2017
Carfilzomib-dexamethasone vs bortezomib-dexamethasone in relapsed or refractory multiple myeloma by cytogenetic risk in the phase 3 study ENDEAVOR
CHNG, W.J.; H. GOLDSCHMIDT; M.A. DIMOPOULOS; P. MOREAU; D. JOSHUA et. al.Základní údaje
Originální název
Carfilzomib-dexamethasone vs bortezomib-dexamethasone in relapsed or refractory multiple myeloma by cytogenetic risk in the phase 3 study ENDEAVOR
Autoři
CHNG, W.J.; H. GOLDSCHMIDT; M.A. DIMOPOULOS; P. MOREAU; D. JOSHUA; A. PALUMBO; T. FACON; H. LUDWIG; Luděk POUR; R. NIESVIZKY; A. ORIOL; L. ROSIÑOL; A. SUVOROV; G. GAIDANO; T. PIKA; K. WEISEL; V. GORANOVA-MARINOVA; H.H. GILLENWATER; N. MOHAMED; S. FENG; S. AGGARWAL a R. HÁJEK
Vydání
Leukemia, London, Nature Publishing Group, 2017, 0887-6924
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30205 Hematology
Stát vydavatele
Velká Británie a Severní Irsko
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 10.023
Organizační jednotka
Lékařská fakulta
UT WoS
000402832700015
Klíčová slova anglicky
LOW-DOSE DEXAMETHASONE; STEM-CELL TRANSPLANTATION; PLUS DEXAMETHASONE; INTERGROUPE FRANCOPHONE; DELETION 17P; LENALIDOMIDE; THERAPY; ABNORMALITIES; POMALIDOMIDE; THALIDOMIDE
Štítky
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 16. 3. 2018 15:01, Soňa Böhmová
Anotace
V originále
The randomized phase 3 study ENDEAVOR demonstrated a statistically significant and clinically meaningful improvement in progression-free survival (PFS) for carfilzomib and dexamethasone (Kd) vs bortezomib and dexamethasone (Vd) in relapsed or refractory multiple myeloma (MM). We conducted a preplanned subgroup analysis of ENDEAVOR to evaluate Kd vs Vd by cytogenetic risk. Of 785 patients with known cytogenetics, 210 (27%) had high-risk cytogenetics (Kd, n=97 [25%]; Vd, n=113 [28%]) and 575 (73%) had standard-risk cytogenetics (Kd, n=284 [75%]; Vd, n=291 [72%]). Median PFS in the high-risk group was 8.8 months for Kd vs 6.0 months for Vd (hazard ratio [HR], 0.65; 95% confidence interval [CI], 0.45–0.92; P=0.0075). Median PFS in the standard-risk group was not estimable for Kd vs 10.2 months for Vd (HR, 0.44; 95% CI, 0.33–0.58; P<0.0001). Overall response rates were 72.2% (Kd) vs 58.4% (Vd) in the high-risk group and 79.2% (Kd) vs 66.0% (Vd) in the standard-risk group. In the high-risk group, 15.5% (Kd) vs 4.4% (Vd) achieved a complete response (CR) or better. In the standard-risk group, 13.0% (Kd) vs 7.9% (Vd) achieved greater than or equal toCR. This preplanned subgroup analysis found that Kd was superior to Vd in relapsed or refractory MM, regardless of cytogenetic risk.