Pomalidomide in the treatment of multiple myeloma: design, development and place in therapy

Rafael Ríos-Tamayo,1–4 Agustín Martín-García,5,6 Carolina Alarcón-Payer,5 Dolores Sánchez-Rodríguez,1,7 Ana María del Valle Díaz de la Guardia,5 Carlos Gustavo García Collado,5 Alb...

Full description

Bibliographic Details
Main Authors: Rios-Tamayo R, Martín-García A, Alarcón-Payer C, Sánchez-Rodríguez D, Guardia AM, García Collado CG, Jiménez Morales A, Jurado Chacón M, Cabeza Barrera J
Format: Article
Language:English
Published: Dove Medical Press 2017-08-01
Series:Drug Design, Development and Therapy
Subjects:
Online Access:https://www.dovepress.com/pomalidomide-in-the-treatment-of-multiple-myeloma-design-development-a-peer-reviewed-article-DDDT
_version_ 1819056658321506304
author Rios-Tamayo R
Martín-García A
Alarcón-Payer C
Sánchez-Rodríguez D
Guardia AM
García Collado CG
Jiménez Morales A
Jurado Chacón M
Cabeza Barrera J
author_facet Rios-Tamayo R
Martín-García A
Alarcón-Payer C
Sánchez-Rodríguez D
Guardia AM
García Collado CG
Jiménez Morales A
Jurado Chacón M
Cabeza Barrera J
author_sort Rios-Tamayo R
collection DOAJ
description Rafael Ríos-Tamayo,1–4 Agustín Martín-García,5,6 Carolina Alarcón-Payer,5 Dolores Sánchez-Rodríguez,1,7 Ana María del Valle Díaz de la Guardia,5 Carlos Gustavo García Collado,5 Alberto Jiménez Morales,5 Manuel Jurado Chacón,1–4 José Cabeza Barrera4,5 1Monoclonal Gammopathies Unit, 2Department of Hematology, University Hospital Virgen de las Nieves, Granada, Spain; 3Genomic Oncology Area, GENYO, Center for Genomics and Oncological Research: Pfizer/University of Granada/Andalusian Regional Government, PTS, Granada, Spain; 4Instituto de Investigación Biosanitaria de Granada (Ibs.GRANADA), Hospitales Universitarios de Granada/Universidad de Granada, Granada, Spain; 5Department of Pharmacy, 6Clinical Trials Unit, University Hospital Virgen de las Nieves, Granada, Spain; 7FIBAO, Granada, Spain Abstract: Multiple myeloma is a very heterogeneous disease with variable survival. Despite recent progress and the widespread use of new agents, patients with relapsed and refractory disease have a poor outcome. Immunomodulatory drugs play a key role in both the front-line and the relapsed/refractory setting. The combination of pomalidomide (POM) and dexamethasone is safe and effective in relapsed and refractory patients, even in those with high-risk cytogenetic features. Furthermore, it can be used in most patients without the need to adjust according to the degree of renal failure. In order to further improve the results, POM-based triplet therapies are currently used. This article highlights the most relevant issues of POM and POM-based combinations in the relapsed/refractory multiple myeloma setting, from a pharmacological and clinical point of view. Keywords: multiple myeloma, pomalidomide, triplet therapy, dexamethasone
first_indexed 2024-12-21T13:26:55Z
format Article
id doaj.art-6f7407b871d24e8e8a43f0396da90207
institution Directory Open Access Journal
issn 1177-8881
language English
last_indexed 2024-12-21T13:26:55Z
publishDate 2017-08-01
publisher Dove Medical Press
record_format Article
series Drug Design, Development and Therapy
