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pomalidomide + prednisone is a combination therapy primarily investigated for the treatment of relapsed or refractory multiple myeloma, especially in patients who have failed prior therapies including lenalidomide and bortezomib[3][5]. Pomalidomide is an immunomodulatory and antineoplastic agent derived from thalidomide; it enhances T-cell and NK cell-mediated immunity, inhibits production of pro-inflammatory cytokines, and demonstrates apoptotic as well as anti-angiogenic effects[2]. Prednisone is a synthetic glucocorticoid that is metabolized to its active form, prednisolone; it binds to the glucocorticoid receptor to produce anti-inflammatory and immunosuppressive effects[4]. This combination harnesses the anti-tumor and immunomodulatory actions of pomalidomide with the anti-inflammatory and cytotoxic properties of prednisone.
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