4.6 Article

Real-world data on lenalidomide dosing and outcomes in patients newly diagnosed with multiple myeloma: Results from the Canadian Myeloma Research Group Database

Journal

CANCER MEDICINE
Volume 12, Issue 4, Pages 4357-4362

Publisher

WILEY
DOI: 10.1002/cam4.5245

Keywords

dosing; lenalidomide; multiple myeloma; transplant-ineligible

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This retrospective study on multiple myeloma patients revealed common modifications in the dosing of lenalidomide, with dose reductions during treatment not affecting patient survival. Further research is needed to understand the impact of dosing strategies of anti-MM agents in real-world settings.
Using the Canadian Myeloma Research Group Database, a retrospective study of 167 newly diagnosed, transplant-ineligible patients with multiple myeloma (MM) that received lenalidomide-dexamethasone as front-line treatment was conducted to understand the impact of lenalidomide dosing. Starting dose modifications were common, 42% of patients started on lenalidomide <25 mg with normal renal function. During treatment course, 35% of patients required further dose reduction. Dose reductions in the first year did not have an impact on progression free survival or overall survival. Further studies need to be conducted to understand the impact of dosing strategies of anti-MM agents in the real world.

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