Page last updated: 2024-11-05

thalidomide and Carditis

thalidomide has been researched along with Carditis in 3 studies

Thalidomide: A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, but withdrawn from the market due to teratogenic effects. It has been reintroduced and used for a number of immunological and inflammatory disorders. Thalidomide displays immunosuppressive and anti-angiogenic activity. It inhibits release of TUMOR NECROSIS FACTOR-ALPHA from monocytes, and modulates other cytokine action.
thalidomide : A racemate comprising equimolar amounts of R- and S-thalidomide.
2-(2,6-dioxopiperidin-3-yl)-1H-isoindole-1,3(2H)-dione : A dicarboximide that is isoindole-1,3(2H)-dione in which the hydrogen attached to the nitrogen is substituted by a 2,6-dioxopiperidin-3-yl group.

Research Excerpts

ExcerptRelevanceReference
"Pomalidomide and dexamethasone is a standard of care for patients with multiple myeloma in whom bortezomib and lenalidomide treatment has failed."9.30Pembrolizumab plus pomalidomide and dexamethasone for patients with relapsed or refractory multiple myeloma (KEYNOTE-183): a randomised, open-label, phase 3 trial. ( Avivi, I; Benyamini, N; Blacklock, H; Chanan-Khan, A; Farooqui, M; George, A; Goldschmidt, H; Iida, S; Jagannath, S; Kher, U; Larocca, A; Liao, J; Lonial, S; Marinello, P; Mateos, MV; Matsumoto, M; Ocio, EM; Oriol, A; Ribrag, V; Rodriguez-Otero, P; San Miguel, J; Schjesvold, F; Sherbenou, D; Simpson, D; Suzuki, K; Usmani, SZ, 2019)
"To report the first case of pathologically confirmed myocarditis in a patient receiving treatment with lenalidomide for non-Hodgkin's lymphoma."7.76Myocarditis during lenalidomide therapy. ( Ahmadi, T; Carver, JR; Chong, EA; Nasta, S; Schuster, SJ; Stonecypher, M; Wheeler, JE, 2010)
"Pomalidomide and dexamethasone is a standard of care for patients with multiple myeloma in whom bortezomib and lenalidomide treatment has failed."5.30Pembrolizumab plus pomalidomide and dexamethasone for patients with relapsed or refractory multiple myeloma (KEYNOTE-183): a randomised, open-label, phase 3 trial. ( Avivi, I; Benyamini, N; Blacklock, H; Chanan-Khan, A; Farooqui, M; George, A; Goldschmidt, H; Iida, S; Jagannath, S; Kher, U; Larocca, A; Liao, J; Lonial, S; Marinello, P; Mateos, MV; Matsumoto, M; Ocio, EM; Oriol, A; Ribrag, V; Rodriguez-Otero, P; San Miguel, J; Schjesvold, F; Sherbenou, D; Simpson, D; Suzuki, K; Usmani, SZ, 2019)
"To report the first case of pathologically confirmed myocarditis in a patient receiving treatment with lenalidomide for non-Hodgkin's lymphoma."3.76Myocarditis during lenalidomide therapy. ( Ahmadi, T; Carver, JR; Chong, EA; Nasta, S; Schuster, SJ; Stonecypher, M; Wheeler, JE, 2010)

Research

Studies (3)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's3 (100.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Chang, A1
Nasti, TH1
Khan, MK1
Parashar, S1
Kaufman, JL1
Boise, LH1
Lonial, S2
Ahmed, R1
Nooka, AK1
Mateos, MV1
Blacklock, H1
Schjesvold, F1
Oriol, A1
Simpson, D1
George, A1
Goldschmidt, H1
Larocca, A1
Chanan-Khan, A1
Sherbenou, D1
Avivi, I1
Benyamini, N1
Iida, S1
Matsumoto, M1
Suzuki, K1
Ribrag, V1
Usmani, SZ1
Jagannath, S1
Ocio, EM1
Rodriguez-Otero, P1
San Miguel, J1
Kher, U1
Farooqui, M1
Liao, J1
Marinello, P1
Carver, JR1
Nasta, S1
Chong, EA1
Stonecypher, M1
Wheeler, JE1
Ahmadi, T1
Schuster, SJ1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase III Study of Pomalidomide and Low Dose Dexamethasone With or Without Pembrolizumab (MK3475) in Refractory or Relapsed and Refractory Multiple Myeloma (rrMM) (KEYNOTE 183)[NCT02576977]Phase 3251 participants (Actual)Interventional2015-10-19Terminated (stopped due to The study was terminated early due to business reasons)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Disease Control Rate (DCR) Evaluated According to the IMWG Response Criteria by CAC Blinded Central Review

Disease control rate was the percentage of participants who achieved confirmed sCR, CR, VGPR, PR, minimal response (MR) or have demonstrated stable disease (SD) for at least 12 weeks prior to any evidence of progression. PD was development of or an increase in the size of bone lesions or soft tissue plasmacytomas. CR = negative immunofixation of serum and urine AND disappearance of any soft tissue plasmacytomas AND <5% plasmacytomas in the bone marrow; sCR=stringent complete response, CR as above PLUS normal serum FLC assay ratio and absence of clonal cells in bone marrow by immunohistochemistry/fluorescence; VGPR = serum and urine M-component detectable by immunofixation but not on electrophoresis OR ≥ 90% reduction in serum M-component plus urine M-component <100 mg/24 hr; PR = ≥50% reduction of serum M-protein and reduction in 24-hour urinary M-protein by ≥90% or to <200 mg/24 hours. The data cutoff date was July 9, 2018. (NCT02576977)
Timeframe: Up to approximately 30 months

