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10.1038/bcj.2014.77

http://scihub22266oqcxt.onion/10.1038/bcj.2014.77
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suck abstract from ncbi


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pmid25382609      Blood+Cancer+J 2014 ; 4 (11): e257-
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  • Efficacy and safety of long-term treatment with lenalidomide and dexamethasone in patients with relapsed/refractory multiple myeloma #MMPMID25382609
  • Dimopoulos MA; Swern AS; Li JS; Hussein M; Weiss L; Nagarwala Y; Baz R
  • Blood Cancer J 2014[Nov]; 4 (11): e257- PMID25382609show ga
  • Data from two randomized pivotal, phase 3 trials evaluating the combination of lenalidomide and dexamethasone in relapsed/refractory multiple myeloma (RRMM) were pooled to characterize the subset of patients who achieved long-term benefit of therapy (progression-free survival ?3 years). Patients with long-term benefit of therapy (n=45) had a median duration of treatment of 48.1?months and a response rate of 100%. Humoral improvement (uninvolved immunoglobulin A) was more common in patients with long-term benefit of therapy (79% vs 55% P=0.002). Significant predictors of long-term benefit of therapy in multivariate analysis were age<65 years (P=0.03), ?2-microglobulin <2.5?mg/l (P=0.002) and fewer prior therapies (P=0.002). The exposure-adjusted incidence rate (EAIR) of grade 3?4 neutropenia was lower in patients with long-term benefit of therapy (13.9 vs 38.2 per 100 patient-years). The EAIR for invasive second primary malignancy was the same in patients with long-term benefit of therapy and other patients (1.7 per 100 patient-years). These findings indicate that patients with RRMM can experience long-term benefit with lenalidomide and dexamethasone treatment with manageable side effects.
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