Treatment with Thalidomide and Cyclophosphamide (TCID) is Superior to Vincristine (VID) and to Vinorelbine (VRID) Regimens in Patients with Refractory or Recurrent Multiple Myeloma
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Treatment with Thalidomide and Cyclophosphamide (TCID) is Superior to Vincristine (VID) and to Vinorelbine (VRID) Regimens in Patients with Refractory or Recurrent Multiple Myeloma. / Auel, Britta; Goldschmidt, Hartmut; Geer, Thomas; Moehler, Thomas M; Platzbecker, Uwe; Naumann, Ralph; Blau, Igor; Hänel, Mathias; Knauf, Wolfgang; Nückel, Holger; Salwender, Hans-Jürgen; Scheid, Christof; Weisel, Katja; Gorschlüter, Marcus; Glasmacher, Axel; Schmidt-Wolf, Ingo G H; German Refractory Myeloma Study Group.
in: INDIAN J HEMATOL BLO, Jahrgang 28, Nr. 2, 06.2012, S. 67-76.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Treatment with Thalidomide and Cyclophosphamide (TCID) is Superior to Vincristine (VID) and to Vinorelbine (VRID) Regimens in Patients with Refractory or Recurrent Multiple Myeloma
AU - Auel, Britta
AU - Goldschmidt, Hartmut
AU - Geer, Thomas
AU - Moehler, Thomas M
AU - Platzbecker, Uwe
AU - Naumann, Ralph
AU - Blau, Igor
AU - Hänel, Mathias
AU - Knauf, Wolfgang
AU - Nückel, Holger
AU - Salwender, Hans-Jürgen
AU - Scheid, Christof
AU - Weisel, Katja
AU - Gorschlüter, Marcus
AU - Glasmacher, Axel
AU - Schmidt-Wolf, Ingo G H
AU - German Refractory Myeloma Study Group
PY - 2012/6
Y1 - 2012/6
N2 - Treatment of relapsed or refractory multiple myeloma remains a challenge and novel treatment regimen are required. Here, a matched pair analysis was performed comparing TCID (thalidomide, cyclophosphamide, idarubicin, dexamethasone) treatment to the treatment of patients with VID (vincristine, idarubicin, dexamethasone) or with VRID (vinorelbine, idarubicin, dexamethasone) for relapsed or refractory multiple myeloma. In total, 197 patients were enrolled in multicenter trials. After matching for important prognostic variables 46 matched-pairs (total of 138 patients) could be analysed with regard to survival, toxicity and efficacy. Interestingly, a significant improvement of overall response rate (ORR) for TCID treatment compared to VID and VRID was found. In addition, TCID treatment also led to a significantly higher overall survival (OS) as well as progression-free survival (PFS) compared to VID and VRID. In conclusion, TCID treatment appears to be superior to VRID and VID treatment in patients with progressive or refractory myeloma.
AB - Treatment of relapsed or refractory multiple myeloma remains a challenge and novel treatment regimen are required. Here, a matched pair analysis was performed comparing TCID (thalidomide, cyclophosphamide, idarubicin, dexamethasone) treatment to the treatment of patients with VID (vincristine, idarubicin, dexamethasone) or with VRID (vinorelbine, idarubicin, dexamethasone) for relapsed or refractory multiple myeloma. In total, 197 patients were enrolled in multicenter trials. After matching for important prognostic variables 46 matched-pairs (total of 138 patients) could be analysed with regard to survival, toxicity and efficacy. Interestingly, a significant improvement of overall response rate (ORR) for TCID treatment compared to VID and VRID was found. In addition, TCID treatment also led to a significantly higher overall survival (OS) as well as progression-free survival (PFS) compared to VID and VRID. In conclusion, TCID treatment appears to be superior to VRID and VID treatment in patients with progressive or refractory myeloma.
KW - Journal Article
U2 - 10.1007/s12288-011-0103-1
DO - 10.1007/s12288-011-0103-1
M3 - SCORING: Journal article
C2 - 23730012
VL - 28
SP - 67
EP - 76
JO - INDIAN J HEMATOL BLO
JF - INDIAN J HEMATOL BLO
SN - 0971-4502
IS - 2
ER -