Miles Prince at La Trobe. La Trobe Seminar, 18 MyeNews Summer 2016 Photos © Nella Combe, Pina Civitarese & supplied Helen, Linda & Catherine at La Trobe Seminar. In November, our annual LaTrobe seminar hosted Professor Miles Prince and our South Australian Support Nurse Jo Gardiner. The ‘Myeloma Overview’ presented by Professor Miles Prince was very interesting and covered the usual topics of myeloma pathology and treatments but also included a large La Trobe Seminar. discussion on genetic mutations and the notion of providing tailored treatments to individuals in the future. Jo Gardiner spoke about supportive care including myelosuppression, thrombosis, peripheral NMD. neuropathy and managing the side effects of steroids. Both speakers presented very well with participants taking notes and asking a lot of great questions throughout the morning. The seminar also signified the twelve month mark for me as the Victorian Support Nurse at Myeloma Australia. I can’t help but reflect on the last twelve months and all that we have achieved. I recall being at the seminar twelve months prior amazed at the energy of the Victorian group, I could see that I was entering something very special and felt very privileged to be a part of it. I have learnt so much from the group and have met some truly wonderful people, I am incredibly proud of all that we have achieved in the last year and look forward to building on this in 2017. Thank you and I wish you all a very happy holiday season and new year. MSAG Nella Combe Myeloma Support Nurse RED DAY Toula Loizos was a language teacher of an extraordinary calibre at Blakehurst High School since 2005. In that time she not only excelled in her instruction of the Greek language but also made a very tangible difference in the lives of the students that she taught. Toula was one of those rare teachers who knew how to encourage and bring out the best in the students she taught. Despite her own personal battle with multiple myeloma, Toula never once allowed it to cloud or interfere with what she saw as her duty and responsibility towards her students. She was admired by her students and colleagues alike for her unwavering enthusiasm, educational prowess and her ability to see the positive in every situation. As Toula’s favourite colour was red, Red Day was held in her honour. The students set up food stalls selling red food and raised $1,100. The day was not only to raise funds for Myeloma Australia, but also to commemorate the life of a truly remarkable teacher and colleague. Although she is no longer with us she will never be forgotten and Blakehurst High has committed to holding this fundraiser on an annual basis in her memory. Summer 2016 MyeNews 19 Medical Corner Daratumumab, Lenalidomide and Dexamethasone in Relapsed or Refractory Myeloma (New England Journal of Medicine October 2016) In the phase IIb STORM trial, the overall response rate (ORR) with selinexor was 20.5% among 78 patients with relapsed/ refractory multiple myeloma. This was a randomized, open-label, multicenter, phase III trial designed to assess the benefit from addition of daratumumab to lenalidomide and dexamethasone vs lenalidomide and dexamethasone alone in 569 patents with relapsed and/or refractory multiple myeloma. Adding Carfilzomib Improved Health-Related QoL for Multiple Myeloma Patients (Journal of Clinical Oncology) Adding daratumumab to lenalidomide and dexamethasone significantly lengthened the duration of progression-free survival (12 months PFS, 83.2% vs 60% for daratumumab and control groups, respectively) among patients who had relapsed or refractory multiple myeloma The addition of carfilzomib to lenalidomide and dexamethasone (KRd) improved health-related quality of life (QoL) compared with treatment with lenalidomide/ dexamethasone alone (Rd) among patients with relapsed multiple myeloma enrolled in the ASPIRE trial. These improvements were achieved without any negative affect on patient-reported symptoms, according to a study published. Evaluation of Serum-Free Light Chains for Response in Light Chain Multiple Myeloma (Blood October 2016) Results of the primary analysis of the trial showed that patients assigned to KRd had significantly longer progressionfree survival compared with patients assigned to Rd. This study compared analyses of urine and serum samples from 113 patients with multiple myeloma expressing light chains only (light chain multiple myeloma; LCMM) enrolled in the IFM-2009 trial. Free light chain (FLC) proteins were detected by monoclonal antibodies in 100% of the serum samples compared with 64% of