Details

Autor(en) / Beteiligte

• Gaballa, Mahmoud R.
• Ma, Junsheng
• Tanner, Mark R.
• Al-Juhaishi, Taha
• Bashir, Qaiser
• Srour, Samer A.
• Saini, Neeraj Y.
• Ramdial, Jeremy L.
• Nieto, Yago
• Murphy, Regan
• Rezvani, Katayoun
• Tang, Guilin
• Lee, Hans C.
• Patel, Krina K.
• Kaufman, Gregory P.
• Manasanch, Elisabet E.
• Ullah, Muhammad R.
• Kebriaei, Partow
• Thomas, Sheeba K.
• Weber, Donna M.
• Orlowski, Robert Z.
• Shpall, Elizabeth J.
• Champlin, Richard E.
• Qazilbash, Muzaffar H.

Titel

Real-world long-term outcomes in multiple myeloma with VRD induction, Mel200-conditioned auto-HCT, and lenalidomide maintenance

Ist Teil von

• Leukemia & lymphoma, 2022-02, Vol.63 (3), p.710-721

Ort / Verlag

United States: Taylor & Francis

Erscheinungsjahr

2022

Quelle

MEDLINE

Beschreibungen/Notizen

• Standard-of-care for newly-diagnosed, autologous hematopoietic stem cell transplantation (auto-HCT)-eligible, multiple myeloma (MM) patients includes bortezomib, lenalidomide, and dexamethasone (VRD) induction followed by melphalan 200 mg/m 2 (Mel200)-conditioned auto-HCT and lenalidomide maintenance. We completed a retrospective case series assessing outcomes of 187 MM patients who received this regimen at our institution. The 100-day non-relapse mortality incidence was zero. Before auto-HCT, 9.6 and 52.9% of patients achieved a complete response (CR) or ≥ very good partial response (VGPR), respectively. At day-100 post-transplant, 29.4 and 74.9% had achieved a CR/stringent-CR (sCR) or ≥ VGPR, respectively. At the last evaluation, 57.2% of patients had CR/sCR and 87.1% had ≥ VGPR. Median follow-up, progression-free survival (PFS), and overall survival (OS) were 63.2, 50, and 101.7 months, respectively. The 5-year PFS and OS were 43.1 and 79%. High-risk cytogenetics was associated with worse outcomes. This study illustrates that VRD induction, Mel200-conditioned auto-HCT, and lenalidomide maintenance are associated with good outcomes in MM.