What does the NCCN recommend for maintenance therapy in patients with multiple myeloma (MM)?

Updated: Mar 06, 2020
  • Author: Dhaval Shah, MD; Chief Editor: Emmanuel C Besa, MD  more...
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Answer

For maintenance therapy, the NCCN recommends lenalidomide. Although lenalidomide is a category 1 recommendation, the NCCN notes that lenalidomide maintenance appears to be associated with increased risk of secondary cancers, especially after transplant; this should be discussed with patients. Other recommended agents are ixazomib (category 1) and bortezomib; bortezomib/lenalidomide is useful in certain circumstances.


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