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Thalidomide and Hematopoietic-Cell Transplantation for Multiple Myeloma
Ist Teil von
The New England journal of medicine, 2006-03, Vol.354 (10), p.1021-1030
Ort / Verlag
Boston, MA: Massachusetts Medical Society
Erscheinungsjahr
2006
Quelle
MEDLINE
Beschreibungen/Notizen
In this randomized trial of the treatment of multiple myeloma with intensive chemotherapy plus autologous hematopoietic stem-cell support, the addition of thalidomide improved the rates of complete response and event-free survival, but not overall survival.
In the treatment of multiple myeloma with intensive chemotherapy plus autologous hematopoietic stem-cell support, the addition of thalidomide improved the rates of complete response and event-free survival, but not overall survival.
The steep dose–response effect of melphalan in patients with multiple myeloma can be used to therapeutic advantage when supported with infusions of autologous peripheral-blood stem cells.
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,
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After a pilot trial of two transplantations in patients with multiple myeloma,
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a larger trial (the InterGroupe Francophone du Myélome) reported seven-year event-free and overall survival rates of 20 and 40 percent, respectively — twice the rates obtained with single transplantations.
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,
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Our phase 3 randomized trial was prompted by the demonstration of the efficacy of thalidomide (Kevadon) in multiple myeloma that is refractory to post-transplantation salvage therapies.
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,
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We sought to determine . . .