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Pomalidomide plus low-dose dexamethasone in myeloma refractory to both bortezomib and lenalidomide: comparison of 2 dosing strategies in dual-refractory disease
Open accessAbstract
Pomalidomide at doses of 2 or 4 mg/d has demonstrated excellent activity in patients with multiple myeloma (MM). We opened 2 sequential phase 2 trials using the pomalidomide with weekly dexamethasone (Pom/dex) regimen at differing doses to study the efficacy of this regimen in patients who have failed both lenalidomide and bortezomib. Pomalidomide was given orally 2 or 4 mg daily with dexamethasone 40 mg weekly. Thirty-five patients were enrolled in each cohort. Confirmed responses in the 2-mg cohort consisted of very good partial response (VGPR) in 5 (14%), partial response (PR) in 4 (11%), minor response (MR) in 8 (23%) for an overall response rate of 49%. In the 4-mg cohort, confirmed responses consisted of complete response (CR) in 1 (3%), VGPR in 3 (9%), PR in 6 (17%), MR in 5 (14%) for an overall response rate of 43%. Overall survival at 6 months is 78% and 67% in the 2- and 4-mg cohort, respectively. Myelosuppression was the most common toxicity. This nonrandomized data suggests no advantage for 4 mg over the 2 mg daily. Pomalidomide overcomes resistance in myeloma refractory to both lenalidomide and bortezomib. This trial is registered at http://ClinicalTrials.gov, number NCT00558896.
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“Data from a number of in vitro studies support the hypothesis that thalidomide analogues synergize with dexamethasone49,50, proteasome inhibitors51,52, histone deacetylase inhibitors53,54 and a variety of other agents”
From Cancer therapies based on targeted protein degradation — lessons learned with lenalidomide (2021) · cites this paper as [51]
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Self-citationShaaban, H. S., Bajaj, N., Guron, G. K., & Maroules, M. (2014) · Clinical Cancer Investigation Journal · doi:10.4103/2278-0513.132109
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Metadata
- Authors
- Lacy, M. Q., Allred, J. B., Gertz, M. A., Hayman, S. R., Short, K. D., Buadi, F., Dispenzieri, A., Kumar, S., Greipp, P. R., Lust, J. A., Russell, S. J., Dingli, D., Zeldenrust, S., Fonseca, R., Bergsagel, P. L., Roy, V., Stewart, A. K., Laumann, K., Mandrekar, S. J., Reeder, C., Rajkumar, S. V., & Mikhael, J. R.
- Affiliations
- Mayo Clinic (US)
- Mayo Clinic Arizona, Scottsdale, AZ; and
- Mayo Clinic in Arizona (US)
- Mayo Clinic in Florida (US)
- ORCID
- Venue
- Blood
- Publisher
- American Society of Hematology
- Published
- 2011-09-15
- Volume
- 118
- Issue
- 11
- Pages
- 2970-2975
- ISSN
- 0006-4971 (ISSN-L)
- 1528-0020
- PMC
- PMC3291492
- OpenAlex
- W1973888964
- Cited by
- 222
- References
- 9
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 5 · 2023: 3 · 2022: 10 · 2021: 2 · 2020: 5 · 2019: 4 · 2018: 10 · 2017: 17 · 2016: 15 · 2015: 22 · 2014: 31 · 2013: 51 · 2012: 29
- FWCI
- 26.69
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Blood (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Mayo Clinic
- Celgene
- National Institute on Aging (R01AG020686)
- National Cancer Institute (R01CA133966, R01CA136671)
- Topics
- Health Sciences › Medicine › Hematology › Multiple Myeloma Research and Treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Degradation and Inhibitors
- Health Sciences › Medicine › Oncology › Bone health and treatments
- Keywords
- pomalidomide, dexamethasone, multiple myeloma, lenalidomide-refractory myeloma, dosing regimen, myelosuppression, overall response rate, overall survival
- MeSH terms
- Bortezomib, Lenalidomide, Administration, Oral, Adult, Aged, Antineoplastic Combined Chemotherapy Protocols, Boronic Acids, Dexamethasone, Dose-Response Relationship, Drug, Drug Administration Schedule, Female, Humans, Male, Middle Aged, Multiple Myeloma, Pyrazines, Thalidomide, Survival Analysis, Treatment Outcome, Treatment Failure, Drug Resistance, Neoplasm
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