J 2021

Bortezomib-based therapy for newly diagnosed multiple myeloma patients ineligible for autologous stem cell transplantation: Czech Registry Data

SANDECKÁ, Viera; Luděk POUR; Ivan SPICKA; Jiri MINARIK; Jakub RADOCHA et al.

Základní údaje

Originální název

Bortezomib-based therapy for newly diagnosed multiple myeloma patients ineligible for autologous stem cell transplantation: Czech Registry Data

Autoři

SANDECKÁ, Viera; Luděk POUR; Ivan SPICKA; Jiri MINARIK; Jakub RADOCHA; Tomas JELINEK; Adriana HEINDORFER; Petr PAVLICEK; Michal SYKORA; Alexandra JUNGOVA; Petr KESSLER; Marek WROBEL; David STAROSTKA; Jana ULLRYCHOVA; Lukas STEJSKAL; Martin ŠTORK; Jan STRAUB; Tomas PIKA; Lucie KUBÍNOVÁ; Sabina ŠEVČÍKOVÁ; Vladimir MAISNAR a Roman HAJEK

Vydání

European Journal of Haematology, Hoboken, Wiley-Blackwell, 2021, 0902-4441

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30205 Hematology

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 3.674

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/21:00123612

Organizační jednotka

Lékařská fakulta

EID Scopus

Klíčová slova anglicky

bortezomib; multiple myeloma; patient; treatment

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 10. 1. 2022 13:46, Mgr. Tereza Miškechová

Anotace

V originále

Objectives This study compared the use of bortezomib in different combination regimens in newly diagnosed multiple myeloma (NDMM) patients who were transplant ineligible. Patients and Methods We analyzed data from the Registry of Monoclonal Gammopathies (RMG) of the Czech Myeloma Group (CMG) to provide real-world evidence of outcome for 794 newly diagnosed MM transplant ineligible patients. The most frequently used regimen was VCd (bortezomib-cyclophosphamide-dexamethasone) (47.5%) over VMP (bortezomib-melphalan-prednisone) (21.7%), BDd (bortezomib-doxorubicin-dexamethasone) (9.8%), and VTd (bortezomib-thalidomide-dexamethasone) (2.9%). Results The overall response rate (ORR) was 69.2% (478/691), including 12.6% (>= CR); 34.7% very good partial responses (VGPR); and 21.9% partial responses (PR). Among triplet regimens, VMP was the most effective regimen compared to VCd, BDd, and VTd. Median PFS was 22.3 vs. 18.5 vs. 13.7 vs. 13.8 mo, (P = .275), respectively, and median OS was 49 vs. 41.7 vs. 37.9 vs. 32.2 mo (P = .004), respectively. The most common grade 3-4 toxicities were anemia in 17.4% and infections in 18% of patients. Conclusion Our study confirmed that bortezomib-based treatment is effective and safe in NDMM transplant ineligible patients, especially VMP, which was identified as superior between bortezomib-based induction regimens not only in clinical trials, but also in real clinical practice.