Previously untreated asymptomatic MM. Patients cannot have received prior thalidomide, or corticosteroids, for the intent of treating their myeloma. Prior bisphosphonates are allowed as long as patients received no more than three doses in the last 12 months.
No immediate need for chemotherapy.
Measurable disease as defined by one of the following:
Serum monoclonal protein 1.0 g by protein electrophoresis
>200 mg of monoclonal protein in the urine on 24 hour electrophoresis
Measurable soft tissue plasmacytoma.
10% or higher plasma cells as measured on the bone marrow aspirate, bone marrow biopsy, or labeling index.
18 years or older.
Laboratory values obtained 21 days prior to registration:
ANC 1500/μL or greater.
PLT 100,000/μL or greater.
Hemoglobin 8.0 or greater.
Creatinine less than or =2.0 mg/dL (Any elevation above normal range should not be felt to be related to myeloma)
Performance status 0, 1, or 2.
Willingness and ability to comply with the FDA mandated STEPS program if randomized to thalidomide.