Table 1.
National Comprehensive Cancer Network (NCCN) Guidelines (7).
Preferred regimens | Other regimens | |
---|---|---|
Primary therapy for transplant candidates (assess for response after 2 cycles) | Bortezomib/dexamethasone (category 1) Bortezomib/cyclophosphamide/dexamethasone Bortezomib/doxorubicin/dexamethasone (category 1) Bortezomib/lenalidomide/dexamethasone Bortezomib/thalidomide/dexamethasone (category 1) Lenalidomide/dexamethasone (category 1) |
Carfilzomib/lenalidomide/dexamethasone Dexamethasone (category 2B) Ixazomib/lenalidomide/dexamethasone Liposomal doxorubicin/vincristine/dexamethasone (DVD) (category 2B) Thalidomide/dexamethasone (category 2B) |
Primary therapy for non-transplant candidates (assess for response after 2 cycles) | Bortezomib/dexamethasone Bortezomib/cyclophosphamide/dexamethasone Bortezomib/lenalidomide/dexamethasone (category 1) Lenalidomide/low-dose dexamethasone (category 1) Melphalan/prednisone/bortezomib (MPB) (category 1) Melphalan/prednisone/lenalidomide (MPL) (category 1) Melphalan/prednisone/thalidomide (MPT) (category 1) |
Dexamethasone (category 2B) Ixazomib/lenalidomide/dexamethasone Liposomal doxorubicin/vincristine/dexamethasone (DVD) (category 2B) Melphalan/prednisone (MP) Thalidomide/dexamethasone (category 2B) Vincristine/doxorubicin/dexamethasone (VAD) (category 2B) |
Maintenance therapy | Bortezomib Lenalidomide (category 1) Thalidomide (category 1) |
Bortezomib + prednisone (category 2B) Bortezomib + thalidomide (category 2B) Interferon (category 2B) Steroids (category 2B) Thalidomide + prednisone (category 2B) |