InterventionPercentage of participants (Number)
Pembrolizumab+Pomalidomide+Dexamethasone88.1
Standard of Care (SOC) Pomalidomide+Dexamethasone84.8

Overall Response Rate (ORR) Evaluated According to the IMWG Response Criteria by CAC Blinded Central Review

ORR was defined as the percentage of the participants in the analysis population who achieved at least a partial response (stringent complete response [sCR]+complete response [CR]+very good partial response [VGPR]+partial response [PR]) according to the IMWG. CR = negative immunofixation of serum and urine AND disappearance of any soft tissue plasmacytomas AND <5% plasmacytomas in the bone marrow; sCR=stringent complete response, CR as above PLUS normal serum free light-chain (FLC) assay ratio and absence of clonal cells in bone marrow by immunohistochemistry or immunofluorescence; VGPR = serum and urine M-component detectable by immunofixation but not on electrophoresis OR ≥ 90% reduction in serum M-component plus urine M-component <100 mg/24 hr; PR = ≥50% reduction of serum M-protein and reduction in 24-hour urinary M-protein by ≥90% or to <200 mg/24 hours. The database cutoff date was July 9, 2018. (NCT02576977)
Timeframe: Up to approximately 30 months

InterventionPercentage of participants (Number)
Pembrolizumab+Pomalidomide+Dexamethasone37.3
Standard of Care (SOC) Pomalidomide+Dexamethasone42.4

Overall Survival (OS)

Overall survival is defined as the time from randomization to death due to any cause. Participants without documented death at the time of the final analysis were censored at the date of the last follow-up. Median overall survival was calculated from the product-limit (Kaplan-Meier) method for censored data. The database cutoff date was August 3, 2020. (NCT02576977)
Timeframe: Up to approximately 54 months

InterventionMonths (Median)
Pembrolizumab+Pomalidomide+Dexamethasone21.0
Standard of Care (SOC) Pomalidomide+Dexamethasone39.6

Participants Discontinuing Study Investigational Product Due to an AE

An adverse event was defined as any unfavorable and unintended sign including an abnormal laboratory finding, symptom or disease associated with the use of a medical treatment or procedure, regardless of whether it was considered related to the medical treatment or procedure, that occurred during the course of the study. Database cutoff was August 3, 2020. (NCT02576977)
Timeframe: Up to approximately 54 months

InterventionParticipants (Count of Participants)
Pembrolizumab+Pomalidomide+Dexamethasone26
Standard of Care (SOC) Pomalidomide+Dexamethasone10

Participants Experiencing One or More Adverse Events (AEs)

An adverse event (AE) was defined as any unfavorable and unintended sign including an abnormal laboratory finding, symptom or disease associated with the use of a medical treatment or procedure, regardless of whether it was considered related to the medical treatment or procedure, that occurred during the course of the study. Database cutoff was August 3, 2020. (NCT02576977)
Timeframe: Up to approximately 54 months

InterventionParticipants (Count of Participants)
Pembrolizumab+Pomalidomide+Dexamethasone122
Standard of Care (SOC) Pomalidomide+Dexamethasone119

Progression Free Survival (PFS) Assessed by Clinical Adjudication Committee (CAC) Blinded Central Review According to the International Myeloma Working Group (IMWG) Response Criteria

Progression free survival was defined as the time from randomization to the first documented disease progression, or death due to any cause, whichever occurred first. PFS was assessed by CAC blinded central review according to the IMWG criteria based on the development of new bone lesions or soft tissue plasmacytomas or on a definite increase in the size of existing bone lesions or soft tissue plasmacytomas. Median PFS was calculated from the product-limit (Kaplan-Meier) method for censored data. The database cutoff date was July 9, 2018. (NCT02576977)
Timeframe: Up to approximately 30 months

InterventionMonths (Median)
Pembrolizumab+Pomalidomide+Dexamethasone5.7
Standard of Care (SOC) Pomalidomide+Dexamethasone7.4

Trials

1 trial available for thalidomide and Carditis

ArticleYear
Pembrolizumab plus pomalidomide and dexamethasone for patients with relapsed or refractory multiple myeloma (KEYNOTE-183): a randomised, open-label, phase 3 trial.
    The Lancet. Haematology, 2019, Volume: 6, Issue:9

    Topics: Aged; Aged, 80 and over; Antibodies, Monoclonal, Humanized; Antineoplastic Combined Chemotherapy Pro

2019

Other Studies

2 other studies available for thalidomide and Carditis

ArticleYear
Myocarditis With Radiotherapy and Immunotherapy in Multiple Myeloma.
    Journal of oncology practice, 2018, Volume: 14, Issue:9

    Topics: Angiogenesis Inhibitors; Antibodies, Monoclonal; Antineoplastic Agents, Immunological; Dexamethasone

2018
Myocarditis during lenalidomide therapy.
    The Annals of pharmacotherapy, 2010, Volume: 44, Issue:11

    Topics: Aged, 80 and over; Antineoplastic Agents; Autopsy; Dexamethasone; Female; Humans; Lenalidomide; Lymp

2010