Thalidomide and dexamethasone for resistant multiple myeloma

被引:146
作者
Anagnostopoulos, A [1 ]
Weber, D [1 ]
Rankin, K [1 ]
Delasalle, K [1 ]
Alexanian, R [1 ]
机构
[1] Univ Texas, MD Anderson Canc Ctr, Houston, TX 77030 USA
关键词
multiple myeloma; thalidomide; dexamethasone;
D O I
10.1046/j.1365-2141.2003.04345.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Between November 1998 and April 2000, the combination of thalidomide and dexamethasone was evaluated in 47 consecutive patients with multiple myeloma that was resistant to prior high-dose dexamethasone-based therapies. Remission was observed in 22 patients (47%), including six patients with complete remission. Side-effects were frequent, mild and usually reversible, but deep vein thrombosis occurred in 8% of patients. Survival and remission times were longer among patients treated for previous resistant disease rather than for resistant relapse. This experience supports the use of thalidomide-dexamethasone in myeloma patients with resistant disease and justifies further trials in newly diagnosed patients.
引用
收藏
页码:768 / 771
页数:4
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