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2009 ; 115
(10
): 2155-64
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
The treatment of multiple myeloma using vincristine, carmustine, melphalan,
cyclophosphamide, and prednisone (VBMCP) alternating with high-dose
cyclophosphamide and alpha(2)beta interferon versus VBMCP: results of a phase III
Eastern Cooperative Oncology Group Study E5A93
#MMPMID19248045
Kyle RA
; Jacobus S
; Friedenberg WR
; Slabber CF
; Rajkumar SV
; Greipp PR
Cancer
2009[May]; 115
(10
): 2155-64
PMID19248045
show ga
BACKGROUND: A randomized controlled trial tested the hypothesis that aggressive
initial therapy using high-dose cyclophosphamide (HiCy) and alpha(2)beta
interferon (IFN) may be superior to standard combination alkylating agent
regimens in the treatment of newly diagnosed myeloma. METHODS: This Eastern
Cooperative Oncology Group trial evaluated 268 previously untreated patients with
active multiple myeloma randomized to vincristine, carmustine, melphalan,
cyclophosphamide, and prednisone (VBMCP) or VBMCP plus HiCy and recombinant IFN.
RESULTS: The overall objective response was 62% in the VBMCP regimen and 68% in
the VBMCP + HiCy + IFN group. The near complete response and complete response
rates were 8.1% and 8.9%, respectively. Progression-free survival was 22.1 and
25.3 months, respectively. The median overall survival was 37.1 months for
patients treated with VBMCP and 41.3 months for those treated with VBMCP + HiCy +
IFN (P = .38). The 5-year overall survival rates were not significantly different
between the 2 arms: 26.4% and 33%, respectively. Lethal toxicities occurred in 15
patients, including 10 from infection, but there was no significant difference in
lethal toxicities between the 2 regimens. CONCLUSIONS: The study showed no
significant benefit with the addition of HiCy and IFN to VBMCP.
|Antineoplastic Combined Chemotherapy Protocols/adverse effects/*therapeutic use
[MESH]
|Carmustine/adverse effects/therapeutic use
[MESH]
|Cyclophosphamide/*administration & dosage/adverse effects/therapeutic use
[MESH]
|Disease-Free Survival
[MESH]
|Female
[MESH]
|Humans
[MESH]
|Interferon Type I/*administration & dosage
[MESH]
|Male
[MESH]
|Melphalan/adverse effects/therapeutic use
[MESH]
|Middle Aged
[MESH]
|Multiple Myeloma/*drug therapy/mortality
[MESH]
|Prednisone/adverse effects/therapeutic use
[MESH]