|
|
Previous Article | Table of Contents | Next Article 
Blood, 1 September 2001, Vol. 98, No. 5, pp. 1614-1615
BRIEF REPORT
Increased risk of deep-vein thrombosis in patients with multiple
myeloma receiving thalidomide and chemotherapy
Maurizio Zangari,
Elias Anaissie,
Bart Barlogie,
Ashraf Badros,
Raman Desikan,
A. Viju Gopal,
Christopher Morris,
Amir Toor,
Eric Siegel,
Louis Fink, and
Guido Tricot
From the Central Arkansas Veterans Healthcare System
and the University of Arkansas for Medical Sciences, Little Rock, AR.
The occurrence of deep-vein thrombosis (DVT) in patients with newly
diagnosed multiple myeloma, who were randomly assigned to receive
identical induction chemotherapy with or without thalidomide, are
reported in this study. The 2 study arms were comparable with respect to key myeloma prognostic factors and known risk factors for
DVT. One hundred patients received induction chemotherapy including 4 cycles of continuous infusion of combinations of dexamethasone, vincristine, doxorubicin, cyclophosphamide, etoposide, and cisplatin, and each patient completed at least one induction cycle. DVT developed in 14 of 50 patients (28%) randomly assigned to receive thalidomide but in only 2 of 50 patients (4%) not given the agent
(P = .002). All episodes of DVT occurred during the first
3 cycles of induction. Administration of thalidomide was
resumed safely in 75% of patients receiving anticoagulation therapy.
Thus, thalidomide given in combination with multiagent chemotherapy and
dexamethasone is associated with a significantly increased risk of DVT,
which appears to be safely treated with anticoagulation and does not
necessarily warrant discontinuation of thalidomide.

CiteULike Connotea Del.icio.us Digg Reddit Technorati What's this?
Related Letter in Blood Online:
-
Thromboembolic events during treatment with thalidomide
- Eleonora Urbauer, Hannes Kaufmann, Thomas Nösslinger, Markus Raderer, and Johannes Drach
Blood 2002 99: 4247-4248.
[Full Text]
[PDF]
This article has been cited by other articles:

