United Kingdom myeloma forum position statement on the use of lenalidomide in multiple myeloma

被引:1
|
作者
Davies, F. [1 ]
Morris, C. [2 ]
Bird, J. [3 ]
Cook, G.
Williams, C. [4 ]
Tighe, J. [5 ]
Cavenagh, J. [6 ]
Behrens, J. [7 ]
Schey, S. [8 ]
Morgan, G. [1 ]
机构
[1] Royal Marsden Hosp, Sutton SM2 5NG, Surrey, England
[2] Belfast City Hosp, Belfast BT9 7AD, Antrim, North Ireland
[3] Bristol Haematol & Oncol Ctr, Bristol, Avon, England
[4] City Hosp Nottingham, Nottingham, England
[5] Aberdeen Royal Infirm, Aberdeen, Scotland
[6] St Bartholomews Hosp, London, England
[7] Epsom & St Helier Hosp, Surrey, England
[8] Kings Coll Hosp London, London, England
关键词
Myeloma; lenalidomide; UKMF; relapse therapy; THALIDOMIDE PLUS DEXAMETHASONE; HIGH-DOSE DEXAMETHASONE; COMBINATION THERAPY; DRUG-RESISTANCE; PHASE-III; CHEMOTHERAPY; CYCLOPHOSPHAMIDE; PREDNISONE; MELPHALAN; SURVIVAL;
D O I
10.1111/j.1751-553X.2008.01106.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Lenalidomide is an immunomodulatory drug, which has anti-myeloma activity in vitro. Phase II clinical trials have demonstrated lenalidomide in combination with dexamethasone is effective for the treatment of both relapsed refractory myeloma and newly diagnosed patients. Two large phase III studies comparing lenalidomide and dexamethasone to dexamethasone alone in relapsed patients showed superiority in response, progression free and overall survival. It is administered orally for 21 days in a 28 day cycle. Side effects are manageable and include neutropenia and venous thrombotic events. It is currently approved, in combination with dexamethasone, for the treatment of multiple myeloma patients who have received at least one prior therapy. Studies in front line patients and with other drug combinations are ongoing. Given the strength of this data the UK Myeloma Forum believe that lenalidomide in combination with dexamethasone should be available for prescription by UK haematologists according to its licensed indication in patients with relapsed myeloma.
引用
收藏
页码:119 / 131
页数:13
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