title: [Successful treatment of relapsed and refractory multiple myeloma by using clarithromycin-lenalidomide, low-dose dexamethasone(BiRd), and melphalan-prednisolone(MP)].
abstract: The development of novel agents has markedly improved the prognosis of multiple myeloma(MM). However, salvage therapies for patients with MM that is refractory to novel agents and conventional chemotherapies have not been established. Herein, we describe successful treatments for such patients with the combination of clarithromycin, lenalidomide, and lowdose dexamethasone(BiRd)with or without melphalan and prednisolone(MP). Although its duration was relatively short, the remission is important in terms of the salvage strategy until the second generation of novel agents becomes available.
authors.affiliation: Dept. of Hematology, Shinko Hospital.
authors.forename: Hiroko
authors.initials: H
authors.lastname: Tsunemine
authors.forename: Satoshi
authors.initials: S
authors.lastname: Yoshioka
authors.forename: Emiko
authors.initials: E
authors.lastname: Sakane
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Akasaka
authors.forename: Kiminari
authors.initials: K
authors.lastname: Ito
authors.forename: Taiichi
authors.initials: T
authors.lastname: Kodaka
authors.forename: Takayuki
authors.initials: T
authors.lastname: Takahashi
mesh_terms: D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D017291:Clarithromycin / Q000008:administration & dosage; D003907:Dexamethasone / Q000008:administration & dosage; D005260:Female; D006801:Humans; D000077269:Lenalidomide; D008297:Male; D008558:Melphalan / Q000008:administration & dosage; D009101:Multiple Myeloma / Q000188:drug therapy*; D011239:Prednisolone / Q000008:administration & dosage; D012008:Recurrence; D013792:Thalidomide / Q000008:administration & dosage / Q000031:analogs & derivatives
chemical_list: D013792:Thalidomide; D003907:Dexamethasone; D011239:Prednisolone; D000077269:Lenalidomide; D017291:Clarithromycin; D008558:Melphalan