| Autor: |
T, Caballero-Velázquez, C, Calderón-Cabrera, L, López-Corral, N, Puig, F, Marquez-Malaver, E, Pérez-López, C, García-Calderón, C M, Rosso-Fernández, D, Caballero Barrigón, J, Martín, M V, Mateos, J, San Miguel, J A, Pérez-Simón |
| Rok vydání: |
2019 |
| Předmět: |
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| Zdroj: |
Bone marrow transplantation. 55(2) |
| ISSN: |
1476-5365 |
| Popis: |
This multicenter phase I trial was designed to evaluate the safety and efficacy of bortezomib (Bz) as part of both the conditioning regimen and the graft-versus-host disease (GvHD) prophylaxis. Patients received fludarabine, melphalan and Bz (days -9 and -2). GVHD prophylaxis consisted of Bz (days +1, +4, and +7), sirolimus (Siro) from day -5 and tacrolimus (Tk) from -3 (except the first five patients that did not receive Tk). Twenty-five patients with poor prognostic multiple myeloma were included. Eleven out of the 19 patients had high-risk features. Out of the 21 patients evaluable at day +100, 14 were in CR (67%) and 7 (33%) in PR. Cumulative incidence (CI) of nonrelapse mortality at 1 year was 24%. CI of grades 2-4 and 3-4 acute GvHD was 35% and 10%, respectively; CI of chronic GvHD was 35% and 55% at 1 and 2 years, respectively. Overall and event free survival at 2 years were 64% and 31%, respectively. Bz as part of the conditioning regimen and in the combination with Siro/tacrolimus for GvHD prophylaxis is safe and effective allowing an optimal disease control early after transplant and reducing the risk of GvHD. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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