NDMM Patient who have undergone ASCT Recommended dose: Initially 10 mg once daily continuously on days 1-28 of repeated 28-day cycles given until disease progression or intolerance. May increase dose to 15 mg once daily if tolerated after 3 cycles of lenalidomide maintenance.
Patient who are ineligible for transplant Recommended dose: Initially 25 mg once daily on days 1-21 of repeated 28-day cycles. Recommended dexamethasone dose: 40 mg once daily on days 1, 8, 15 & 22 of repeated 28-day cycles.
Multiple myeloma with at least 1 prior therapy Recommended dose: Initially 25 mg once daily on days 1-21 of repeated 28-day cycles. Recommended dexamethasone dose: 40 mg once daily on days 1-4, 9-12 & 17-20 of each 28-day cycle for 1st 4 cycles of therapy & then 40 mg once daily on days 1-4 every 28 days.