← Return to Ultra-high-risk multiple myeloma: My post-transplant update

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Hello! I am posting here for the 1st time.
Totally agree with @meg1685 . I am also a high risk MM patient. I was diagnosed in Nov 2024 and received 2 cycles of Dara-Revelimid-Velcade-Dex when I had the DRESS ( drug related eosinophilia and systemic symptoms) It started as a skin rash on my back and abdomen and progressed to my face /arms / legs with a lot of facial swelling and hypotension. I ended up in the ICU but luckily recovered quickly. This was presumed to be due to Rev . I then received Dara-velcade -Dex for 2 more cycles. Pet scan was neg after that and also I was MRD neg.
I went to Mayo Clinic in Jacksonville,Florida ( I live in St. Augustine) for my ASCT in March 2025. Initially did well , then did have quite a bit of diarrhea, minimal mouth sores( ice chips really help) a lot of fatigue. Now I am past Day 100 and repeat tests are still negative ! I am slowly getting stronger ; have some neuropathy in feet and chest wall.
My oncologist is hesitant to give me Rev again for maintenance as there is a chance of my getting DRESS again. He wants to give only Dara each month. My ASCT DR recommends trying Rev 10 mg and monitor for any signs of rash , etc. Because of the high risk he wants me on 2 drugs.
Has anyone else had a similar experience and what maintenance therapy did they get? Would be interested in finding out and getting some advice .
Thank you for this platform!

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Replies to "Hello! I am posting here for the 1st time. Totally agree with @meg1685 . I am..."

1st time post-Diagnosed in December 2019 at age 63, revlimid, velcade, steroid worked to get numbers down until stem cell transplant (delayed because of covid)at mayo in Rochester Mn. July 2020. Revelimid work great for 6 months of maintenance then rash came on so switched me to Velcade for rest of maintenance. Lasted 2 yrs. without any drugs and in March 2025 it came back so back at it. Basically Dex, Kyprolis, Darzalex Faspro weekly. Numbers look great after 15 weeks hoping for maintenance soon. We’re in Iowa 6 months then New Smyrna Beach Fl for 6…lucky to enjoy the outdoors year around. I’ve read people with this cancer have one thing in common-Bad luck.
Good luck and take care.