PMID- 36369635 OWN - NLM STAT- MEDLINE DCOM- 20230202 LR - 20230202 IS - 1865-3774 (Electronic) IS - 0925-5710 (Linking) VI - 117 IP - 2 DP - 2023 Feb TI - Real-world toxicity and effectiveness of ixazomib, lenalidomide, and dexamethasone in Korean patients with relapsed and/or refractory multiple myeloma. PG - 225-235 LID - 10.1007/s12185-022-03479-6 [doi] AB - BACKGROUND/AIM: Ixazomib, lenalidomide, and dexamethasone (IRd) have proven efficacy and an excellent safety profile in relapsed and/or refractory multiple myeloma (RRMM). However, there are limited reports on the real-world safety and effectiveness of IRd regimens in Asian patients with RRMM. PATIENTS AND METHODS: This was a retrospective study of 60 patients with RRMM who were treated with IRd. RESULTS: The median patient age was 68 years. Forty percent of patients did not meet the eligibility criteria for the TOURMALINE-MM1 trial. Patients received a median of one prior line of therapy. Non-hematologic adverse events (AEs) were more common than hematologic AEs. The most common AE was skin rash, followed by gastrointestinal toxicities. Most grade 3 or higher AEs were observed in less than 5% of the patients, except for skin rashes and infections. IRd therapy did not aggravate peripheral neuropathy (PN) in 20 of the 24 patients with pre-existing peripheral neuropathy. The overall response rate was 85%. After a median follow-up of 26.3 months, the median progression-free survival was 25.9 months and overall survival was not reached. CONCLUSION: Ixazomib and Rd combination therapy had a comparable toxicity profile and effectiveness in real-world RRMM patients. CI - (c) 2022. Japanese Society of Hematology. FAU - Lee, Ji Hyun AU - Lee JH AUID- ORCID: 0000-0003-2341-4911 AD - Department of Internal Medicine, Dong-A University College of Medicine, Busan, Republic of Korea. FAU - Kim, Sung-Hyun AU - Kim SH AD - Department of Internal Medicine, Dong-A University College of Medicine, Busan, Republic of Korea. FAU - Kim, Hye Ryeon AU - Kim HR AD - Department of Internal Medicine, Dong-A University College of Medicine, Busan, Republic of Korea. FAU - Min, Chang-Ki AU - Min CK AD - Department of Hematology, Seoul St. Mary's Hematology Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea. FAU - Lee, Je-Jung AU - Lee JJ AD - Department of Hematology-Oncology, Chonnam National University Hwasun Hospital, Chonnam National University Medical School, Hwasun, Republic of Korea. FAU - Shin, Ho-Jin AU - Shin HJ AD - Division of Hematology-Oncology, Department of Internal Medicine, School of Medicine, Medical Research Institute, Pusan National University Hospital, Busan, Republic of Korea. FAU - Jo, Jae-Cheol AU - Jo JC AD - Department of Hematology and Oncology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea. FAU - Lee, Ji Yun AU - Lee JY AD - Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea. FAU - Moon, Joon Ho AU - Moon JH AD - Division of Hematology-Oncology, Department of Internal Medicine, School of Medicine, Kyungpook National University, 130, Dongduk-Ro, Jung-Gu, Daegu, 41944, Republic of Korea. jhmoon@knu.ac.kr. FAU - Kim, Kihyun AU - Kim K AD - Division of Hematology-Oncology, Department of Medicine, Sungkyunkwan University School of Medicine, Samsung Medical Center, 81, Irwon-Ro, Gangnam-Gu, Seoul, 06351, Republic of Korea. kihyunkimk@gmail.com. LA - eng GR - NRF-2016R1A5A2007009/National Research Foundation of Korea/ GR - NRF-2017R1C1B5014853/National Research Foundation/ PT - Journal Article DEP - 20221111 PL - Japan TA - Int J Hematol JT - International journal of hematology JID - 9111627 RN - F0P408N6V4 (Lenalidomide) RN - 71050168A2 (ixazomib) RN - 7S5I7G3JQL (Dexamethasone) RN - 0 (Boron Compounds) SB - IM MH - Humans MH - Aged MH - Lenalidomide MH - *Multiple Myeloma MH - Retrospective Studies MH - Dexamethasone MH - Boron Compounds/adverse effects MH - *Peripheral Nervous System Diseases/chemically induced MH - *Exanthema/chemically induced MH - Republic of Korea/epidemiology MH - Antineoplastic Combined Chemotherapy Protocols/adverse effects OTO - NOTNLM OT - Asia OT - Ixazomib OT - Lenalidomide OT - Multiple myeloma OT - Real-world OT - Refractory OT - Relapsed EDAT- 2022/11/13 06:00 MHDA- 2023/02/03 06:00 CRDT- 2022/11/12 00:50 PHST- 2022/06/08 00:00 [received] PHST- 2022/10/23 00:00 [accepted] PHST- 2022/10/21 00:00 [revised] PHST- 2022/11/13 06:00 [pubmed] PHST- 2023/02/03 06:00 [medline] PHST- 2022/11/12 00:50 [entrez] AID - 10.1007/s12185-022-03479-6 [pii] AID - 10.1007/s12185-022-03479-6 [doi] PST - ppublish SO - Int J Hematol. 2023 Feb;117(2):225-235. doi: 10.1007/s12185-022-03479-6. Epub 2022 Nov 11.