TY - JOUR TI - Ixazomib-lenalidomide-dexamethasone in routine clinical practice: Effectiveness in relapsed/refractory multiple myeloma AU - Hájek, R. AU - Minarík, J. AU - Straub, J. AU - Pour, L. AU - Jungova, A. AU - Berdeja, J.G. AU - Boccadoro, M. AU - Brozova, L. AU - Spencer, A. AU - Van Rhee, F. AU - Vela-Ojeda, J. AU - Thompson, M.A. AU - Abonour, R. AU - Chari, A. AU - Cook, G. AU - Costello, C.L. AU - Davies, F.E. AU - Hungria, V.T.M. AU - Lee, H.C. AU - Leleu, X. AU - Puig, N. AU - Rifkin, R.M. AU - Terpos, E. AU - Usmani, S.Z. AU - Weisel, K.C. AU - Zonder, J.A. AU - Barinová, M. AU - Kuhn, M. AU - Šilar, J. AU - Cápková, L. AU - Galvez, K. AU - Lu, J. AU - Elliott, J. AU - Stull, D.M. AU - Ren, K. AU - Maisnar, V. JO - Future Oncology PY - 2021 VL - 17 TODO - 19 SP - 2499-2512 PB - Future Medicine Ltd SN - 1479-6694, 1744-8301 TODO - 10.2217/fon-2020-1225 TODO - dexamethasone; ixazomib; lenalidomide; antineoplastic agent; boron derivative; dexamethasone; glycine; ixazomib; lenalidomide, adult; aged; Article; cancer recurrence; clinical outcome; clinical practice; controlled study; data analysis; data integration; diarrhea; drug dose reduction; drug efficacy; drug response; drug safety; drug withdrawal; fatigue; female; follow up; human; infection; major clinical study; male; middle aged; multiple myeloma; neuropathy; neutropenia; observational study; overall response rate; progression free survival; thrombocytopenia; time to treatment; clinical trial; drug resistance; mortality; multicenter study; multiple myeloma; pathology; prospective study; tumor recurrence; very elderly, Adult; Aged; Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols; Boron Compounds; Dexamethasone; Drug Resistance, Neoplasm; Female; Glycine; Humans; Lenalidomide; Male; Middle Aged; Multiple Myeloma; Neoplasm Recurrence, Local; Progression-Free Survival; Prospective Studies TODO - Aim: To evaluate the effectiveness and safety of ixazomib-lenalidomide-dexamethasone (IRd) in relapsed/refractory multiple myeloma in routine clinical practice. Patients & methods: Patient-level data from the global, observational INSIGHT MM and the Czech Registry of Monoclonal Gammopathies were integrated and analyzed. Results: At data cut-off, 263 patients from 13 countries were included. Median time from diagnosis to start of IRd was 35.8 months; median duration of follow-up was 14.8 months. Overall response rate was 73%, median progression-free survival, 21.2 months and time-to-next therapy, 33.0 months. Ixazomib/lenalidomide dose reductions were required in 17%/36% of patients; 32%/30% of patients discontinued ixazomib/lenalidomide due to adverse events. Conclusion: The effectiveness and safety of IRd in routine clinical practice are comparable to those reported in TOURMALINE-MM1. Clinical trial registration: NCT02761187 (ClinicalTrials.gov)