Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
March 28, 2021Journal of Health Sciences and MedicineOpen Access

Efficacy of reduced dose melphalan conditioning for multiple myeloma patients undergoing autologous stem cell transplantation: in the era of combined induction with novel agents

View Full Paper
Ask AI
Bookmark
Share

Authors

BUBahar Uncu UluMBMehmet BakırtaşTYTuğçe Nur Yiğenoğlu

Discussion

Loading...

Member takes

Overview

Retrospective study finds comparable survival between reduced and standard melphalan conditioning in multiple myeloma, suggesting lower doses may be viable after modern induction therapy.

Key Points

  • To compare progression-free and overall survival between melphalan 140 mg/m² and melphalan 200 mg/m² conditioning regimens in multiple myeloma patients receiving bortezomib-based induction before autologous stem cell transplantation.
  • Retrospective single-center analysis of 84 multiple myeloma patients who underwent autologous stem cell transplantation between 2010 and 2018.
  • Patients received bortezomib-containing combination induction followed by conditioning with either melphalan 140 mg/m² (MEL 140) or melphalan 200 mg/m² (MEL 200).
  • Progression-free survival was 9 months (95% CI, 2.2–15.8) in the MEL 140 group versus 13 months (95% CI, 10.5–15.5) in the MEL 200 group (p = 0.6).
  • Overall survival was 30 months (95% CI, 9.5–50.4) for MEL 140 compared to 34 months (95% CI, 6.9–61.0) for MEL 200 (p = 0.7).
  • Engraftment duration and transplant-related mortality rates were similar between the two conditioning cohorts.

Cite This Study

Ulu et al. (2021) studied this question.

synapsesocial.com/papers/6aa4a3d6997531f8901426f5https://doi.org/10.32322/jhsm.868279
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Autologous Transplantation and Maintenance Therapy in Multiple Myeloma2014 · 786 citations
  2. 2A New Equation to Estimate Glomerular Filtration Rate2009 · 26,124 citations
  3. 3Age no bar: A CIBMTR analysis of elderly patients undergoing autologous hematopoietic cell transplantation for multiple myeloma2020 · 76 citations
  4. 4A Prospective, Randomized Trial of Autologous Bone Marrow Transplantation and Chemotherapy in Multiple Myeloma1996 · 2,580 citations
  5. 5Renal Impairment in Patients With Multiple Myeloma: A Consensus Statement on Behalf of the International Myeloma Working Group2010 · 407 citations