Superiority of the triple combination of bortezomib, cyclophosphamide and dexamethasone versus cyclophosphamide, thalidomide and dexamethasone in patients with newly diagnosed multiple myeloma, eligible for transplantation
Hematol., Transfus. Cell Ther. (Impr.)
;
42(2): 118-124, Apr.-June 2020. tab, ilus
Artículo
en Inglés
| LILACS
| ID: biblio-1134012
ABSTRACT
ABSTRACT Background:
The treatment of multiple myeloma (MM) has evolved significantly in the past decade, and new drug combinations have improved the response rates and prolonged survival. Studies comparing different induction chemotherapy regimens have shown that triple combinations have better results than double combinations. However, comparisons among different triple combinations are rare in the literature.Methods:
We retrospectively compared two triple combinations comprising bortezomib, cyclophosphamide and dexamethasone (VCD) versus thalidomide, cyclophosphamide and dexamethasone (CTD), and aimed at identifying which of the two combinations would yield better response rates following four induction cycles prior to hematopoietic cell transplantation in patients with untreated multiple myeloma.Results:
We retrospectively reviewed the medical records of 311 patients from 24 different centers.The VCD regimen was used as induction therapy by 117 (37.6%) patients, whereas 194 (62.4%) patients received the CTD regimen. After four cycles of induction on an intention-to-treat basis, 54% of the patients in the VCD group achieved at least very good partial response versus 42.8% in the CTD group (p = 0.05). We observed no difference in neuropathy or thrombotic events rates among the two regimens.Conclusion:
Our results corroborate the superiority of the triple combination regimes containing bortezomib over the triple combination with thalidomide as pre ASCT induction therapy in MM.
Texto completo:
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Índice:
LILACS (Américas)
Asunto principal:
Protocolos de Quimioterapia Combinada Antineoplásica
/
Trasplante de Médula Ósea
/
Bortezomib
/
Mieloma Múltiple
/
Antineoplásicos
Tipo de estudio:
Estudio diagnóstico
Límite:
Adulto
/
Anciano
/
Aged80
/
Femenino
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Hematol., Transfus. Cell Ther. (Impr.)
Asunto de la revista:
Hematologia
/
TransfusÆo de Sangue
Año:
2020
Tipo del documento:
Artículo
País de afiliación:
Brasil
/
Cuba
Institución/País de afiliación:
Centro de Câncer de Brasília/BR
/
Centro de Hematologia e Oncologia/BR
/
Clínica Hematológica/BR
/
Clínica São Germano/BR
/
Clínica Viver - CEPON/BR
/
Hemorio/BR
/
Hospital Brigadeiro/BR
/
Hospital Israelita Albert Einstein/BR
/
Hospital de Base/BR
/
Hospital de Clínicas de Porto Alegre/BR
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