the urine samples in which FLC was detected by urine protein electrophoresis (UPEP). Progression-free survival was poor for patients with elevated serum FLC levels after three treatment cycles (P = .006). However, there was no association between progression-free survival and elevated UPEP levels after three treatment cycles. Statis Are Associated With Reduced Mortality in Multiple Myeloma (Journal of Clinical Oncology) The authors conclude that monitoring LCMM patients via serum samples improves sensitivity and prognostication compared with urine-based monitoring. Ixazomib and Dexamethasone in Patients with Relapsed Multiple Myeloma Not Refractory to Bortezomib (Blood October 2016) The authors of this phase II randomized trial sought to determine the efficacy and toxicity of ixazomib in combination with dexamethasone in relapsed myeloma. Patients were randomly assigned to receive either 4 mg or 5.5 mg of ixazomib in combination with 40 mg dexamethasone. In total, 43% of patients achieved confirmed partial response or better; 31% were responsive in the 4-mg group, and 54% were responsive in the 5.5-mg group. The authors conclude that ixazomib with dexamethasone has good efficacy in relapsed myeloma and is generally welltolerated. Notably, both response rate and toxicity are higher at the 5.5 mg dose. Selinexor Shows Promise in Heavily Pretreated Myeloma Keith Stewart MD Mayo Clinic Selinexor (KPT-330) demonstrated promising clinical activity in patients with heavily pretreated multiple myeloma, according to Karyopharm Therapeutics, the manufacturer of the selective inhibitor of nuclear export. 20 MyeNews Summer 2016 This retrospective cohort study identified 4957 patients diagnosed with multiple myeloma (MM) from the Veterans Administration Central Cancer Registry, of whom 2294 received statin therapy (medications used to treat high cholesterol). The use of statins was associated with significant decreases in all-cause (21%) and MM-specific (24%) mortality. A 31% decreased risk of skeletal-related events was observed. This study suggests potential benefits of statin therapy which warrant further investigation in prospective studies. Association of Minimal Residual Disease With Superior Survival Outcomes in Patients With Multiple Myeloma (Oncology October 2016) This meta-analysis included 21 studies reporting minimal residual disease (MRD) status and progression-free survival (PFS) or overall survival (OS) in 20 or more patients with multiple myeloma following treatment. Patients with complete responses or MRD-negative status had significantly improved PFS and OS. These findings support the inclusion of MRD as an endpoint in clinical trials of patients with multiple myeloma. Safety and Efficacy of Lenalidomide Combined with Low-Dose Cyclophosphamide and Prednisone in Lenalidomide-Refractory Multiple Myeloma (Oncology October 2016) This phase I/II study included 67 patients with lenalidomiderefractory multiple myeloma and was conducted to evaluate the safety and efficacy of the combination of lenalidomide with low-dose cyclophosphamide and prednisone. The overall response rate was 67% at the maximum tolerated dose, which was 25 mg lenalidomide (days 1–21/28 days), 50 mg/day cyclophosphamide, and 20 mg/day prednisone. The median OS and PFS were 29 and 12.1 months. Overall Survival of Patients with Relapsed Multiple Myeloma Treated With Panobinostat or Placebo Plus Bortezomib and Dexamethasone (The Lancet, Haematology) of patients achieving MRD-negative status even in the relapsed/refractory setting. This was a final overall survival analysis of a randomized, placebo-controlled, double-blind, prospective multicenter phase III study comparing panobinostat vs placebo in combination with bortezomib and dexamethasone in 768 patients with relapsed, refractory multiple myeloma (rrMM). Median overall survival in the treatment and placebo groups was 40.3 vs 35.8 months, respectively. The authors concluded that, while panobinostat offers a progression free survival benefit in combination with bortezomib and dexamethasone, no clear overall survival benefit was observed, warranting further study to optimize this regimen. Summary from American Society of Clinical Oncology 2016 Annual Meeting November 2016 by Shaji Kumar MD, Mayo Clinic The data presented at ASCO 2016 clearly demonstrate continued improvement in the therapeutic options for patients with MM. The introduction of immune therapies, particularly monoclonal antibodies, has been an area of great interest. The phase III trial of daratumumab in combination with bortezomib and dexamethasone