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. Author manuscript; available in PMC: 2014 Feb 13.
Published in final edited form as: Leukemia. 2008 Nov 13;23(3):449–456. doi: 10.1038/leu.2008.325

Table 1.

Treatment schema

Regimen Usual dosing schedule
Transplant candidates
 Thalidomide/ dexamethasonea Oral thalidomide 100–200mg on days 1–28
Oral dexamethasone 40mg on days 1, 8, 15, and 22, every 28 days
Repeated every 4 weeks for four cycles as pretransplant induction therapy; or continued for up to 1 year if used as primary therapy
 Lenalidomide/ dexamethasone Oral lenalidomide 25mg on days 1–21, every 28 days
Oral dexamethasone 40mg on days 1, 8, 15, and 22, every 28 days
Repeated every 4 weeks for two cycles as pretransplant induction therapy; or continued until progression if used as primary therapy
 Bortezomib/ dexamethasone Intravenous bortezomib 1.3 mg/m2 on days 1, 4, 8, and 11
Oral dexamethasone 40mg on days 1–4, 9–12
Reduce dexamethasone to days 1–4 only after first two cycles
Repeated every 3 weeks for 2–4 cycles as pretransplant induction therapy
 Bortezomib/ thalidomide/ dexamethasonea Intravenous bortezomib 1.3 mg/m2 on days 1, 4, 8, and 11
Oral thalidomide 200 mg, days 1–21
Dexamethasone 20mg on the day of and the day after bortezomib
Repeated every 3 weeks for three cycles as pretransplant induction therapy
 Bortezomib/pegylated liposomal doxorubicin/ dexamethasone Intravenous bortezomib 1.3 mg/m2 on days 1, 4, 8, and 11
Pegylated liposomal doxorubicin 30 mg/m2 on day 4
Dexamethasone 40mg on days 1–11, and 15–18 for cycle 1 and days 1–4 for cycles 2–4
 Cyclophosphamide/ thalidomide/ dexamethasone Cyclophosphamide 500mg post-operative on days 1, 8 and 15
Thalidomide 100–200 mg/day
Dexamethasone 40 mg/day post-operative on days 1–4, 12–15 every 3 weeks
Non-transplant candidates
 Melphalan/prednisone/ thalidomideb Oral melphalan 0.25 mg/kg on days 1–4
Oral prednisone 2mg/kg on days 1–4
Oral thalidomide 100–200mg on days 1–28
Repeated every 6 weeks for 12 cycles
 Melphalan/prednisone/ bortezomib Oral melphalan 9 mg/m2 on days 1–4
Oral prednisone 60 mg/m2 on days 1–4
Intravenous bortezomib 1.3 mg/m2 on days 1, 4, 8, 11, 22, 25, 29 and 32
Repeat every 42 days for four cycles followed by maintenance therapy
Oral melphalan 9 mg/m2 on days 1–4
Oral prednisone 60 mg/m2 on days 1–4
Intravenous bortezomib 1.3 mg/m2 on days 1, 8, 15 and 22
Repeated every 35 days for five cycles
 Melphalan/prednisone/ lenalidomide Oral melphalan from 0.18 mg/kg on days 1–4
Oral prednisone 2mg/kg on days 1–4
Oral lenalidomide from 10mg on days 1–21
Repeated every 28 days for 9 monthly cycles
a

Dexamethasone dose listed is lower than used in trial.

b

Thalidomide dose listed is lower than used in trial.