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Volume 354:2079-2080 May 11, 2006 Number 19
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Lenalidomide and Venous Thrombosis in Multiple Myeloma

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To the Editor: Lenalidomide (Revlimid) is an analogue of thalidomide that has clinical activity in a variety of hematologic conditions.1 It has recently been approved by the Food and Drug Administration for certain myelodysplastic syndromes associated with a chromosome 5q deletion. We report on the risk of thrombosis when lenalidomide is used with other agents that have known thrombogenic potential, including erythropoietin, and the need to consider antithrombotic prophylaxis when such combinations are administered.

This report is based on the preliminary evaluation of results of two recently completed placebo-controlled studies,2 identical in design, involving patients with relapsed or refractory multiple . . . [Full Text of this Article]


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