Difference between revisions of "POEMS syndrome"
Jump to navigation
Jump to search
Warner-admin (talk | contribs) m (Text replacement - "[[Trimethoprim/Sulfamethoxazole" to "[[Trimethoprim-Sulfamethoxazole") Tags: mobile edit mobile web edit |
m (→Chemotherapy) |
||
Line 34: | Line 34: | ||
|- | |- | ||
|} | |} | ||
− | ==== | + | ====Targeted therapy==== |
*[[Lenalidomide (Revlimid)]] 25 mg PO once per day on days 1 to 21 | *[[Lenalidomide (Revlimid)]] 25 mg PO once per day on days 1 to 21 | ||
*[[Dexamethasone (Decadron)]] 40 mg PO once per day on days 1, 8, 15, 22 | *[[Dexamethasone (Decadron)]] 40 mg PO once per day on days 1, 8, 15, 22 |
Revision as of 00:37, 28 August 2020
Section editor | |
---|---|
Andrew J. Cowan, MD University of Washington Seattle, WA ![]() |
POEMS: Peripheral neuropathy, Organomegaly, Endocrinopathy, Monoclonal plasma cell disorder, and Skin changes
1 regimens on this page
1 variants on this page
|
Guidelines
EMN
- 2018: Gavriatopoulou et al. European myeloma network recommendations on diagnosis and management of patients with rare plasma cell dyscrasias PubMed
All lines of therapy
Rd
back to top |
Rd: Revlimid (Lenalidomide) & low-dose dexamethasone
Regimen
Study | Evidence |
---|---|
Nozza et al. 2017 | Phase II, <20 pts |
Targeted therapy
- Lenalidomide (Revlimid) 25 mg PO once per day on days 1 to 21
- Dexamethasone (Decadron) 40 mg PO once per day on days 1, 8, 15, 22
Supportive medications
- Aspirin 100 mg PO once per day
- LMWH in "intolerant" patients
- Cotrimoxazole 800 mg PO twice per day two days per week
28-day cycle for at least 6 cycles
References
- Nozza A, Terenghi F, Gallia F, Adami F, Briani C, Merlini G, Giordano L, Santoro A, Nobile-Orazio E. Lenalidomide and dexamethasone in patients with POEMS syndrome: results of a prospective, open-label trial. Br J Haematol. 2017 Dec;179(5):748-755. Epub 2017 Oct 19. link to original article contains verified protocol PubMed