Haematologica (Oct 2015)

Cytogenetics and long-term survival of patients with refractory or relapsed and refractory multiple myeloma treated with pomalidomide and low-dose dexamethasone

  • Meletios A. Dimopoulos,
  • Katja C. Weisel,
  • Kevin W. Song,
  • Michel Delforge,
  • Lionel Karlin,
  • Hartmut Goldschmidt,
  • Philippe Moreau,
  • Anne Banos,
  • Albert Oriol,
  • Laurent Garderet,
  • Michele Cavo,
  • Valentina Ivanova,
  • Adrian Alegre,
  • Joaquin Martinez-Lopez,
  • Christine Chen,
  • Andrew Spencer,
  • Stefan Knop,
  • Nizar J. Bahlis,
  • Christoph Renner,
  • Xin Yu,
  • Kevin Hong,
  • Lars Sternas,
  • Christian Jacques,
  • Mohamed H. Zaki,
  • Jesus F. San Miguel

DOI
https://doi.org/10.3324/haematol.2014.117077
Journal volume & issue
Vol. 100, no. 10

Abstract

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Patients with refractory or relapsed and refractory multiple myeloma who no longer receive benefit from novel agents have limited treatment options and short expected survival. del(17p) and t(4;14) are correlated with shortened survival. The phase 3 MM-003 trial demonstrated significant progression-free and overall survival benefits from treatment with pomalidomide plus low-dose dexamethasone compared to high-dose dexamethasone among patients in whom bortezomib and lenalidomide treatment had failed. At an updated median follow-up of 15.4 months, the progression-free survival was 4.0 versus 1.9 months (HR, 0.50; P