Revlimid Plus Dexamethasone Versus Standard Treatment for Multiple Myeloma

Brian G.M. Durie, MD, chairman, International Myeloma Foundation (IMF), hematologist/oncologist, Cedars-Sinai Medical Center, Los Angeles, California, discusses results from a phase III trial that compared lenalidomide (Revlimid) plus dexamethasone versus the standard treatment of melphalan plus prednisone and thalidomide (MPT) in patients with multiple myeloma who are over 65 years old. Durie offers his thoughts regarding the impact of this trial.

Brian G.M. Durie, MD, chairman, International Myeloma Foundation (IMF), hematologist/oncologist, Cedars-Sinai Medical Center, Los Angeles, California, discusses results from a phase III trial that compared lenalidomide (Revlimid) plus dexamethasone versus the standard treatment of melphalan plus prednisone and thalidomide (MPT) in patients with multiple myeloma who are over 65 years old. Durie offers his thoughts regarding the impact of this trial.

Clinical Pearls:

  • The randomized, phase III study enrolled 1,624 patients and had three arms
  • The results showed that the cocktail of Revlimid plus dexamethasone was superior to MPT
  • These data will be sufficient to lead to the approval to Revlimid plus dexamethasone
  • Revlimid plus dexamethasone is used in the United States off-label, even though it is not approved in that setting