|
 |

|
 |
 
A. A. Khorana, M. B. Streiff, D. Farge, M. Mandala, P. Debourdeau, F. Cajfinger, M. Marty, A. Falanga, and G. H. Lyman
Venous Thromboembolism Prophylaxis and Treatment in Cancer: A Consensus Statement of Major Guidelines Panels and Call to Action
J. Clin. Oncol.,
October 10, 2009;
27(29):
4919 - 4926.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. Falanga and M. Marchetti
Venous Thromboembolism in the Hematologic Malignancies
J. Clin. Oncol.,
October 10, 2009;
27(29):
4848 - 4857.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
T. Sousou and A. A. Khorana
New Insights Into Cancer-Associated Thrombosis
Arterioscler Thromb Vasc Biol,
March 1, 2009;
29(3):
316 - 320.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. Y. Kristinsson, T. R. Fears, G. Gridley, I. Turesson, U.-H. Mellqvist, M. Bjorkholm, and O. Landgren
Deep vein thrombosis after monoclonal gammopathy of undetermined significance and multiple myeloma
Blood,
November 1, 2008;
112(9):
3582 - 3586.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
Authors/Task Force Members, A. Torbicki, A. Perrier, S. Konstantinides, G. Agnelli, N. Galie, P. Pruszczyk, F. Bengel, A. J.B. Brady, D. Ferreira, et al.
Guidelines on the diagnosis and management of acute pulmonary embolism: The Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC)
Eur. Heart J.,
September 2, 2008;
29(18):
2276 - 2315.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Zangari, J. Guerrero, F. Cavallo, H. K. Prasad, D. Esseltine, and L. Fink
Hemostatic effects of bortezomib treatment in patients with relapsed or refractory multiple myeloma
Haematologica,
June 1, 2008;
93(6):
953 - 954.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
E. N. Brown and J. D. Herrington
Review of the Relationship Between Venous Thromboembolism, Malignancy and Its Treatment
Journal of Pharmacy Practice,
April 1, 2008;
21(2):
126 - 137.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
V. K. Puduvalli, P. Giglio, M. D. Groves, K. R. Hess, M. R. Gilbert, S. Mahankali, E. F. Jackson, V. A. Levin, C. A. Conrad, S. H. Hsu, et al.
Phase II trial of irinotecan and thalidomide in adults with recurrent glioblastoma multiforme
Neuro-oncol,
April 1, 2008;
10(2):
216 - 222.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
C. W. Francis, A. K. Kakkar, M. N. Levine, and G. H. Lyman
Prevention of Venous Thromboembolism in Patients with Cancer
ASCO Educational Book,
January 1, 2008;
2008(1):
250 - 256.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
G. H. Lyman, A. A. Khorana, A. Falanga, D. Clarke-Pearson, C. Flowers, M. Jahanzeb, A. Kakkar, N. M. Kuderer, M. N. Levine, H. Liebman, et al.
American Society of Clinical Oncology Guideline: Recommendations for Venous Thromboembolism Prophylaxis and Treatment in Patients With Cancer
J. Clin. Oncol.,
December 1, 2007;
25(34):
5490 - 5505.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. Nishioka and S. Goodin
Low-molecular-weight heparin in cancer-associated thrombosis: treatment, secondary prevention, and survival
Journal of Oncology Pharmacy Practice,
June 1, 2007;
13(2):
85 - 97.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
L. B. Michaud, J. P. Karpinski, K. L. Jones, and J. Espirito
Dietary supplements in patients with cancer: Risks and key concepts, part 1
Am. J. Health Syst. Pharm.,
February 15, 2007;
64(4):
369 - 381.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
C. S. Eby
Bleeding and Thrombosis Risks in Plasma Cell Dyscrasias
Hematology,
January 1, 2007;
2007(1):
158 - 164.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. Woodley-Cook, L. Y.Y. Shin, L. Swystun, S. Caruso, S. Beaudin, and P. C. Liaw
Effects of the chemotherapeutic agent doxorubicin on the protein C anticoagulant pathway
Mol. Cancer Ther.,
December 1, 2006;
5(12):
3303 - 3311.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
T. Y. Kang, C. J. Lowe, and M. A. Sekeres
Thalidomide Use and Digital Gangrene
J. Clin. Oncol.,
November 20, 2006;
24(33):
5328 - 5328.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Adess, R. Eisner, S. Nand, J. Godwin, H. L. Messmore Jr, and W. H. Wehrmacher
Thromboembolism in Cancer Patients: Pathogenesis and Treatment
Clinical and Applied Thrombosis/Hemostasis,
July 1, 2006;
12(3):
254 - 266.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
M. F. McCarty and K. I. Block
Toward a Core Nutraceutical Program for Cancer Management
Integr Cancer Ther,
June 1, 2006;
5(2):
150 - 171.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
A. M. Levine, A. Tulpule, D. I. Quinn, G. Gorospe III, D. L. Smith, L. Hornor, W. D. Boswell, B. M. Espina, S. G. Groshen, R. Masood, et al.
Phase I Study of Antisense Oligonucleotide Against Vascular Endothelial Growth Factor: Decrease in Plasma Vascular Endothelial Growth Factor With Potential Clinical Efficacy
J. Clin. Oncol.,
April 10, 2006;
24(11):
1712 - 1719.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. V. Rajkumar, E. Blood, D. Vesole, R. Fonseca, and P. R. Greipp
Phase III Clinical Trial of Thalidomide Plus Dexamethasone Compared With Dexamethasone Alone in Newly Diagnosed Multiple Myeloma: A Clinical Trial Coordinated by the Eastern Cooperative Oncology Group
J. Clin. Oncol.,
January 20, 2006;
24(3):
431 - 436.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
R. Z. Orlowski
Initial Therapy of Multiple Myeloma Patients Who Are Not Candidates for Stem Cell Transplantation
Hematology,
January 1, 2006;
2006(1):
338 - 347.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
B. M. Augustson, G. Begum, J. A. Dunn, N. J. Barth, F. Davies, G. Morgan, J. Behrens, A. Smith, J. A. Child, and M. T. Drayson
Early Mortality After Diagnosis of Multiple Myeloma: Analysis of Patients Entered Onto the United Kingdom Medical Research Council Trials Between 1980 and 2002--Medical Research Council Adult Leukaemia Working Party
J. Clin. Oncol.,
December 20, 2005;
23(36):
9219 - 9226.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. V. Rajkumar and R. A. Kyle
Multiple Myeloma: Diagnosis and Treatment
Mayo Clin. Proc.,
October 1, 2005;
80(10):
1371 - 1382.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
G. Saunders
Overview of drug therapy for multiple myeloma
Journal of Oncology Pharmacy Practice,
September 1, 2005;
11(3):
83 - 100.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
M. E Gordinier and D. S Dizon
Dyspnea During Thalidomide Treatment for Advanced Ovarian Cancer
Ann. Pharmacother.,
May 1, 2005;
39(5):
962 - 965.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
G. Palladini, V. Perfetti, S. Perlini, L. Obici, F. Lavatelli, R. Caccialanza, R. Invernizzi, B. Comotti, and G. Merlini
The combination of thalidomide and intermediate-dose dexamethasone is an effective but toxic treatment for patients with primary amyloidosis (AL)
Blood,
April 1, 2005;
105(7):
2949 - 2951.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
P. G. Richardson, A. Kassarjian, and W. Jing
Case 38-2004 - A 40-Year-Old Man with a Large Tumor of the Skull
N. Engl. J. Med.,
December 16, 2004;
351(25):
2637 - 2645.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. K. Stewart, C. I. Chen, K. Howson-Jan, D. White, J. Roy, M. J. Kovacs, C. Shustik, A. Sadura, L. Shepherd, K. Ding, et al.
Results of a Multicenter Randomized Phase II Trial of Thalidomide and Prednisone Maintenance Therapy for Multiple Myeloma after Autologous Stem Cell Transplant
Clin. Cancer Res.,
December 15, 2004;
10(24):
8170 - 8176.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
H. Hassoun, L. Reich, V. M. Klimek, T. Kewalramani, M. Dhodapkar, L. Drake, R. Zimman, C. V. Hedvat, T.-F. Julie, F. Martin, et al.
Doxorubicin and Dexamethasone Followed by Thalidomide and Dexamethasone (AD-TD) as Initial Therapy for Symptomatic Patients with Multiple Myeloma.
Blood (ASH Annual Meeting Abstracts),
November 16, 2004;
104(11):
2409 - 2409.
[Abstract]
|
 |
|

