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A Decentralized Randomized High-Fiber Dietary Trial to Improve Outcomes in Newly Diagnosed Myeloma

We will conduct a decentralized randomized controlled trial of a high-fiber plant-based dietary intervention among patients with multiple myeloma undergoing induction chemoimmunotherapy. The study will assess whether the intervention (meals and virtual coaching) leads to improved rates of complete response, and quality of life mediated by improvements in weight and insulin resistance.

Systematic multiomic profiling of tumor and immune cells for non invasive detection of early myeloma

Multiple myeloma remains largely incurable and there is consensus that the pathway to cure cancer involves treating patients earlier. Thus, there is an unmet need to develop methods for early detection of pre-malignant disease and to help tailoring treatment for patients with smoldering myeloma. We aim to develop new methods for minimally invasive characterization of patients with smoldering myeloma in order to treat disease causation instead of symptomatology and increase curability rates.
Kimberly

Kimberly

When my husband, NFL linebacker Elijah, was diagnosed with multiple myeloma in 2005, shortly after retiring from the Oakland Raiders, we were stunned. Neither of us had ever heard of it.

Life with multiple myeloma became an instant roller coaster. As his caregiver I knew it was my job to learn as much as possible about what we were facing, while trying to keep things normal for our two young sons. 

Targeting acetyl-CoA synthetase 2 to remodel obesity-evoked inflammatory microenvironment in myeloma

Our proposal aims to develop a novel strategy to improve therapeutic efficacy for patients with multiple myeloma by remodeling obesity-induced inflammatory microenvironment. We hypothesize that acetyl-CoA synthetase 2, which is stimulated by obesity, enhances inflammatory cytokine production from myeloma cells, leading to an inflammatory niche where anti-tumor function of CD8+ T cells is dampened, and tumor growth is promoted. Our study will be the first to explore a novel insight for how obesity impacts the interaction between myeloma cells and microenvironment.
andy

Andy

Meet Andy. Multiple Myeloma Survivor. Lawyer. Andy lost his first wife to multiple myeloma. Incredibly, twelve years later, Andy himself was struck by the same disease. Today, thanks in part to his treatment involving stem cell transplantation, he is living a richer, fuller life in ways that are hard to imagine.

Bryon

Bryon

In 2017, during a pickup basketball game at the local gym, Bryon Daily was beginning to feel his age, playing against 20-year-olds. A former college track athlete in his early 50s, this fatigue felt different. He also fractured his finger during a routine pass in the game.     Bryon’s primary doctor at Kaiser ordered labs including blood and urine, that showed impairment in his protein levels and referred him to a urologist then a hematologist.

Julie and family

Julie

“About six years………”

The doctor kept speaking but the words evaporated into thin air as Julie quickly did mental math to figure out what ages her children would be when she died. Flashes of all the events she would miss flitted across her mind. Julie had been diagnosed with multiple myeloma. 

Mollie sitting next to a body of water

Where Blood Cancer Meets Nature: Why This Scholarship Recipient Is Saving the Earth

When we think about the future, a lot can feel uncertain—especially as a teenager or young adult (AYA) with blood cancer.  

We get it.  

Multiple Myeloma Survivor

Manual

Since being diagnosed with myeloma, I've been glad to have the assistance of LLS. For one thing, research they helped fund resulted in Velcade®, one of the drugs I'm being treated with. For another, their financial assistance program has come in very handy during my illness. Thank goodness for LLS. Manual Tapia | Multiple Myeloma Survivor You can tell just by looking at him that Manuel has a positive outlook. It has served him well since his diagnosis with multiple myeloma.

Developing selective inhibitors of the b-catenin/BCL9 transcriptional complex for myeloma therapy

The b-catenin/BCL9 transcriptional complex, is a novel dependency in multiple myeloma (MM). Disruption of this complex inhibits MM cell growth in culture and in MM xenograft models. Development of potent selective b-catenin/BCL9 inhibitors will provide valuable tools to further investigate their mechanism of MM inhibition. We have established a chemistry, structural biology, and molecular pathology platform to facilitate novel inhibitor development, and explore its translational potential in MM.

Targeting HSP70 to Immune Effector Cells to Overcome the Immune Suppressive Myeloma Microenvironment

Development of a strong anti-cancer immune response requires coordinated action of the innate and adaptive parts of the immune system, but cancer cells alter their environment to suppress virtually every step in this process, which promotes cancer progression and treatment resistance. One promising strategy could be to target Heat shock protein 70 (HSP70), which plays an important role in both innate and adaptive immunity, and we therefore developed a series of novel antibodies to HSP70, one of which cured mice of multiple myeloma.