spelling doaj.art-6f7407b871d24e8e8a43f0396da902072022-12-21T19:02:26ZengDove Medical PressDrug Design, Development and Therapy1177-88812017-08-01Volume 112399240834345Pomalidomide in the treatment of multiple myeloma: design, development and place in therapyRios-Tamayo RMartín-García AAlarcón-Payer CSánchez-Rodríguez DGuardia AMGarcía Collado CGJiménez Morales AJurado Chacón MCabeza Barrera JRafael Ríos-Tamayo,1–4 Agustín Martín-García,5,6 Carolina Alarcón-Payer,5 Dolores Sánchez-Rodríguez,1,7 Ana María del Valle Díaz de la Guardia,5 Carlos Gustavo García Collado,5 Alberto Jiménez Morales,5 Manuel Jurado Chacón,1–4 José Cabeza Barrera4,5 1Monoclonal Gammopathies Unit, 2Department of Hematology, University Hospital Virgen de las Nieves, Granada, Spain; 3Genomic Oncology Area, GENYO, Center for Genomics and Oncological Research: Pfizer/University of Granada/Andalusian Regional Government, PTS, Granada, Spain; 4Instituto de Investigación Biosanitaria de Granada (Ibs.GRANADA), Hospitales Universitarios de Granada/Universidad de Granada, Granada, Spain; 5Department of Pharmacy, 6Clinical Trials Unit, University Hospital Virgen de las Nieves, Granada, Spain; 7FIBAO, Granada, Spain Abstract: Multiple myeloma is a very heterogeneous disease with variable survival. Despite recent progress and the widespread use of new agents, patients with relapsed and refractory disease have a poor outcome. Immunomodulatory drugs play a key role in both the front-line and the relapsed/refractory setting. The combination of pomalidomide (POM) and dexamethasone is safe and effective in relapsed and refractory patients, even in those with high-risk cytogenetic features. Furthermore, it can be used in most patients without the need to adjust according to the degree of renal failure. In order to further improve the results, POM-based triplet therapies are currently used. This article highlights the most relevant issues of POM and POM-based combinations in the relapsed/refractory multiple myeloma setting, from a pharmacological and clinical point of view. Keywords: multiple myeloma, pomalidomide, triplet therapy, dexamethasonehttps://www.dovepress.com/pomalidomide-in-the-treatment-of-multiple-myeloma-design-development-a-peer-reviewed-article-DDDTMultiple MyelomaPomalidomide
spellingShingle Rios-Tamayo R
Martín-García A
Alarcón-Payer C
Sánchez-Rodríguez D
Guardia AM
García Collado CG
Jiménez Morales A
Jurado Chacón M
Cabeza Barrera J
Pomalidomide in the treatment of multiple myeloma: design, development and place in therapy
Drug Design, Development and Therapy
Multiple Myeloma
Pomalidomide
title Pomalidomide in the treatment of multiple myeloma: design, development and place in therapy
title_full Pomalidomide in the treatment of multiple myeloma: design, development and place in therapy
title_fullStr Pomalidomide in the treatment of multiple myeloma: design, development and place in therapy
title_full_unstemmed Pomalidomide in the treatment of multiple myeloma: design, development and place in therapy
title_short Pomalidomide in the treatment of multiple myeloma: design, development and place in therapy
title_sort pomalidomide in the treatment of multiple myeloma design development and place in therapy
topic Multiple Myeloma
Pomalidomide
url https://www.dovepress.com/pomalidomide-in-the-treatment-of-multiple-myeloma-design-development-a-peer-reviewed-article-DDDT
work_keys_str_mv AT riostamayor pomalidomideinthetreatmentofmultiplemyelomadesigndevelopmentandplaceintherapy
AT martingarciaa pomalidomideinthetreatmentofmultiplemyelomadesigndevelopmentandplaceintherapy
AT alarconpayerc pomalidomideinthetreatmentofmultiplemyelomadesigndevelopmentandplaceintherapy
AT sanchezrodriguezd pomalidomideinthetreatmentofmultiplemyelomadesigndevelopmentandplaceintherapy
AT guardiaam pomalidomideinthetreatmentofmultiplemyelomadesigndevelopmentandplaceintherapy
AT garciacolladocg pomalidomideinthetreatmentofmultiplemyelomadesigndevelopmentandplaceintherapy
AT jimenezmoralesa pomalidomideinthetreatmentofmultiplemyelomadesigndevelopmentandplaceintherapy
AT juradochaconm pomalidomideinthetreatmentofmultiplemyelomadesigndevelopmentandplaceintherapy
AT cabezabarreraj pomalidomideinthetreatmentofmultiplemyelomadesigndevelopmentandplaceintherapy