A RANDOMIZED MULTICENTRIC STUDY COMPARING ALTERNATING COMBINATION CHEMOTHERAPY (VCMP VBAP) AND MELPHALAN-PREDNISONE IN MULTIPLE-MYELOMA

被引:13
作者
BLADE, J [1 ]
MIGUEL, JS [1 ]
ALCALA, A [1 ]
MALDONADO, J [1 ]
GARCIACONDE, J [1 ]
MORO, MJ [1 ]
SANZ, MAS [1 ]
ALONSO, C [1 ]
ZUBIZARRETA, A [1 ]
BESSES, C [1 ]
MARTIN, JMH [1 ]
BESALDUCH, J [1 ]
NIETO, LH [1 ]
CALVO, JF [1 ]
RUBIO, D [1 ]
MAYANS, JR [1 ]
SANCHIS, J [1 ]
GALINDO, RJ [1 ]
TORTOSA, J [1 ]
ORTEGA, F [1 ]
DOMINGO, A [1 ]
FAURA, MV [1 ]
DANIELS, M [1 ]
ROZMAN, C [1 ]
ESTAPE, J [1 ]
机构
[1] HOSP CLIN BARCELONA, SPANISH SOC HAEMATOL, BARCELONA 36, SPAIN
来源
BLUT | 1990年 / 60卷 / 06期
关键词
Combination chemotherapy; MP treatment; Multiple myeloma; Survival; VCMP/VBAP;
D O I
10.1007/BF01737844
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Between January 1985 and December 1988, 386 patients with multiple myeloma were randomized to receive either MP or combination chemotherapy based on alternating cycles of VCMP and VBAP. The major prognostic parameters did not differ significantly between both treatment groups. A significantly higher proportion of objective responses was observed with combination chemotherapy as compared to MP (47.8 vs 32.2, P = 0.01). The median survival for all patients was 33.5 months. So far no significant differences were found when comparing the survival curves from both groups of patients. However, the median survival of MP-treated patients is 26.8 months, whereas the median survival of patients receiving VCMP/VBAP has not yet been reached. The definitive analysis must await the evaluation of all patients entered into the study and a longer follow-up time. © 1990 Springer-Verlag.
引用
收藏
页码:319 / 322
页数:4
相关论文
共 25 条
[11]  
FEINLEIB M, 1960, J NATL CANCER I, V24, P1259
[12]  
GOLDIE JH, 1982, CANCER TREAT REP, V66, P439
[13]  
HANSEN OP, 1985, SCAND J HAEMATOL, V35, P518
[14]  
HARLEY JB, 1979, BLOOD, V54, P13
[15]  
JOSHUA DE, 1985, LANCET, V2, P210
[16]   NONPARAMETRIC-ESTIMATION FROM INCOMPLETE OBSERVATIONS [J].
KAPLAN, EL ;
MEIER, P .
JOURNAL OF THE AMERICAN STATISTICAL ASSOCIATION, 1958, 53 (282) :457-481
[17]  
KILDAHLANDERSEN O, 1986, SCAND J HAEMATOL, V37, P243
[18]   RESULTS OF THE MRC MYELOMATOSIS TRIALS FOR PATIENTS ENTERED SINCE 1980 [J].
MACLENNAN, ICM ;
KELLY, K ;
CROCKSON, RA ;
COOPER, EH ;
CUZICK, J ;
CHAPMAN, C .
HEMATOLOGICAL ONCOLOGY, 1988, 6 (02) :145-158
[19]  
OKEN MM, 1987, P AN M AM SOC CLIN, V6, P203
[20]  
OSGOOD EE, 1960, CANCER CHEMOTH REP, P1