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STAR-LLD is a proprietary formulation of lenalidomide designed for continuous subcutaneous (SC) delivery using an ambulatory infusion device. Developed by Starton Therapeutics, this therapy aims to provide sustained low-dose exposure to lenalidomide, in contrast to the traditional oral pulsatile dosing (as with Revlimid). The continuous delivery approach maintains steady-state drug levels while minimizing peak concentrations, which may reduce hematologic toxicity and improve tolerability. Preclinical and early clinical studies have demonstrated that STAR-LLD achieves biologically active drug levels with improved safety—no grade 3/4 hematologic toxicities were observed in Phase 1b trials for relapsed/refractory multiple myeloma patients. Efficacy signals include high overall response rates and tumor shrinkage superior to daily oral dosing in animal models. The primary indications under investigation are multiple myeloma and chronic lymphocytic leukemia[1][3][5][6][7][8][9].
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