J 2020

Primary refractory multiple myeloma: a real-world experience with 85 cases

JURCZYSZYN, A; A WASZCZUK-GAJDA; JJ CASTILLO; K KRAWCZYK; Martin ŠTORK et al.

Základní údaje

Originální název

Primary refractory multiple myeloma: a real-world experience with 85 cases

Autoři

JURCZYSZYN, A; A WASZCZUK-GAJDA; JJ CASTILLO; K KRAWCZYK; Martin ŠTORK; L POUR; L USNARSKA-ZUBKIEWICZ; S POTOCZEK; I HUS; JD VALLS; P HARI; S CHHABRA; M GENTILE; G MIKALA; G VARGA; CS CHIM; M FIALA; R VIJ; N SCHUTZ; M RODZAJ; A POROWSKA; DH VESOLE; A DRUZD-SITEK; J WALEWSKI a AK NOOKA

Vydání

LEUKEMIA & LYMPHOMA, LONDON, INFORMA HEALTHCARE, 2020, 1042-8194

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 3.280

Označené pro přenos do RIV

Ne

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

Double-refractory multiple myeloma; prognosis; treatment response; survival

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 11. 2. 2021 10:42, Mgr. Tereza Miškechová

Anotace

V originále

This study determined whether 85 patients with multiple myeloma (MM) double-refractory to primary induction therapy with triplet regimens had a homogenous prognosis. The overall response rate (ORR) after the second-line therapy was 51%. Patients who proceeded to immediate autologous stem cell transplantation (ASCT) had better ORR than those who received conventional therapies (62% vs. 31%). The ORR for patients who had ASCT directly after the frontline therapy was higher than for those treated with other regimens as the second line therapy (91% vs. 45%) and offered ASCT as the third-line therapy (91% vs. 55%). The median progression-free survival (PFS) after the second-line therapy and median overall survival were 21.6 months and 35.6 months, respectively. ASCT after the second line treatment (HR = 0.24) was an independent predictor of PFS. Eligible patients with primary refractory MM achieve the most benefit from ASCT, also performed immediately after first line induction therapy.