The results of a recent Phase 2 clinical trial comparing four Velcade-based combination therapies in newly diagnosed multiple myeloma patients show that a four-drug combination containing Velcade, Revlimid, cyclophosphamide, and dexamethasone led to similarly high response rates as the three-drug regimens, but resulted in a higher rate of side effects.

“We were hoping to see more activity at the same level of toxicity as the three-drug combination, but the result was similar efficacy at higher toxicity,” said Dr. Shaji Kumar of the Mayo Clinic in Rochester, Minnesota, and lead investigator of the …

Results of a small French study support previous findings that Revlimid in combination with dexamethasone is effective in elderly patients with relapsed multiple myeloma.

Importantly, the researchers found that almost a third of responding patients could remain on therapy following dose adjustments, which, according to the researchers, highlights “the need for a personalized therapeutic approach according to patient age and vulnerability.” 

Revlimid (lenalidomide) in combination with dexamethasone (Decadron) is a standard therapy for patients with relapsed/refractory multiple myeloma.  Patients are typically prescribed a starting dose of 25 mg of Revlimid, in …

According to a recent Swedish study, a family history of blood clots has a greater impact on the risk of developing blood clots in multiple myeloma patients than in the general population.

“There are probably synergistic effects; i.e., if you have a family history [of blood clots] and multiple myeloma, the risk is more then the sum of the individual risks,” explained Dr. Sigurdur Kristinsson of the Karolinska University Hospital in Sweden and lead investigator of the study.

Based on the study’s findings, Dr. Kristinsson said, “Perhaps family history should be taken …

Results of a small Phase 2 study show that newly diagnosed multiple myeloma patients achieve similar response rates with alternating weeks of Revlimid and thalidomide in combination with dexamethasone as patients receiving Revlimid with dexamethasone or thalidomide with dexamethasone.

The study investigators point out that the alternating regimen was well tolerated even though Revlimid was administered at a higher than usual dose of 50 mg per day. However, the regimen was not, as they had hoped, more effective than either Revlimid (lenalidomide) or thalidomide (Thalomid) alone in combination with

The U.S. Food and Drug Administration has added a warning to the prescribing information for Revlimid stating that patients being treated with the drug have an increased risk of developing a second cancer.

The warning has been added in two parts of the prescribing information.

In the upfront ‘Warnings and Precautions’ section, text has been included stating that “Higher incidences of SPM [second primary malignancies] were observed in controlled trials of patients with multiple myeloma receiving Revlimid.”

Later in the document, the warning is expanded to explain that studies have shown that multiple …

Results of a small Phase 2 study show that the four-drug combination therapy of Revlimid, Velcade, Doxil, and dexamethasone may be an effective and tolerable treatment option for relapsed and refractory multiple myeloma patients.

According to the study investigators, the four-drug regimen compares favorably to the three-drug combination without Revlimid in that it improves response rates without a significant increase in side effects.

The investigators recommend that future trials further investigate the number and specific types of previous treatments to identify those in which the Revlimid, Velcade, Doxil, and dexamethasone combination may …

Results of a small study recently conducted at Johns Hopkins University indicate that Revlimid may boost vaccine responses in multiple myeloma patients.

Based on these results, the researchers who organized the study believe Revlimid could be used as part of a strategy to increase immune responses against both cancer and infectious diseases.

The researchers also argue that Revlimid may help reduce infections in myeloma patients being treated with the drug.  Infections are an important challenge for myeloma patients due to the immune system dysfunction that develops during the course of the disease. …