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 and AK NOOKA. Primary refractory multiple myeloma: a real-world experience with 85 cases. LEUKEMIA & LYMPHOMA. LONDON: INFORMA HEALTHCARE, 2020, vol. 61, No 12, p. 2868-2875. ISSN 1042-8194. Available from: https://dx.doi.org/10.1080/10428194.2020.1788014.
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Basic information
Original name Primary refractory multiple myeloma: a real-world experience with 85 cases
Authors 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 and AK NOOKA.
Edition LEUKEMIA & LYMPHOMA, LONDON, INFORMA HEALTHCARE, 2020, 1042-8194.
Other information
Original language English
Type of outcome Article in a journal
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 3.280
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1080/10428194.2020.1788014
UT WoS 000546279800001
Keywords in English Double-refractory multiple myeloma; prognosis; treatment response; survival
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 11/2/2021 10:42.
Abstract
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.
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