Konishi Jun, Sunami Kazutaka
Nihon Rinsho. 2015 Jan;73(1):90-4.
There have been major advances in the past decade in induction therapy for transplantation-eligible multiple myeloma (MM) patients. Induction therapy followed by autologous stem cell transplantation (ASCT) is the standard treatment for younger patients with MM. A high complete response rate has been achieved by three-drug induction regimens including novel agents both before and after ASCT without substantially increasing toxicity. A favorable response to therapy is a very important prognostic factor. This chapter reviews recent results on the most commonly used and tested doublet, triplet, quadruplet combinations for the treatment of newly diagnosed transplantation-eligible myeloma and provides guidance on choosing the optimal initial treatment regimen.
在过去十年中,适合移植的多发性骨髓瘤(MM)患者的诱导治疗取得了重大进展。诱导治疗后进行自体干细胞移植(ASCT)是年轻MM患者的标准治疗方法。通过在ASCT前后使用包括新型药物在内的三联诱导方案,已实现了高完全缓解率,且毒性没有大幅增加。对治疗的良好反应是一个非常重要的预后因素。本章回顾了最近关于治疗新诊断的适合移植的骨髓瘤最常用和经过测试的双联、三联、四联组合的结果,并为选择最佳初始治疗方案提供指导。