Review Article

Salvage Therapy of Multiple Myeloma: The New Generation Drugs

Table 1

Regimens containing bendamustine and novel agents.

Combination with novel agents: bortezomibORR PFSReference

phase I-IIBendamustine90 mgi.v.Day 1 and day 4 every 28 days for up 8 cycles52%not reached Berenson et al., 2013 [7]
Bortezomib1.0 mg/m2days 1, 4, 8, and 11 every 28 days for up 8 cycles

BVD phase IIBendamustine70 mgi.v.Day 1 and day 4 every 28 days for up 8 cycles76%9.7 months Ludwig et al., 2014 [8]
Bortezomib 1.3 mg/m2i.v.Days 1, 4, 8, and 11 every 28 days for up 8 cycles
Dexamethasone20 mgi.v.Days 1, 4, 8, and 11 every 28 days for up 8 cycles

BVD phase IIBendamustine70 mgi.v.Day 1 and day 8 every 28 days for up 6 cycles71.5%16.5 months Offidani et al., 2013 [9]
Bortezomib1.3 mg/m2i.v.Days 1, 4, 8, and11 every 28 days for 2 cycles and then days 1, 8, 15, and 22 for 4 cycles
Dexamethasone20 mgi.v./OSDays 1-2, 4-5, 8-9, and 11-12 every 28 days for 2 cycles and then on days 1, 8, 15, and 22 for 4 cycles

BPV phase IIBendamustine60 mgi.v.Day 1 and day 2 every 28 days for up 7 cycles69%11 months Ponish, 2012
Bortezomib1.3 mg/m2i.v.Days 1, 4, 8, and 11 every 28 days for up 7 cycles
Prednisone100 mgi.v.Days 1, 2, 4, 8, and 11 every 28 days for up 7 cycles

Combination with novel agents: IMiDs

BTP phase IBendamustine60 mgi.v.Day 1 and day 2 every 28 days up to maximum response or MTD80%11 months Pönisch et al., 2008 [10]
Thalidomide50 or 100 or 200 mgper OSDays 1–21 every 28 days up to maximum response or MTD
Prednisone100 mgi.v./per OSDays 1, 2, 4, 8, and 11 every 28 days up to maximum response or MTD

BTD phase I-IIBendamustine60 mgi.v.Day 1 and day 8 every 28 days up to progression46%19 months Yong et al., 2013 [11]
Thalidomide100 mgper OSDays 1–21 every 28 days up to progression
Dexamethasone20 mgi.v./per OSdays 1, 8, 15, and 22 every 28 days up to progression

BLDBendamustine75 mgi.v.Day 1 and day 2 every 28 days up to progression76%6.1 months Lentzsch et al., 2012 [12]
Lenalidomide10 mgper OSDays 1–21 every 28 days up to progression
Dexamethasone40 mgi.v./per OSDays 1, 8, 15, and 22 every 28 days up to progression

BLPBendamustine75 mgi.v.Day 1 and day 2 every 28 days up to progression76%48% at 18 months Ponish, 2013
Lenalidomide25 mgper OSDays 1–21 every 28 days up to progression
Prednisone100 mgper OSDays 1–4 every 28 days up to progression