nbsp; Overall Survival (months)h
Number of Death events 208 (38.9) 228 (42.1) 261 (47.7)
Mediana OS time, months (95% CI)b 58.9 (56.0, NE)f 56.7 (50.1, NE) 48.5 (44.2, 52.0 )
HR [95% CI]c
Rd Continuous vs MPT 0.75 (0.62, 0.90)
Rd Continuous vs Rd18 0.91 (0.75, 1.09)
Rd18 vs MPT 0.83 (0.69, 0.99)
Response Ratee - IRAC, n (%)g
CR 81 (15.1) 77 (14.2) 51 (9.3)
VGPR 152 (28.4) 154 (28.5) 103 (18.8)
PR 169 (31.6) 166 (30.7) 187 (34.2)
Overall response: CR, VGPR, or PR 402 (75.1) 397 (73.4) 341 (62.3)
Kaplan-Meier Curves of Progression-free Survival Based on IRAC Assessment (ITT Population)
Between Arms Rd Continuous, Rd18 and MPT
Cutoff date: 24 May 2013
Kaplan-Meier Curves of Progression-free Survival Based on IRAC Assessment (ITT Population)
CI = confidence interval; d = low-dose dexamethasone; HR = hazard ratio; IRAC = Independent Response Adjudication Committee;
M = melphalan; P = prednisone; R = lenalidomide; Rd Continuous = Rd given until documentation of progressive disease; Rd18 = Rd given for ≤ 18 cycles; T = thalidomide.
Kaplan-Meier Curves of Overall Survival (ITT Population)
Between Arms Rd Continuous, Rd18 and MPT
Cutoff date: 03 Mar 2014
Kaplan-Meier Curves of Overall Survival (ITT Population)
CI = confidence interval; d = low-dose dexamethasone; HR = hazard ratio; M = melphalan; P = prednisone; R = lenalidomide; Rd
Continuous = Rd given until documentation of progressive disease; Rd18 = Rd given for ≤18 cycles; T = thalidomide.
Randomized, Placebo-Controlled Clinical Trials - Maintenance Following Auto-HSCT:
Two multicenter, randomized, double-blind, parallel group, placebo-controlled studies were conducted to eva luate the efficacy and safety of REVLIMID maintenance therapy in the treatment of MM patients after auto-HSCT. In Maintenance Study 1, patients between 18 and 70 years of age who had undergone induction therapy followed by auto-HSCT were eligible. Induction therapy must have occurred within 12 months. Within 90-100 days after auto-HSCT, patients with at least a stable disease response were randomized 1:1 to receive either REVLIMID or placebo maintenance. In Maintenance Study 2, patients aged < 65 years at diagnosis who had undergone induction therapy followed by auto-HSCT and had achieved at least a stable disease response at the time of hematologic recovery were eligible. Within 6 months after auto-HSCT, patients were randomized 1:1 to receive either REVLIMID or placebo maintenance. Patients eligible for both trials had to have CLcr ≥30 mL/minute.
In both studies, the REVLIMID maintenance dose was 10 mg once daily on days 1-28 of repeated 28-day cycles, could be increased to 15 mg once daily after 3 months in the absence of dose-limiting toxicity, and treatment was to be continued until disease progression or patient withdrawal for another reason. The dose was reduced, or treatment was temporarily interrupted or stopped, as nee