Table 2

Relationship between time to 50% reduction in neutrophil or platelet counts and steady-state lenalidomide exposure

Time to ≥ 50% reduction from baselineNeutrophils
Platelets
nCmax, ng/mLAUC5, h/ng/mLnCmax, ng/mLAUC5, h/ng/mL
< 28 days 12 218 ± 45 683 ± 187 11 208 ± 49 656 ± 201 
≥ 28 days 10 162 ± 96 449 ± 98 169 ± 105 460 ± 121 
P  .016 .0008  .076 .011 
Time to ≥ 50% reduction from baselineNeutrophils
Platelets
nCmax, ng/mLAUC5, h/ng/mLnCmax, ng/mLAUC5, h/ng/mL
< 28 days 12 218 ± 45 683 ± 187 11 208 ± 49 656 ± 201 
≥ 28 days 10 162 ± 96 449 ± 98 169 ± 105 460 ± 121 
P  .016 .0008  .076 .011 

Hematological data were obtained from 22 patients who received lenalidomide 10 mg daily for up to 28 days during the first cycle. Lenalidomide AUC5 and Cmax were determined on day 14 of the first cycle (at steady state).

*

Significantly different between the 2 groups (< 28 days or ≥ 28 days to 50% or more reduction from baseline) as shown by 2-sided t test after log-transformation of the exposure data.

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