|
 |

|
 |
 
R. A. Kyle and S. V. Rajkumar
Multiple Myeloma
N. Engl. J. Med.,
October 28, 2004;
351(18):
1860 - 1873.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. Sallah, A. Husain, J. Wan, P. Vos, and N. P. Nguyen
The risk of venous thromboembolic disease in patients with monoclonal gammopathy of undetermined significance
Ann. Onc.,
October 1, 2004;
15(10):
1490 - 1494.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
V. Eleutherakis-Papaiakovou, A. Bamias, and M. A. Dimopoulos
Thalidomide in cancer medicine
Ann. Onc.,
August 1, 2004;
15(8):
1151 - 1160.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
R. A. Mesa, M. A. Elliott, G. Schroeder, and A. Tefferi
Durable Responses to Thalidomide-Based Drug Therapy for Myelofibrosis With Myeloid Metaplasia
Mayo Clin. Proc.,
July 1, 2004;
79(7):
883 - 889.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
S. V. Rajkumar
Thalidomide: Tragic Past and Promising Future
Mayo Clin. Proc.,
July 1, 2004;
79(7):
899 - 903.
[PDF]
|
 |
|

|
 |

|
 |
 
S. Kumar, T. E. Witzig, and S. V. Rajkumar
Thalidomide: Current Role in the Treatment of Non-Plasma Cell Malignancies
J. Clin. Oncol.,
June 15, 2004;
22(12):
2477 - 2488.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
C Pagnoux, V Lutz-Zarrouk, M Michel, A Schaeffer, and B Godeau
Letter to the Editor
Lupus,
June 1, 2004;
13(6):
481 - 482.
[PDF]
|
 |
|

|
 |

|
 |
 
M. Miceli, R. Atoui, R. Thertulien, B. Barlogie, E. Anaissie, R. Walker, and L. Jones-Jackson
Deep Septic Thrombophlebitis: An Unrecognized Cause of Relapsing Bacteremia in Patients With Cancer
J. Clin. Oncol.,
April 15, 2004;
22(8):
1529 - 1531.
[Full Text]
|
 |
|

|
 |

|
 |
 
K. Zervas, M. A. Dimopoulos, E. Hatzicharissi, A. Anagnostopoulos, M. Papaioannou, Ch. Mitsouli, P. Panagiotidis, J. Korantzis, M. Tzilianos, and A. Maniatis
Primary treatment of multiple myeloma with thalidomide, vincristine, liposomal doxorubicin and dexamethasone (T-VAD doxil): a phase II multicenter study
Ann. Onc.,
January 1, 2004;
15(1):
134 - 138.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
B. Barlogie, J. Shaughnessy, G. Tricot, J. Jacobson, M. Zangari, E. Anaissie, R. Walker, and J. Crowley
Treatment of multiple myeloma
Blood,
January 1, 2004;
103(1):
20 - 32.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. A. Dimopoulos, A. Anagnostopoulos, and D. Weber
Treatment of Plasma Cell Dyscrasias With Thalidomide and Its Derivatives
J. Clin. Oncol.,
December 1, 2003;
21(23):
4444 - 4454.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. M. Plum, A. D. Hanson, K. M. Volker, H. A. Vu, B. K. L. Sim, W. E. Fogler, and A. H. Fortier
Synergistic Activity of Recombinant Human Endostatin in Combination with Adriamycin: Analysis of in Vitro Activity on Endothelial Cells and in Vivo Tumor Progression in an Orthotopic Murine Mammary Carcinoma Model
Clin. Cancer Res.,
October 1, 2003;
9(12):
4619 - 4626.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. G Tektonidou and P. G Vlachoyiannopoulos
Letter to the Editor
Lupus,
September 1, 2003;
12(9):
723 - 724.
[PDF]
|
 |
|

