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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Br+J+Haematol
2015 ; 169
(2
): 219-27
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gab.com Text
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Phase Ib/II trial of CYKLONE (cyclophosphamide, carfilzomib, thalidomide and
dexamethasone) for newly diagnosed myeloma
#MMPMID25683772
Mikhael JR
; Reeder CB
; Libby EN
; Costa LJ
; Bergsagel PL
; Buadi F
; Mayo A
; Nagi Reddy SK
; Gano K
; Dueck AC
; Stewart AK
Br J Haematol
2015[Apr]; 169
(2
): 219-27
PMID25683772
show ga
Sixty-four transplant-eligible patients with newly diagnosed multiple myeloma
(NDMM) received carfilzomib (days 1, 2, 8, 9, 15, 16), 300 mg/m(2)
cyclophosphamide (days 1, 8, 15), 100 mg thalidomide (days 1-28) and 40 mg
dexamethasone (days 1, 8, 15, 22) in 28-day cycles (CYKLONE regimen). Carfilzomib
was dose-escalated to 15/20, 20/27, 20/36 and 20/45 mg/m(2) to determine the
maximum tolerated dose (MTD), which was 20/36 mg/m(2) . Regardless of
attribution, common Grade 3 or higher adverse events were lymphopenia (38%),
neutropenia (23%) and anaemia (20%). All peripheral neuropathy (31%) was Grade 1
and considered most likely to be thalidomide-related. Common cardiac or pulmonary
events of any grade in ?5% of patients included dyspnoea (20%) and cough (6%).
Overall (N = 64), 91% of patients achieved a best response of partial response or
better across all cycles of treatment, including five patients with complete
responses. At the MTD (n = 29), 59% of patients achieved a very good partial
response or better after four cycles (primary end point). Stem cell collection
was successful in all patients in whom it was attempted (n = 42).
Progression-free survival and overall survival at 24 months was 76% and 96%,
respectively (median follow-up of 17·5 months). CYKLONE appears highly
efficacious in NDMM patients, with manageable toxicities.
|Adult
[MESH]
|Aged
[MESH]
|Aged, 80 and over
[MESH]
|Antineoplastic Combined Chemotherapy Protocols/adverse effects/*therapeutic use
[MESH]