ASCO GUIDELINES Bundle

Multiple Myeloma Treatment

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10 Table 1. Drugs Used in the Management of Patients With Multiple Myeloma Agent Route Dose Schedule Immunomodulatory drugs alidomide Oral 50–200 mg Daily Lenalidomide Oral 5–25 mg Daily for 21/28 days Pomalidomide Oral 1–4 mg Daily for 21/28 days Proteasome Inhibitors Bortezomib Subcutaneous/ intravenous 0.7–1.6 mg/m 2 1–2× weekly Carfilzomib Intravenous 20–70 mg/m 2 1–2× weekly for 3–4 weeks Ixazomib Oral 2.3–4 mg Weekly for 3–4 weeks Monoclonal antibodies Daratumumab Intravenous 16 mg/kg Weekly → every 2 weeks → monthly Elotuzumab Intravenous 10 mg/kg Weekly → every 2 weeks Alkylators Cyclophosphamide Oral 50 mg–500 mg/m 2 Daily Weekly Melphalan Oral 9 mg/m 2 Daily × 4 days/cycle Melphalan Intravenous 140–200 mg/m 2 Once for transplant HDAC Inhibitors Panobinostat Oral 10-20 mg 3× weekly Steroids Dexamethasone Oral 20–40 mg Weekly Prednisone Oral 25–50 mg Every other day Anthracyclines Doxorubicin HCl Liposomal Intravenous 30 mg/m 2 Every 3 weeks Treatment

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