showed significant efficacy, with very high response rates and a high proportion Also of great interest is the combination of the checkpoint inhibitor pembrolizumab with lenalidomide and dexamethasone. Although KEYNOTE-023 was only a phase I trial, the high response rate in lenalidomide-refractory patients was quite striking and again highlights the fact that immune approaches can potentially overcome common resistance mechanisms to current classes of therapies, such as proteasome inhibitors and immunomodulatory drugs. In addition to the new drugs that are increasingly changing the paradigm of therapy in MM, other studies addressed important questions about how existing treatments should be used. The meta analysis of maintenance trials clearly demonstrated improved OS with lenalidomide maintenance. Unfortunately, the reduced benefit of maintenance therapy seen in patients with high risk disease also highlights the ongoing need for treatment choices for this population. Finally, results from the EMN02/HO95 trial discussed here and the Attal and colleagues study presented at ASH 2015 demonstrate that ASCT continues to play an important role in patients with newly diagnosed MM who are eligible for this procedure. They also make clear that patients have the additional option of delaying stem cell transplantation to first line salvage therapy. MYELOMA DRUG GUIDE Drug Class Proteasome Inhibitors Immunomodulators Alkylating Agents Corticosteroids Histone Deacetylase Inhibitors Bisphosphonates Monoclonal Antibodies Name Abbreviations Brand Name TGA Approved On PBS Bortezomib Carfilzomib Ixazomib Thalidomide Lenalidomide Pomalidomide Melphalan Cyclophosphamide Dexamethasone Prednisone Panobinostat Zoledronic Acid Pamidronate Daratumumab Elotuzumab btz, bor,V cz, car, K I thal, T len, R pom, P mel, M CTX, Cy, C D, d, dex, DXM pred, P Velcade Kyprolis Ninlaro Thalomid Revlimid Pomalyst Alkeran Cytoxan Decadron Deltasone Farydak Zometa Aredia Darzalex Empliciti Yes No No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes No* No Yes Yes Yes Yes Yes Yes Yes No Yes Yes No No zol pmd dara elo, E Approved by TGA – This drug is it is approved for use in Australia for myeloma On PBS – This means the drug is subsidised under Australian Pharmaceutical Benefit Scheme under strict guidelines *Carfilzomib is currently before the PBAC for approval to be subsidised on the PBS Summer 2016 MyeNews 21 Calendar of Events Victoria Event Date Location Time Organisation Contact Mt Eliza Information and Support Group Thur Jan 19th Mount Eliza Community Hall 90-100 Canadian Bay Rd, Mount Eliza 10am – 12 noon Myeloma Australia Nella Combe [email protected] 0447 334 435 Beaumaris Information and Support Group Thur Feb 2nd Beaumaris Theatre 82 Wells Rd, Beaumaris 10am – 12 noon Myeloma Australia Nella Combe [email protected] 0447 334 435 Gippsland Seminar Fri Feb 3rd Gippsland Rotary Centenary House 39 Valley Drive, Traralgon, VIC 1pm – 3pm Myeloma Australia Nella Combe [email protected] 0447 334 435 Kew Information and Support Group Thur Feb 9th Kew Library Corner Charles St & Cotham Rd, Kew 10am – 12 noon Myeloma Australia Nella Combe [email protected] 0447 334 435 Geelong Information and Support Group Fri Feb 10th SCC Meeting Room (Andrew Love Centre) 70 Swanston St, Geelong 10am – 12 noon Myeloma Australia Nella Combe [email protected] 0447 334 435 Holmesglen Seminar Sat Feb 18th Cnr Warrigal & Batesford Rds, Chadstone 10am – 12 noon Myeloma Australia Nella Combe [email protected] 0447 334 435 Younger Persons Information and Support Group Thur Feb 23rd Myeloma Australia – Head Office 333 Swan Street, Richmond 6pm – 8pm Myeloma Australia Nella Combe [email protected] 0447 334 435 Coburg Information and Support Group (NEW) Thur March 2nd Coburg Library Corner Victoria and Louisa Streets, Coburg 10am – 12 noon Myeloma Australia Nella Combe [email protected] 0447 334 435 South Australia Event Date Location Time Organisation Contact Fullarton Coast Information and Support Group Tues Feb 7th Fullarton Park Centre 411 Fullarton Rd, Fullarton 10 am – 12 noon Myeloma Australia Ian Driver - [email protected] (08) 8552 6097 1800 MYELOMA (693 566) South East Regional Seminar Fri Feb 10th Katnook Estate – Coonawarra (6km north of Penola) Mid North Information and Support Group Thur Feb 23rd Snowtown Hospital Snowtown 12 noon – 2 pm Myeloma Australia Bronwyn Gerschwitz (08) 8664 0682 [email protected] 1800 MYELOMA (693 566) Fullarton Coast Information and Support Group Tues April 4th Fullarton Park Centre 411 Fullarton Rd, Fullarton 10 am – 12 noon Myeloma Australia Ian