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All patients after one or two SCT, will receive maintenance L.","id":"EG000","otherNumAffected":26,"otherNumAtRisk":26,"seriousNumAffected":17,"seriousNumAtRisk":26,"title":"Continue Lenalidomide and Dexamethasone"},{"deathsNumAffected":5,"deathsNumAtRisk":24,"description":"All patients on this study start with the same treatment, lenalidomide and dexamethasone by mouth. After patients have received 4 cycles of lenalidomide and dexamethasone and are within 2 weeks of completing stem cell collection, they are randomized (like the toss of a coin) to either :\n\n* stem cell transplant right after collection\n* continue lenalidomide and dexamethasone, saving stem cell transplant for a later time.\n\nStem cell transplant x 1 or x 2: After 4 cycles of Ld, eligible patients will undergo stem cell mobilization and collection with standard-of-care cyclophosphamide and Neupogen (G-CSF) or with plerixafor G-CSF. Mobilization with cyclophosphamide is preferred, but plerixafor is also allowed. Ld will be held for at least 2 weeks prior to stem cell mobilization.\n\nOn the SCT arm, patients not achieving VGPR by 3 months after the 1st SCT will undergo a 2nd SCT. All patients, after one or two SCT, will receive maintenance L.","id":"EG001","otherNumAffected":24,"otherNumAtRisk":24,"seriousNumAffected":18,"seriousNumAtRisk":24,"title":"Stem Cell Transplant x 1 or x 2"}],"frequencyThreshold":"5","otherEvents":[{"assessmentType":"SYSTEMATIC_ASSESSMENT","organSystem":"Investigations","stats":[{"groupId":"EG000","numAffected":3,"numAtRisk":26},{"groupId":"EG001","numAffected":9,"numAtRisk":24}],"term":"ALT"},{"assessmentType":"SYSTEMATIC_ASSESSMENT","organSystem":"Investigations","stats":[{"groupId":"EG000","numAffected":3,"numAtRisk":26},{"groupId":"EG001","numAffected":5,"numAtRisk":24}],"term":"AST"},{"assessmentType":"SYSTEMATIC_ASSESSMENT","organSystem":"Investigations","stats":[{"groupId":"EG000","numAffected":1,"numAtRisk":26},{"groupId":"EG001","numAffected":3,"numAtRisk":24}],"term":"Alkaline 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