Vu Minh Phuong, Kieu Thi Van Oanh, Vu Hoang
Department of Hematology, Hanoi Medical University, 1 Ton That Tung Street, Hanoi, Vietnam.
Center for Hematology and Blood Transfusion, Bach Mai Hospital, 78 Giai Phong Road, Hanoi, Vietnam.
Leuk Res Rep. 2023 Mar 21;19:100368. doi: 10.1016/j.lrr.2023.100368. eCollection 2023.
Thirty patients with newly diagnosed symtomatic MM (multiple myeloma) received ASCT (autologous stem cell transplantation) and two cycles of bortezomib-cyclophosphamide-dexamethasone as consolidation treatment followed by maintenance of bortezomib for 24 months. 16 patients achieved complete response (CR) after ASCT, and two more patients achieved CR after consolidation therapy. At 92 months of follow-up, the median OS was 69.5 months, the median PFS was 38.5 months. OS and PFS in the high-risk group were shorter than in the standard-risk group with a statistically significant difference ( = 0.028, 0.049; respectively). Post-ASCT consolidation and maintenance therapy using bortezomib were effective in patients with MM.
30例新诊断的有症状的多发性骨髓瘤(MM)患者接受了自体干细胞移植(ASCT),并进行了两个周期的硼替佐米-环磷酰胺-地塞米松巩固治疗,随后接受硼替佐米维持治疗24个月。16例患者在ASCT后达到完全缓解(CR),另有2例患者在巩固治疗后达到CR。在92个月的随访中,中位总生存期(OS)为69.5个月,中位无进展生存期(PFS)为38.5个月。高危组的OS和PFS短于标准风险组,差异有统计学意义(分别为P = 0.028,0.049)。ASCT后使用硼替佐米进行巩固和维持治疗对MM患者有效。