A recent British analysis of data from a major clinical trial found that thalidomide maintenance therapy did not have a uniformly positive impact on overall survival in multiple myeloma patients.

In fact, overall survival for patients in the trial who received thalidomide maintenance was slightly lower than overall survival for patients who did not receive maintenance therapy.  The difference, however, was not statistically significant.

In contrast, progression free survival was significantly longer for patients who received thalidomide maintenance compared to patients who were not on a maintenance regimen.

The study findings thereby …

Results of a recent analysis suggest that newly diagnosed multiple myeloma patients receiving Revlimid or thalidomide as initial therapy have similar prognoses regardless of whether they receive an early stem cell transplant or delay the transplant and continue their initial treatment.

Specifically, the authors of the analysis found that myeloma patients who received a stem cell transplant early in the course of their disease had a comparable survival rate and time to disease progression as patients who continued Revlimid (lenalidomide) or thalidomide (Thalomid) as initial therapy and intended to do …

The results of a recent British analysis found that multiple myeloma patients with a deletion in chromosome 17 who received thalidomide induction therapy had improved response rates compared to those who did not receive thalidomide. 

These improved response rates also were accompanied by improve­ments in patients' overall survival, but the improvements were not statistically significant.

Moreover, patients with a deletion in chromosome 17 who received thalidomide as part of a maintenance regimen had shorter overall survival than those who did not receive thalidomide maintenance.

Based on these findings, the study authors conclude that alternative …

Newly diagnosed, high-risk multiple myeloma patients can be effectively treated with sequential therapy, according to the results of a recent Phase 2 study.  Participants in this study initially received a combination of Velcade, Doxil, and dexamethasone followed by a combination of thalidomide and dexamethasone, with the potential addition of Velcade to the second phase.

The study authors found that the sequential treatment provided rapid responses, which they said is crucial for patients with organ damage or those with advanced disease who need to quickly proceed to stem cell transplantation.

They suggested that …

A group of international researchers analyzed the outcomes of multiple myeloma patients after they failed to respond to therapy with novel agents, such as Velcade, Revlimid, and thalidomide.

The study authors stated that the results will help physicians and patients better understand patients’ prognoses and select appropriate clinical trials.

“The study provides an estimate of the expected outcome among patients with myeloma that has stopped responding to the newly available drugs,” said Dr. Shaji Kumar from the Mayo Clinic in Minnesota and lead author of the study. “This will allow patients to …

European myeloma experts recently developed guidelines for the appropriate management of side effects associated with novel agent therapy for older multiple myeloma patients. This article, Part 2 in a series, summarizes the guidelines for the management of thalidomide-related side effects. Part 1 describes the guidelines for the management of Velcade-related side effects, Part 3 summarizes the guidelines for the management of Revlimid-related side effects, and Part 4 summarizes recommendations on novel agent use in specific patient populations.

Management Of Thalidomide-Related Side Effects

Low Platelet Counts: 

Patients treated with thalidomide (Thalomid) commonly …