Source:http://linkedlifedata.com/resource/pubmed/id/19584825
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
2010-2-10
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pubmed:abstractText |
We investigated efficacy and toxicity of lenalidomide in 24 heavily pretreated myeloma patients with a median age of 59 years (range: 37-70) and relapse after allo-SCT. Lenalidomide was given at a dose of 15 mg (n=4), or 25 mg (n=20), orally once daily on day 1 to day 1 every 28 days, with (n=20) or without (n=4) DHAP. The median number of lenalidomide cycles was five (range: 2-17). Major side effects were leukopenia (grade 4: 4%, grade 3: 21% and grade 2: 17%) and thrombocytopenia (grade 3: 17% and grade 2: 29%); infectious complications were observed in 50%. Non-hematological toxicity consisted of muscle cramps (n=9), fatigue (n=5) and constipation (n=2). Mild grade I-II GVHD was seen in three patients. Response was achieved in 66%: CR in 8%, VGPR in 8%, PR in 50% and SD in 13%. The median time to progression was 9.7 months (95% confidence interval (CI): 7.5-11.9), and median OS was 19.9 months (95% CI: 17.3-22.5). Immunomonitoring after lenalidomide showed significant increase of activated NK (NKp44(+)) and T (HLA-DR(+)) cells, as well as regulatory T cells (CD4(+), CD25(+), CD127(lo)), supporting an immunomodulating anti-myeloma effect of lenalidomide.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
1476-5365
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pubmed:author |
pubmed-author:AtanackovicDD,
pubmed-author:AyubMM,
pubmed-author:BachetWW,
pubmed-author:BadbaranAA,
pubmed-author:BlaiseDD,
pubmed-author:El-CheikhJJJr,
pubmed-author:FehseBB,
pubmed-author:HildebrandtYY,
pubmed-author:HoffmannFF,
pubmed-author:KrögerNN,
pubmed-author:LioznovMM,
pubmed-author:MohtyMM,
pubmed-author:SchillingGG,
pubmed-author:WolschkeCC,
pubmed-author:ZanderA RAR
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pubmed:issnType |
Electronic
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pubmed:volume |
45
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
349-53
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pubmed:meshHeading |
pubmed-meshheading:19584825-HLA-DR Antigens,
pubmed-meshheading:19584825-Hematopoietic Stem Cell Transplantation,
pubmed-meshheading:19584825-Humans,
pubmed-meshheading:19584825-Killer Cells, Natural,
pubmed-meshheading:19584825-Leukopenia,
pubmed-meshheading:19584825-Multiple Myeloma,
pubmed-meshheading:19584825-Recurrence,
pubmed-meshheading:19584825-Salvage Therapy,
pubmed-meshheading:19584825-T-Lymphocytes,
pubmed-meshheading:19584825-Thalidomide,
pubmed-meshheading:19584825-Thrombocytopenia,
pubmed-meshheading:19584825-Treatment Outcome
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pubmed:year |
2010
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pubmed:articleTitle |
Lenalidomide as salvage therapy after allo-SCT for multiple myeloma is effective and leads to an increase of activated NK (NKp44(+)) and T (HLA-DR(+)) cells.
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pubmed:affiliation |
Department for Stem Cell Transplantation, University Hospital Hamburg-Eppendorf, Hamburg, Germany.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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