Dissecting the biology and exploiting the dependency of myeloma cells on P300/CBP

In recent work of our collaborating labs, the protein acetyltransferases P300 and CBP emerged as potent and preferential dependencies for multiple myeloma (MM) based on genetic depletion, catalytic inhibition or chemical degradation studies. Our current project will define distinct vs. redundant molecular and biological functions of P300/CBP in MM, identify the mechanisms of resistance to their inhibition/degradation and exploit these findings to develop new therapeutic modalities to treat MM.

Functional dissection of heterogeneity of responses to CAR T cells using Spatiotemporal Image-guided Genomic and Cellular Analysis (SaGA) in myeloma

Despite remarkable progress in the last 20 years, multiple myeloma remains an incurable disease. In recent years, 2 CAR T cell products that target BCMA on the myeloma cell have been approved. These products result in remarkable initial responses however the duration of these responses has been disappointing. In this proposal, we will take a novel approach to isolate and characterize myeloma cells that interact with CAR T cells but are not killed by them as a potential resistance mechanism.
sharon

Sharon

Sharon Clark was diagnosed with multiple myeloma in 2015 after experiencing unusual symptoms like aches and fatigue. Her treatment has included multiple courses of oral anti-cancer medication, countless injections, infusions and hospitalizations, a stem cell transplant and two spinal surgeries to repair cracked bones caused by the myeloma. She continues to be treated with an LLS-supported oral anti-cancer therapy to keep her cancer in remission. 

ester

Esther

In November 2011, I was diagnosed with multiple myeloma and received a stem cell transplant in April 2012. After recovery, I continued medical care with my local oncologist.

In the summer of 2014, my lab results caused concern. After two bone marrow biopsies, I was diagnosed with acute lymphocytic leukemia (ALL) in January 2015. My doctor was shocked. The plan of treatment was chemotherapy and eventually a bone marrow transplant. Due to complications from chemotherapy treatment, the bone marrow transplant was off the table.

Refractory and Relapsed

Almost all myeloma patients will experience relapse (the cancer returns after a successful course of treatment) and/or the disease will become refractory (the cancer does not respond to treatment). The choice of a treatment regimen at relapse is affected by many factors including previous therapy, rate of relapse, patient health, and genetic abnormalities. 

middle aged white woman short brown hair sitting on a bench and wearing a blue striped shirt and jeans with a jacket tied around her waist

Pat

I was diagnosed with plasma cell dyscrasia (PCD) in September 2021. My condition was monitored, and more tests were conducted. In November 2021, my diagnosis was changed to intermediate-risk smoldering multiple myeloma (SMM). In July 2023, my diagnosis was changed to monoclonal gammopathy (MGUS). With the multiple myeloma not having achieved remission, I was diagnosed with IgG kappa myeloma, a type of MGUUS, in August 2023. Since starting treatment last October, my M-spike has slowly decreased, and my progress looks good.

paula

Paula

In the 1990’s, I was diagnosed with benign monoclonal gammopathy. In April 2013, I was experiencing severe back pain that lead me to the ER. The results of the x-rays lead me to seek medical treatment from a hematologist/oncologist. The bone marrow biopsy result confirmed multiple myeloma.

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Improving Blood Cancer Survival Takes More than New Drug Discovery

In my years as a practicing hematologist-oncologist and now as chief medical officer of The Leukemia & Lymphoma Society (LLS), I’ve met many blood cancer patients who worry about how they’ll afford their treatment on top of day-to-day expenses like rent and groceries. LLS offers financial assistance for qualifying blood cancer patients and families

Shandra

Shandra

I was diagnosed with multiple myeloma (MM) two years ago. I had never heard of this cancer until I was diagnosed. I found out I had cancer when my T2 vertebra had fractured in my back, and they called the fracture a pathological fracture, meaning an injury didn’t cause it. Every test was run, and it was confirmed that I had cancer. Still in denial, I wanted a second opinion. A second opinion was done, and I had to accept it because I have children ages 19, 10, and 6. I wanted to be here with them as long as possible.

myeloma

Tina

My husband was diagnosed with multiple myeloma (MM) last year, and I saw this and thought it would be a nice fundraiser to help in the journey for research and to help with finding cures for these cancers.