Starting dose: 4 mg wkly on days 1, 8 & 15 in combination w/ lenalidomide 25 mg daily on days 1-21 & dexamethasone 40 mg on days 1, 8, 15 & 22 of a 28-day treatment cycle.
Moderate (total bilirubin >1.5-3x ULN) or severe (total bilirubin>3x ULN) hepatic impairment, severe renal impairment (CrCl <30 mL/min) or ESRD requiring dialysis Reduce starting dose to 3 mg.