PMID- 25184231 OWN - NLM STAT- MEDLINE DCOM- 20141113 LR - 20170512 IS - 0890-9091 (Print) IS - 0890-9091 (Linking) VI - 27 Suppl 3 DP - 2013 Dec TI - Management of hematologic adverse events in patients with relapsed and/or refractory multiple myeloma treated with single-agent carfilzomib. PG - 11-8 LID - 189773 [pii] AB - Hematologic adverse events (AEs) are commonly encountered in patients with multiple myeloma (MM) owing to the nature of the disease and the adverse effects related to myeloma treatment. Immunomodulatory drugs (eg, thalidomide, lenalidomide, and pomalidomide) and the proteasome inhibitor bortezomib have all been associated with increased rates of anemia, neutropenia, and thrombocytopenia, as well as greater incidences of infection caused by associated immunosuppression. The proteasome inhibitor carfilzomib was recently approved in the United States for the treatment of patients with relapsed and refractory MM. This article reviews the hematologic safety profile of carfilzomib in patients with relapsed/refractory MM, as assessed in a cross-trial safety analysis of four phase II studies, and makes recommendations for the appropriate management of hematologic AEs. FAU - Nooka, Ajay K AU - Nooka AK LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - Oncology (Williston Park) JT - Oncology (Williston Park, N.Y.) JID - 8712059 RN - 0 (Antineoplastic Agents) RN - 0 (Oligopeptides) RN - 0 (Proteasome Inhibitors) RN - 72X6E3J5AR (carfilzomib) SB - IM MH - Anemia/chemically induced/therapy MH - Antibiotic Prophylaxis MH - Antineoplastic Agents/*adverse effects MH - Humans MH - Multiple Myeloma/*drug therapy MH - Neutropenia/chemically induced/therapy MH - Oligopeptides/*adverse effects MH - Proteasome Inhibitors/*adverse effects MH - Recurrence MH - Thrombocytopenia/chemically induced/therapy EDAT- 2014/09/04 06:00 MHDA- 2014/11/14 06:00 CRDT- 2014/09/04 06:00 PHST- 2014/09/04 06:00 [entrez] PHST- 2014/09/04 06:00 [pubmed] PHST- 2014/11/14 06:00 [medline] AID - 189773 [pii] PST - ppublish SO - Oncology (Williston Park). 2013 Dec;27 Suppl 3:11-8.