| Literature DB >> 18371113 |
Rakesh Popat1, Heather E Oakervee, Simon Hallam, Nicola Curry, Liz Odeh, Nicola Foot, Dixie-Lee Esseltine, Mary Drake, Curly Morris, Jamie D Cavenagh.
Abstract
Bortezomib, doxorubicin and dexamethasone (PAD) was evaluated as induction before stem cell transplantation in newly diagnosed multiple myeloma (MM) patients, using bortezomib 1.3 mg/m(2) (PAD1, N = 21) or 1.0 mg/m(2) (PAD2, N = 20). Complete/very good partial response rates with PAD1/PAD2 were 62%/42% postinduction and 81%/53% post-transplant. Progression-free survival (29 vs. 24 months), time to re-treatment (36 vs. 29 months) and overall survival (1 year: 100% vs. 95%; 2 years: 95% vs. 73%) were statistically similar but favoured PAD1 versus PAD2. Toxicity was lower in PAD2; bortezomib dose reduction may help manage toxicities while retaining efficacy. PAD is highly active as front-line induction in MM.Entities:
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Year: 2008 PMID: 18371113 DOI: 10.1111/j.1365-2141.2008.06997.x
Source DB: PubMed Journal: Br J Haematol ISSN: 0007-1048 Impact factor: 6.998