TY - JOUR AU - Goldschmidt, Hartmut AU - Baertsch, Marc-Andrea AU - Schlenzka, Jana AU - Becker, Natalia AU - Habermehl, Christina AU - Hielscher, Thomas AU - Raab, Marc-Steffen AU - Hillengass, Jens AU - Sauer, Sandra AU - Müller-Tidow, Carsten AU - Luntz, Steffen AU - Jauch, Anna AU - Hose, Dirk AU - Seckinger, Anja AU - Brossart, Peter AU - Goerner, Martin AU - Klein, Stefan AU - Schmidt-Hieber, Martin AU - Reimer, Peter AU - Graeven, Ullrich AU - Fenk, Roland AU - Haenel, Mathias AU - Martin, Hans AU - Lindemann, Hans W AU - Scheid, Christoph AU - Nogai, Axel AU - Salwender, Hans AU - Noppeney, Richard AU - Besemer, Britta AU - Weisel, Katja TI - Salvage autologous transplant and lenalidomide maintenance vs. lenalidomide/dexamethasone for relapsed multiple myeloma: the randomized GMMG phase III trial ReLApsE. JO - Leukemia VL - 35 IS - 4 SN - 1476-5551 CY - London PB - Springer Nature M1 - DKFZ-2020-01497 SP - 1134-1144 PY - 2021 N1 - 2021 Apr;35(4):1134-1144 AB - The role of salvage high-dose chemotherapy and autologous stem cell transplantation (sHDCT/ASCT) for relapsed and/or refractory multiple myeloma (RRMM) in the era of continuous novel agent treatment has not been defined. This randomized, open-label, phase III, multicenter trial randomized patients with 1st-3rd relapse of multiple myeloma (MM) to a transplant arm (n = 139) consisting of 3 Rd (lenalidomide 25 mg, day 1-21; dexamethasone 40 mg, day 1, 8, 15, and 22; 4-week cycles) reinduction cycles, sHDCT (melphalan 200 mg/m2), ASCT, and lenalidomide maintenance (10 mg/day) or to a control arm (n = 138) of continuous Rd. Median PFS was 20.7 months in the transplant and 18.8 months in the control arm (HR 0.87; 95 LB - PUB:(DE-HGF)16 C6 - pmid:32694619 DO - DOI:10.1038/s41375-020-0948-0 UR - https://inrepo02.dkfz.de/record/157227 ER -