Table 2.

Thromboemolic events (TEE) incidences in trials of thalidomide plus anthracycline combination regimens without thromboprophylaxis.

RegimenDisease StatusTEE IncidenceReferences
*addition of ASA 81 mg/day decreased the incidence to 18% 
**addition of enoxaparin 40 mg/day decreased the incidence to 24% 
Abbreviations: CTX, cyclophosphamide; DOX, doxorubicin; DEX, dexamethasone; THAL, thalidomide; NDMM, newly diagnosed multiple myeloma; RRMM, relapsed/relapsed multiple myeloma; TEE, thromboembolic event 
Liposomal DOX 30 mg/m2 d 1
 Vincristine 2 mg d 1
 DEX 40 mg daily d 1–4
 THAL 50–400 mg/day 55 NDMM
 50 RRMM 58%* Baz et al5  
Total Therapy II
 Thalidomide 400 mg/day NDMM 34%** Barlogie et al23  
Vincristine 1.5 mg d 1
 Epirubicin 30 mg/m2 day 1–2
 DEX 20 mg/m2 days 1–4
 THAL 200–400 mg/day NDMM 26% Schutt et al33  
DEX 40 mg/day d 1–4
 THAL 400 mg/day
 Cisplatin 10 mg/m2 CIV d 1–4
 CTX 400 mg/m2 CIV d 1–4
 VP-16 40 mg/m2 CIV d 1–4
 DOX 10 mg/m2 CIV d 1–4 NDMM 16% Zangari et al36  
Liposomal DOX 40 mg/m2 d 1
 Vincristine 2 mg d 1
 DEX 40 mg daily d 1–4, 15–18
 THAL ≥ 200 mg/day NDMM 10% Zervas et al34  
RegimenDisease StatusTEE IncidenceReferences
*addition of ASA 81 mg/day decreased the incidence to 18% 
**addition of enoxaparin 40 mg/day decreased the incidence to 24% 
Abbreviations: CTX, cyclophosphamide; DOX, doxorubicin; DEX, dexamethasone; THAL, thalidomide; NDMM, newly diagnosed multiple myeloma; RRMM, relapsed/relapsed multiple myeloma; TEE, thromboembolic event 
Liposomal DOX 30 mg/m2 d 1
 Vincristine 2 mg d 1
 DEX 40 mg daily d 1–4
 THAL 50–400 mg/day 55 NDMM
 50 RRMM 58%* Baz et al5  
Total Therapy II
 Thalidomide 400 mg/day NDMM 34%** Barlogie et al23  
Vincristine 1.5 mg d 1
 Epirubicin 30 mg/m2 day 1–2
 DEX 20 mg/m2 days 1–4
 THAL 200–400 mg/day NDMM 26% Schutt et al33  
DEX 40 mg/day d 1–4
 THAL 400 mg/day
 Cisplatin 10 mg/m2 CIV d 1–4
 CTX 400 mg/m2 CIV d 1–4
 VP-16 40 mg/m2 CIV d 1–4
 DOX 10 mg/m2 CIV d 1–4 NDMM 16% Zangari et al36  
Liposomal DOX 40 mg/m2 d 1
 Vincristine 2 mg d 1
 DEX 40 mg daily d 1–4, 15–18
 THAL ≥ 200 mg/day NDMM 10% Zervas et al34  
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