|
 |

|
 |
 
F. A. Anderson Jr. and F. A. Spencer
Risk Factors for Venous Thromboembolism
Circulation,
June 17, 2003;
107(90231):
I-9 - 16.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. Y.Y. Lee and M. N. Levine
Venous Thromboembolism and Cancer: Risks and Outcomes
Circulation,
June 17, 2003;
107(90231):
I-17 - 21.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. S H Lam and R. J Ignoffo
A guide to clinically relevant drug interactions in oncology
Journal of Oncology Pharmacy Practice,
June 1, 2003;
9(2-3):
45 - 85.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
R. A. Mesa, D. P. Steensma, A. Pardanani, C.-Y. Li, M. Elliott, S. H. Kaufmann, G. Wiseman, L. A. Gray, G. Schroeder, T. Reeder, et al.
A phase 2 trial of combination low-dose thalidomide and prednisone for the treatment of myelofibrosis with myeloid metaplasia
Blood,
April 1, 2003;
101(7):
2534 - 2541.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. Kumar, M. A. Gertz, A. Dispenzieri, M. Q. Lacy, S. M. Geyer, N. L. Iturria, R. Fonseca, S. R. Hayman, J. A. Lust, R. A. Kyle, et al.
Response Rate, Durability of Response, and Survival After Thalidomide Therapy for Relapsed Multiple Myeloma
Mayo Clin. Proc.,
January 1, 2003;
78(1):
34 - 39.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
S. V. Rajkumar, S. Hayman, M. A. Gertz, A. Dispenzieri, M. Q. Lacy, P. R. Greipp, S. Geyer, N. Iturria, R. Fonseca, J. A. Lust, et al.
Combination Therapy With Thalidomide Plus Dexamethasone for Newly Diagnosed Myeloma
J. Clin. Oncol.,
November 1, 2002;
20(21):
4319 - 4323.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
K. Neben, T. Moehler, A. Benner, A. Kraemer, G. Egerer, A. D. Ho, and H. Goldschmidt
Dose-dependent Effect of Thalidomide on Overall Survival in Relapsed Multiple Myeloma
Clin. Cancer Res.,
November 1, 2002;
8(11):
3377 - 3382.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Cavo, E. Zamagni, C. Cellini, P. Tosi, D. Cangini, M. Cini, L. Valdre, G. Palareti, L. Masini, S. Tura, et al.
Deep-vein thrombosis in patients with multiple myeloma receiving first-line thalidomide-dexamethasone therapy
Blood,
August 28, 2002;
100(6):
2272 - 2272.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. V. Rajkumar, M. A. Gertz, R. A. Kyle, P. R. Greipp, and Mayo Clinic Myeloma, Amyloid, and Dysproteinemia G
Current Therapy for Multiple Myeloma
Mayo Clin. Proc.,
August 1, 2002;
77(8):
813 - 822.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Zangari, E. Siegel, B. Barlogie, E. Anaissie, F. Saghafifar, A. Fassas, C. Morris, L. Fink, and G. Tricot
Thrombogenic activity of doxorubicin in myeloma patients receiving thalidomide: implications for therapy
Blood,
July 30, 2002;
100(4):
1168 - 1171.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
V. Kaushal, M. Kohli, M. Zangari, L. Fink, P. Mehta, B. Kuenen, and G. Giaccone
Endothelial Dysfunction in Antiangiogenesis-Associated Thrombosis
J. Clin. Oncol.,
July 1, 2002;
20(13):
3042 - 3043.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
B. Escudier, N. Lassau, D. Couanet, E. Angevin, F. Mesrati, S. Leborgne, A. Garofano, C. Leboulaire, N. Dupouy, and A. Laplanche
Phase II trial of thalidomide in renal-cell carcinoma
Ann. Onc.,
July 1, 2002;
13(7):
1029 - 1035.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
E. Urbauer, H. Kaufmann, T. Nosslinger, M. Raderer, and J. Drach
Thromboembolic events during treatment with thalidomide
Blood,
May 13, 2002;
99(11):
4247 - 4248.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
F.-C. Lee ; and M. Zangari
Second response to lower-dose thalidomide in a patient with multiple myeloma
Blood,
May 13, 2002;
99(11):
4248 - 4249.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J-C Piette, A Sbai, and C Frances
Warning: thalidomide-related thrombotic risk potentially concerns patients with lupus
Lupus,
February 1, 2002;
11(2):
67 - 70.
[PDF]
|
 |
|
|
|