Revlimid is currently approved to treat patients who have failed one treatment already. The company is testing the drug in newly diagnosed multiple myeloma patients in order to capture more patients, especially in Europe, where doctors aren't as likely to use the drug off-label.
The trial had three treatment groups. One group got standard chemotherapy drugs melphalan and prednisone (MP); the second got melphalan, prednisone, and Revlimid (MPR); and a third got MPR and stayed on Revlimid as a maintenance drug (MPR-R).
The good news is that MPR-R worked much better than either MP or MPR; adding a maintenance phase reduced the risk of progression or death by 75% compared to MPR alone. This is good news for Celgene.
Drugs like Pfizer's
The data on using the drug early in disease progression is a little more complex. The MPR patients didn't look much different than the MP patients in the preliminary results, suggesting that Revlimid might not be helping early in the disease progression. Patients might fare just as well with chemotherapy alone, or perhaps chemotherapy plus rival drug Velcade from Takeda and Johnson & Johnson
The problem here is that comparing MP to MPR isn't very useful if doctors are going to use Revlimid as a maintenance drug. Instead, a better comparison would have been MPR-R to MP-R -- chemotherapy alone and then Revlimid maintenance.
MP-R was conspicuously missing from the trial, though. Wonder if Celgene designed the trial with an all-or-nothing goal in mind?
Fool contributor Brian Orelli, Ph.D., doesn't own shares of any company mentioned in this article. Johnson & Johnson is a selection of the Income Investor newsletter. Pfizer is a recommendation of the Inside Value newsletter. The Fool has a disclosure policy.