FIGURE 1. Newly Diagnosed Patients With MM: Approach to Treatment.
Abbreviations: ADL, activities of daily living; ALT, alanine aminotransferase; ASCT, autologous stem cell transplantation; AST, aspartate aminotransferase; CCI, Charlson comorbidity index; Dara, daratumumab; DLCO, diffusion capacity of carbon monoxide; FEV1, forced expiratory volume in 1 second; IADL, instrumental ADLs; IMWG, International Myeloma Working Group; LVEF, left ventricular ejection fraction; MEL, melphalan (with dosages in mg/m2); MM, multiple myeloma; Rd, lenalidomide and dexamethasone; Rd-R, lenalidomide and dexamethasone followed by lenalidomide maintenance; rMCI, revised myeloma comorbidity index; ULN, upper limit of normal; VCd, bortezomib, cyclophosphamide, dexamethasone; VMP, bortezomib, melphalan, and prednisone; VRd/vrd, bortezomib, lenalidomide, and dexamethasone. (*) If daratumumab-based combinations or VRd are unavailable. (°) The lowercase letter indicates a reduced dose.