PMID- 28353192 OWN - NLM STAT- MEDLINE DCOM- 20180105 LR - 20181202 IS - 1865-3774 (Electronic) IS - 0925-5710 (Linking) VI - 106 IP - 4 DP - 2017 Oct TI - Three cases of relapsed/refractory multiple myeloma under hemodialysis treated with panobinostat/bortezomib/dexamethasone (FVD). PG - 581-587 LID - 10.1007/s12185-017-2222-4 [doi] AB - Three patients under hemodialysis (HD) with relapsed/refractory multiple myeloma (MM) were administered panobinostat/bortezomib/dexamethasone (FVD). Case 1: The patient was a 66-year-old male with BJP-kappa. FVD was effective, but HD could not be discontinued. He developed Grade 3 adverse events (AEs), including nausea, dehydration, and fatigue, following the common terminology criteria for adverse events v4.0. FVD was discontinued after the third course, while HD was continued. Case 2: The patient was a 65-year-old female with IgG-lambda + BJP-lambda. Amyloidosis was complicated. The first course of FVD was effective, but HD could not be discontinued. She developed G2 AEs, including nausea and fatigue. The cardiac amyloidosis worsened, and she died of heart and renal failure. Case 3: The patient was a 79-year-old male with BJP-kappa. FVD was effective, and the HD could be discontinued on day 12 of treatment. No AEs were noted. However, he declined continuation of the FVD and died of MM relapse and renal failure. We analyzed the pharmacokinetics of panobinostat. There were no correlations between dose level and blood level of panobinostat or between blood level, efficacy, and incidence of AEs. We additionally measured the rate of elimination of the drug by HD. FAU - Sekiguchi, Yasunobu AU - Sekiguchi Y AD - Department of Hematology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Urayasu, Chiba, Japan. yasu_sek@juntendo-urayasu.jp. FAU - Takizawa, Haruko AU - Takizawa H AD - Department of Hematology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Urayasu, Chiba, Japan. FAU - Inano, Tadaaki AU - Inano T AD - Department of Hematology, Juntendo University Hospital, Tokyo, Japan. FAU - Fukuda, Yasutaka AU - Fukuda Y AD - Department of Hematology, Juntendo University Hospital, Tokyo, Japan. FAU - Wakabayashi, Mutsumi AU - Wakabayashi M AD - Department of Hematology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Urayasu, Chiba, Japan. FAU - Sugimoto, Keiji AU - Sugimoto K AD - Department of Hematology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Urayasu, Chiba, Japan. FAU - Tomita, Shigeki AU - Tomita S AD - Department of Pathology, Juntendo University Urayasu Hospital, Urayasu, Japan. FAU - Izumi, Hiroshi AU - Izumi H AD - Department of Pathology, Juntendo University Urayasu Hospital, Urayasu, Japan. FAU - Nakamura, Noriko AU - Nakamura N AD - Department of Clinical Laboratory, Juntendo University Urayasu Hospital, Urayasu, Japan. FAU - Sawada, Tomohiro AU - Sawada T AD - Department of Clinical Laboratory, Juntendo University Urayasu Hospital, Urayasu, Japan. FAU - Ohta, Yasunori AU - Ohta Y AD - Department of Pathology, The Institute of Medical Science, The University of Tokyo, Tokyo, Japan. FAU - Komatsu, Norio AU - Komatsu N AD - Department of Hematology, Juntendo University Hospital, Tokyo, Japan. FAU - Noguchi, Masaaki AU - Noguchi M AD - Department of Hematology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Urayasu, Chiba, Japan. LA - eng PT - Case Reports PT - Journal Article DEP - 20170328 PL - Japan TA - Int J Hematol JT - International journal of hematology JID - 9111627 RN - 0 (Hydroxamic Acids) RN - 0 (Indoles) RN - 69G8BD63PP (Bortezomib) RN - 7S5I7G3JQL (Dexamethasone) RN - 9647FM7Y3Z (Panobinostat) SB - IM MH - Aged MH - Antineoplastic Combined Chemotherapy Protocols/*administration & dosage/*pharmacokinetics MH - Bortezomib/administration & dosage/pharmacokinetics MH - Dexamethasone/administration & dosage/pharmacokinetics MH - Female MH - Humans MH - Hydroxamic Acids/administration & dosage/pharmacokinetics MH - Indoles/administration & dosage/pharmacokinetics MH - Male MH - Multiple Myeloma/blood/*therapy MH - Panobinostat MH - Recurrence MH - *Renal Dialysis MH - Renal Insufficiency/blood/*therapy OTO - NOTNLM OT - Hemodialysis OT - Panobinostat/bortezomib/dexamethasone (FVD) therapy OT - Relapsed/refractory multiple myeloma OT - Renal failure EDAT- 2017/03/30 06:00 MHDA- 2018/01/06 06:00 CRDT- 2017/03/30 06:00 PHST- 2017/01/27 00:00 [received] PHST- 2017/03/24 00:00 [accepted] PHST- 2017/03/21 00:00 [revised] PHST- 2017/03/30 06:00 [pubmed] PHST- 2018/01/06 06:00 [medline] PHST- 2017/03/30 06:00 [entrez] AID - 10.1007/s12185-017-2222-4 [pii] AID - 10.1007/s12185-017-2222-4 [doi] PST - ppublish SO - Int J Hematol. 2017 Oct;106(4):581-587. doi: 10.1007/s12185-017-2222-4. Epub 2017 Mar 28.