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Details

Autor(en) / Beteiligte
Titel
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. 1 , 2 After a pilot trial of two transplantations in patients with multiple myeloma, 3 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. 4 , 5 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. 6 , 7 We sought to determine . . .

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