Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 269.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 269.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 269.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 269.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 269.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\28430175
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Blood+Cancer+J
2017 ; 7
(4
): e554
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Carfilzomib-lenalidomide-dexamethasone vs lenalidomide-dexamethasone in relapsed
multiple myeloma by previous treatment
#MMPMID28430175
Dimopoulos MA
; Stewart AK
; Masszi T
; ?pi?ka I
; Oriol A
; Hájek R
; Rosińol L
; Siegel D
; Mihaylov GG
; Goranova-Marinova V
; Rajnics P
; Suvorov A
; Niesvizky R
; Jakubowiak A
; San-Miguel J
; Ludwig H
; Ro S
; Aggarwal S
; Moreau P
; Palumbo A
Blood Cancer J
2017[Apr]; 7
(4
): e554
PMID28430175
show ga
Carfilzomib, a proteasome inhibitor, is approved as monotherapy and in
combination with dexamethasone or lenalidomide-dexamethasone (Rd) for relapsed or
refractory multiple myeloma. The approval of
carfilzomib-lenalidomide-dexamethasone (KRd) was based on results from the
randomized, phase 3 study ASPIRE (NCT01080391), which showed KRd significantly
improved progression-free survival (PFS) vs Rd (median 26.3 vs 17.6 months;
hazard ratio (HR)=0.690; P=0.0001). This subgroup analysis of ASPIRE evaluated
KRd vs Rd by number of previous lines of therapy and previous exposure to
bortezomib, thalidomide or lenalidomide. Treatment with KRd led to a 12-month
improvement in median PFS vs Rd after first relapse (HR 0.713) and a 9-month
improvement after ?2 previous lines of therapy (HR 0.720). Treatment with KRd led
to an approximate 8-month improvement vs Rd in median PFS in bortezomib-exposed
patients (HR 0.699), a 15-month improvement in thalidomide-exposed patients (HR
0.587) and a 5-month improvement in lenalidomide-exposed patients (HR 0.796).
Objective response and complete response or better rates were higher with KRd vs
Rd, irrespective of previous treatment. KRd had a favorable benefit-risk profile
and should be considered an appropriate treatment option for patients with 1 or
?2 previous lines of therapy and those previously exposed to bortezomib,
thalidomide or lenalidomide.