4.2 Review

Risk of Rash Associated With Lenalidomide in Cancer Patients: A Systematic Review of the Literature and Meta-analysis

Journal

CLINICAL LYMPHOMA MYELOMA & LEUKEMIA
Volume 13, Issue 4, Pages 424-429

Publisher

CIG MEDIA GROUP, LP
DOI: 10.1016/j.clml.2013.03.006

Keywords

Lenalidomide; Multiple myeloma; Myelodyplastic syndrome; Rash; Skin toxicities

Funding

  1. Dermatology Foundation

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Lenalidomide (Len) is indicated for treatment of multiple myeloma (MM) in combination with dexamethasone (Dex) and as single agent in myelodysplastic syndromes (MDS). We conducted a systematic review and meta-analysis of the literature to determine the incidence and risk of developing rash. Our findings have demonstrated that lenalidomide is associated with a significant risk of rash in cancer patients, that is independent of dose, tumor type, or combination with dexamethasone. Background: Lenalidomide is indicated for treatment of multiple myeloma in combination with dexamethasone and as a single agent in myelodysplastic syndromes. The incidence and risk of rash has been inconsistently reported. Materials and Methods: We conducted a systematic review and metaanalysis of the literature to determine the incidence and risk of developing rash. Relevant studies were identified from PubMed and abstracts presented at American Society of Clinical Oncology annual meetings. Incidence, relative risk, and 95% confidence intervals were calculated. Results: Ten trials were available for analysis, and the overall incidence of all-grade and high-grade rash was 27.2% and 3.6%, respectively. Lenalidomide was associated with increased risk of all-grade rash (P < .001). Conclusion: Further studies for prevention and treatment of this toxicity are needed to minimize effect on quality of life and dose intensity. (C) 2013 Elsevier Inc. All rights reserved.

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