RT info:eu-repo/semantics/article T1 Agentes inmunomoduladores (IMiDs): herramientas para el tratamiento del mieloma múltiple T2 Immunomodulator drugs for the treatment of multiple myeloma A1 Fernández Lázaro, Diego A1 Fernández Lázaro, César I. A1 Caballero García, Alberto A1 Córdova Martínez, Alfredo K1 Multiple myeloma - Treatment K1 Multiple myeloma - Diagnosis K1 Immunology K1 Dexamethasone K1 Neoplasm K1 3207.13 Oncología K1 3207.08 Hematología AB Thalidomide changed the treatment of patients with multiple myeloma, however, its effectiveness has been compromised due to its side effects. New strategies are needed to specifically target the challenges of multiple myeloma through innovative, more effective, and less toxic therapy. The new immunomodulatory (IMiDs) compounds are structural and functional analogs of thalidomide, whichwere designed to improve the immunomodulatory and anticancer properties and tolerability profiles. We review the development of second generation IMiDs, lenalidomide and pomalidomide, their immunomodulatory and tumoricidal effects, their mechanisms of action, as well as the influence of dexamethasone on their effect and pharmacological resistance. In conclusion, lenalidomide andpomalidomide demonstrate a powerful activity and they are highly effective and well-tolerated treatment options for patients with myeloma, used alone or in combination with dexamethasone. PB Sociedad Médica de Santiago SN 0034-9887 YR 2018 FD 2018 LK https://uvadoc.uva.es/handle/10324/57728 UL https://uvadoc.uva.es/handle/10324/57728 LA spa NO Revista médica de Chile, 2018; Vol. 146, Nª 12, págs. 1444-1451 NO Producción Científica DS UVaDOC RD 27-dic-2024