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The aim of this non-interventional study is to collect primarily the percentage of patients who receive the full dose of dexamethasone (20 or 40 mg orally once daily on days 1, 8, 15 and 22 of the repetitive 28-day cycles, 20 mg in >75 year old patients) in the registered indication under practice conditions.
Multiple myeloma is still a persistent and life-threatening blood cancer that is characterised by tumour proliferation and suppression of the immune system. It is a rare but incurable disease. On average, multiple myeloma is diagnosed in people 65-74 years of age, and the majority of newly diagnosed patients may not be eligible for more aggressive treatment options such as high-dose chemotherapy with stem cell transplant. In February 2015 REVLIMID® (lenalidomide) was approved in combination with dexamethasone for the treatment of adult patients with previously untreated multiple myeloma who are not eligible for transplant. Furthermore, in May 2019 REVLIMID® was approved in combination with bortezomib and dexamethasone for the treatment of adult patients with previously untreated multiple myeloma who are not eligible for transplant.
Looking in more detail at the combination of lenalidomide and dexamethasone, the role and especially the most adequate and effective dosage of dexamethasone in long term use with lenalidomide is not clearly defined or well characterised It is therefore of great relevance to gain insights into the clinical practice and the routine of dexamethasone management and dosing in long term use with Revlimid.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort A | Lenalidomide 25mg or 10mg (reduced renal function 30 ≤ ClCr < 50mg/min) capsules by mouth (PO) on days 1 through 21 of a 28 day cycle and Dexamethasone 40mg PO (≤75 years) or 20mg (>75years) on Days 1, 8, 15, 22 of a 28 day cycle until progression or unacceptable toxicity | ||
| Cohort B | Initial treatment (up to 8 cycles): Lenalidomide 25mg or 10mg (reduced renal function 30 ≤ ClCr < 50mg/min) capsule by mouth (PO) on day 1 through 14 of a 21 day cycle, Bortezomib 1.3mg/m2 s.c. on day 1, 4, 8, and 11 of a 21 day cycle, and Dexamethasone 20mg PO on days 1,2,4,5,8,9,11,12 of a 21 day cycle; Successive Treatment: Lenalidomide 25mg or 10mg (reduced renal function 30 ≤ ClCr < 50mg/min) capsules by mouth (PO) on days 1 through 21 of a 28 day cycle and Dexamethasone 40mg PO (≤75 years) or 20mg (>75years) on Days 1, 8, 15, 22 of a 28 day cycle until progression or unacceptable toxicity |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of patients receiving dexamethasone after 6 months of treatment | Number of patients receiving 20mg or 40mg dexamethasone on day 1, 8, 15, 22 of a 28 day cycle after 6 months of treatment | up to 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients with Deep Venous Thrombosis (VTE) prophylaxis | Number of patients that receive VTE prophylaxis | up to 2 years |
| Over all response rate (ORR) | Number of patients that achieve a response |
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Inclusion Criteria:
Exclusion Criteria:
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Patients scheduled for therapy of untreated multiple myeloma, where stem cell transplantation cannot be performed
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| Name | Affiliation | Role |
|---|---|---|
| Bristol-Myers Squibb | Bristol-Myers Squibb | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Landeskrankenhaus Kirchdorf | Kirchdorf | 4560 | Austria | |||
| Klinikum Klagenfurt am Wörthersee |
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| up to 2 years |
| Adverse Events (AEs) | Number of patients with an adverse events | up to 2 years |
| Klagenfurt |
| 9020 |
| Austria |
| Kepleruniversitätsklinikum GmbH, Hämatologie und Internistische Onkologie | Linz | 4020 | Austria |
| Ordensklinikum Linz GmbH Elisabethinen | Linz | 4020 | Austria |
| Krankenhaus der Barmherzigen Schwestern Ried Innere Medizin 1 | Ried | 4910 | Austria |
| Landeskrankenhaus Steyr - Innere Medizin | Steyr | 4400 | Austria |
| AKH, Innere Medizin I, Klinische Abteilung für Hämatologie und Hämostaseologie | Vienna | 1090 | Austria |
| Klinische Abteilung für Hämatologie und Hämostaseologie | Vienna | 1090 | Austria |
| St. Josef Krankenhaus | Vienna | 1130 | Austria |
| Wilhelminenspital, 1. Med.Abteilung, Zentrum für Onkologie | Vienna | 1160 | Austria |
| Salzkammergut-Klinikum Vöcklabruck Abteilung Innere Medizin | Vöcklabruck | 4840 | Austria |
| LKH Wiener Neustadt, Innere Medizin | Wiener Neustadt | 2700 | Austria |
| ID | Term |
|---|---|
| D009101 | Multiple Myeloma |
| ID | Term |
|---|---|
| D054219 | Neoplasms, Plasma Cell |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D020141 | Hemostatic Disorders |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D010265 | Paraproteinemias |
| D001796 | Blood Protein Disorders |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D006474 | Hemorrhagic Disorders |
| D008232 | Lymphoproliferative Disorders |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
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