Melphalan, prednisone, and lenalidomide versus melphalan, prednisone, and thalidomide in untreated multiple myeloma

Author:

Zweegman Sonja1,van der Holt Bronno2,Mellqvist Ulf-Henrik3,Salomo Morten4,Bos Gerard M. J.5,Levin Mark-David6,Visser-Wisselaar Heleen2,Hansson Markus7,van der Velden Annette W. G.8,Deenik Wendy9,Gruber Astrid10,Coenen Juleon L. L. M.11,Plesner Torben12,Klein Saskia K.13,Tanis Bea C.14,Szatkowski Damian L.15,Brouwer Rolf E.16,Westerman Matthijs17,Leys M. (Rineke) B. L.18,Sinnige Harm A. M.19,Haukås Einar20,van der Hem Klaas G.21,Durian Marc F.22,Mattijssen E. (Vera) J. M.23,van de Donk Niels W. C. J.1,Stevens-Kroef Marian J. P. L.24,Sonneveld Pieter25,Waage Anders26

Affiliation:

1. Department of Hematology, Cancer Center Amsterdam, Vrije Universiteit Medical Center, Amsterdam, The Netherlands;

2. Hemato Oncologie Volwassenen Nederland Data Center, Erasmus Medical Center Cancer Center, Rotterdam, The Netherlands;

3. Section of Hematology and Coagulation, Department of Medicine, Sahlgrenska University Hospital, Gotheborg, Sweden;

4. Department of Hematology, Rigshospitalet, Copenhagen, Denmark;

5. Department of Hematology, Maastricht University Medical Center, Maastricht, The Netherlands;

6. Department of Internal Medicine, Albert Schweitzer Hospital, Dordrecht, The Netherlands;

7. Division of Hematology and Transfusion Medicine, Skane University Hospital, Lund, Sweden;

8. Department of Internal Medicine, Martini Ziekenhuis, Groningen, The Netherlands;

9. Department of Internal Medicine, Tergooi Ziekenhuizen, Blaricum, The Netherlands;

10. Center of Hematology, Karolinska Institute, Stockholm, Sweden;

11. Department of Internal Medicine, Isala, Zwolle, The Netherlands;

12. Department of Hematology, Vejle Hopital, Vejle, Denmark;

13. Department of Internal Medicine, Meander Medisch Centrum, Amersfoort, The Netherlands;

14. Department of Internal Medicine, Groene Hart Ziekenhuis, Gouda, The Netherlands;

15. Department of Oncology, Hematology and Palliative Care, Førde Central Hospital, Førde, Norway;

16. Department of Internal Medicine, Reinier de Graaf Ziekenhuis, Delft, The Netherlands;

17. Department of Internal Medicine, Medisch Centrum Alkmaar, Alkmaar, The Netherlands;

18. Department of Internal Medicine, Maasstad Ziekenhuis, Rotterdam, The Netherlands;

19. Department of Internal Medicine, Jeroen Bosch Ziekenhuis, Den Bosch, The Netherlands;

20. Department of Hematology, Stavanger University Hospital, Stavanger, Norway;

21. Department of Internal Medicine, Zaans Medisch Centrum, Zaandam, The Netherlands;

22. Department of Internal Medicine, Tweesteden Ziekenhuis, Tilburg, The Netherlands;

23. Department of Internal Medicine, Rijnstate Ziekenhuis, Arnhem, The Netherlands;

24. Department of Genetics, Radboud University Medical Center, Nijmegen, The Netherlands;

25. Department of Hematology, Erasmus Medical Center Cancer Center, Rotterdam, The Netherlands; and

26. Department of Hematology, St Olavs Hospital and Norwegian University of Science and Technology and KG Jebsen Myeloma Research Center, Trondheim, Norway

Abstract

Key Points In a multicenter, randomized phase 3 trial, MPR-R was not superior over MPT-T with respect to response rate, PFS, and OS. Grade 3/4 hematologic toxicity requiring growth factor support occurred with MPR-R vs clinically significant neuropathy with MPT-T.

Publisher

American Society of Hematology

Subject

Cell Biology,Hematology,Immunology,Biochemistry

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