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Oncology Specialty Resident, Department of Pharmacy, Duke University Medical Center, Durham, NC
Oncology Clinical Coordinator, Department of Pharmacy, Duke University Medical Center
Reprints: Dr. Maier, Department of Pharmacy, Duke University Medical Center, DUMC Box 3089, Durham, NC 27710-3089, fax 919/681-2741, sara.maier{at}duke.edu
OBJECTIVE: To evaluate lenalidomide in the treatment of multiple myeloma and myelodysplastic syndrome (MDS).
DATA SOURCES: Clinical literature was accessed through MEDLINE (1966-August 2005), Science Citation Index (1980-August 2005), and Proceedings of the American Society of Hematology (2000-2004).
DATA SYNTHESIS: New analogs of thalidomide have been synthesized that are more potent and less toxic. Lenalidomide (CC-5013) is currently in Phase III trials for the treatment of multiple myeloma and MDS. Phase II trials demonstrated lenalidomide's efficacy in patients refractory to thalidomide. The full potential of this agent has yet to be proven, but preliminary data seem promising.
CONCLUSIONS: Lenalidomide is a potent immunomodulating drug that offers different mechanisms of action and therapeutic potential for the treatment of multiple myeloma, MDS, and other malignancies.
Key Words: lenalidomide, multiple myeloma, myelodysplastic syndrome, thalidomide
Published Online, January 10, 2006. www.theannals.com, DOI 10.1345/aph.1G170