Driver - [email protected] (08) 8552 6097 1800 MYELOMA (693 566) 11.30 am – 2.30 pm Myeloma Australia Carol Koch (08) 8765 9014 1800 MYELOMA (693 566) Myeloma Support Groups Facilitated by Leukaemia Foundation State VIC VIC NSW NSW ACT WA 22 MyeNews Summer 2016 Location Preston Bendigo Group Artarmon Wollongong Canberra Perth Group Haematology Group Haematology Group Haematology Group Haematology Group Haematology Group Haematology Group Time 1st Thursday alternate months of Kew Group 2nd Monday each month 1st Friday monthly (from February) 3rd Wednesday alternate months (from February) 2nd Tuesday monthly (from February) Monthly meetings (from February) Calendar of Events New South Wales PLEASE NOTE: AT TIME OF PRINTING THERE ARE NO DATES FOR RPAH GROUP. For further information Contact: Tracy King (02) 8627 1570 [email protected] Event Date Location Time Organisation Contact Newcastle Information and Support Group Mon Feb 6th Cancer Council Office Level 1/215 Pacific Highway, Charlestown 3pm – 5pm Myeloma Australia John Miller (02) 4957 0711 [email protected] 1800 MYELOMA (693 566) Westmead Hospital Information and Support Group Thur Feb 16th Crown Prince Mary Cancer Care Centre Conference Room 2 Westmead Public Hospital Hawkesbury Rd, Westmead 10 am – 12pm Myeloma Australia Jacqui Keogh [email protected] M: 0426 404 230 Shoalhaven Information and Support Group Mon Feb 13th Bomaderry Bowling Club Blue Gum Room (1st floor) 154 Meroo Rd, Bomaderry 10 am – 12 pm Myeloma Australia Brian Law (02) 4423 4205 / 0411 773 579 [email protected] 1800 MYELOMA (693 566) Central Coast Information and Support Group Thur Feb 23rd Central Coast Leagues Club Dane Drive, Gosford 6 – 8pm Gosford Hospital & Myeloma Australia Jacqui Jagger (02) 4320 9641 [email protected] 1800 MYELOMA (693 566) Shoalhaven Information and Support Group Mon March 13th Bomaderry Bowling Club Blue Gum Room (1st floor) 154 Meroo Rd, Bomaderry 10am – 12pm Myeloma Australia Brian Law (02) 4423 4205 / 0411 773 579 [email protected] 1800 MYELOMA (693 566) Central Coast Movie Night Thur March 23rd Avoca Beach Picture Theatre 69 Avoca Drive, Avoca Beach TBC Myeloma Australia Jacqui Jagger (02) 4320 9641 [email protected] 1800 MYELOMA (693 566) Newcastle Information and Support Group Mon April 3rd Cancer Council Office Level 1/215 Pacific Highway, Charlestown 3 – 5 pm Myeloma Australia John Miller (02) 4957 0711 [email protected] 1800 MYELOMA (693 566) Shoalhaven Information and Support Group Mon April 10th Bomaderry Bowling Club Blue Gum Room (1st floor) 154 Meroo Rd, Bomaderry 10am – 12pm Myeloma Australia Brian Law (02) 4423 4205 / 0411 773 579 [email protected] 1800 MYELOMA (693 566) Westmead Hospital Information and Support Group Crown Prince Mary Cancer Care Centre Conference Room 2 Thurs April 20th Westmead Public Hospital Hawkesbury Rd, Westmead 10am – 12pm Myeloma Australia Jacqui Keogh [email protected] M: 0426 404 230 Central Coast Information and Support Group Thur April 27th 6 – 8pm Gosford Hospital & Myeloma Australia Jacqui Jagger (02) 4320 9641 [email protected] 1800 MYELOMA (693 566) Central Coast Leagues Club Dane Drive, Gosford Brisbane - Informal Group Contact Helen Parsons e: [email protected] m: 0415 106 092 National Telephone Support Group (Cancer Council NSW) Event Date Telephone Support 2nd & 4th Monday every month Available to those with myeloma Time Organisation Contact 1.30pm -2.30pm (AEST) Cancer Council NSW with MFA NSW Cancer Council NSW 1300 755 632 E: [email protected] DATES AND EVENTS ARE SUBJECT TO CHANGE AT SHORT NOTICE. For a more accurate events calendar please go to http://myeloma.org.au/events/ Summer 2016 MyeNews 23 MyeNews is supported by an unrestricted educational grant from Celgene Myeloma Support Nurse Jacqui Keogh - NSW Nella Combe – VIC Jo Gardiner – SA Freecall: 1800 693 566 (1800MYELOMA) Office Hours: 9am – 5pm Monday to Friday Head Office: 333 Swan Street Richmond, VIC 3121 9.00am – 5.00pm Mon-Fri T 1300 632 100 (toll free) T (03) 9428 7444 [email protected] www.myeloma.org.au Post: PO Box 5017 BURNLEY, VIC, 3121 Myeloma Foundation of Australia Inc. ARBN 126 035 247 ABN 30 476 390 368 MyeNews is published quarterly by the Myeloma Foundation of Austalia Inc. The information presented in MyeNews is not intended to take the place of medical care or the advice of a doctor. Your doctor should always be consulted regarding diagnosis and treatment. No part of this newsletter may be reproduced in any form without the prior written permission from The Myeloma Foundation of Australia Inc.
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