Pomalidomide plus low-dose dexamethasone in patients with relapsed/refractory multiple myeloma and moderate renal impairment: a pooled analysis of three clinical trials
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Pomalidomide plus low-dose dexamethasone in patients with relapsed/refractory multiple myeloma and moderate renal impairment: a pooled analysis of three clinical trials. / Siegel, David S; Weisel, Katja C; Dimopoulos, Meletios A; Baz, Rachid; Richardson, Paul; Delforge, Michel; Song, Kevin W; San Miguel, Jesus F; Moreau, Philippe; Goldschmidt, Hartmut; Cavo, Michele; Jagannath, Sundar; Yu, Xin; Hong, Kevin; Sternas, Lars; Zaki, Mohamed; Palumbo, Antonio.
in: LEUKEMIA LYMPHOMA, Jahrgang 57, Nr. 12, 12.2016, S. 2833-2838.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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T1 - Pomalidomide plus low-dose dexamethasone in patients with relapsed/refractory multiple myeloma and moderate renal impairment: a pooled analysis of three clinical trials
AU - Siegel, David S
AU - Weisel, Katja C
AU - Dimopoulos, Meletios A
AU - Baz, Rachid
AU - Richardson, Paul
AU - Delforge, Michel
AU - Song, Kevin W
AU - San Miguel, Jesus F
AU - Moreau, Philippe
AU - Goldschmidt, Hartmut
AU - Cavo, Michele
AU - Jagannath, Sundar
AU - Yu, Xin
AU - Hong, Kevin
AU - Sternas, Lars
AU - Zaki, Mohamed
AU - Palumbo, Antonio
PY - 2016/12
Y1 - 2016/12
N2 - Renal impairment (RI) is a major comorbidity in patients with multiple myeloma (MM). Here we present the pooled safety and efficacy analysis of three clinical trials (MM-002, MM-003, and MM-010) of pomalidomide + low-dose dexamethasone (POM + LoDEX) in patients with moderate RI (creatinine clearance [CrCl] ≥ 30 to <60 mL/min) and without RI (≥ 60 mL/min). Trial protocols were approved by the institutional review board of each site involved. Patients with RI were older than patients without RI, although other baseline characteristics were similar. The dosing and safety profile of POM + LoDEX was similar across RI subgroups. Median overall response rate, progression-free survival, time to progression, and duration of response were not significantly different between RI subgroups. However, patients with vs. without RI had significantly shorter median overall survival (10.5 vs. 14.0 months, respectively; p = .004). This analysis demonstrates that POM + LoDEX is a safe and effective treatment for patients with moderate RI. The trials were registered at ClinicalTrials.gov as NCT00833833 (MM-002), NCT01311687 (MM-003), and NCT01712789 (MM-010) and at EudraCT as 2010-019820-30 (MM-003) and 2012-001888-78 (MM-010).
AB - Renal impairment (RI) is a major comorbidity in patients with multiple myeloma (MM). Here we present the pooled safety and efficacy analysis of three clinical trials (MM-002, MM-003, and MM-010) of pomalidomide + low-dose dexamethasone (POM + LoDEX) in patients with moderate RI (creatinine clearance [CrCl] ≥ 30 to <60 mL/min) and without RI (≥ 60 mL/min). Trial protocols were approved by the institutional review board of each site involved. Patients with RI were older than patients without RI, although other baseline characteristics were similar. The dosing and safety profile of POM + LoDEX was similar across RI subgroups. Median overall response rate, progression-free survival, time to progression, and duration of response were not significantly different between RI subgroups. However, patients with vs. without RI had significantly shorter median overall survival (10.5 vs. 14.0 months, respectively; p = .004). This analysis demonstrates that POM + LoDEX is a safe and effective treatment for patients with moderate RI. The trials were registered at ClinicalTrials.gov as NCT00833833 (MM-002), NCT01311687 (MM-003), and NCT01712789 (MM-010) and at EudraCT as 2010-019820-30 (MM-003) and 2012-001888-78 (MM-010).
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Antineoplastic Combined Chemotherapy Protocols
KW - Dexamethasone
KW - Drug Resistance, Neoplasm
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Multiple Myeloma
KW - Neoplasm Staging
KW - Recurrence
KW - Renal Insufficiency
KW - Retreatment
KW - Thalidomide
KW - Treatment Outcome
KW - Journal Article
KW - Research Support, Non-U.S. Gov't
U2 - 10.1080/10428194.2016.1177181
DO - 10.1080/10428194.2016.1177181
M3 - SCORING: Journal article
C2 - 27267105
VL - 57
SP - 2833
EP - 2838
JO - LEUKEMIA LYMPHOMA
JF - LEUKEMIA LYMPHOMA
SN - 1042-8194
IS - 12
ER -