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Medline ® Abstract for Reference 47

of 'Treatment of relapsed or refractory multiple myeloma'

Thalidomide and dexamethasone for resistant multiple myeloma.
Anagnostopoulos A, Weber D, Rankin K, Delasalle K, Alexanian R
Br J Haematol. 2003;121(5):768.
Between November 1998 and April 2000, the combination of thalidomide and dexamethasone was evaluated in 47 consecutive patients with multiple myeloma that was resistant to prior high-dose dexamethasone-based therapies. Remission was observed in 22 patients (47%), including six patients with complete remission. Side-effects were frequent, mild and usually reversible, but deep vein thrombosis occurred in 8% of patients. Survival and remission times were longer among patients treated for previous resistant disease rather than for resistant relapse. This experience supports the use of thalidomide-dexamethasone in myeloma patients with resistant disease and justifies further trials in newly diagnosed patients.
University of Texas M. D. Anderson Cancer Center, Houston, TX, USA.