Thalidomide in patients with advanced multiple myeloma

Détails

ID Serval
serval:BIB_CAA77BE7C76D
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Thalidomide in patients with advanced multiple myeloma
Périodique
Hematology Journal
Auteur(s)
Yakoub-Agha  I., Moreau  P., Leyvraz  S., Berthou  C., Payen  C., Dumontet  C., Grosbois  B., Beris  P., Duguet  C., Attal  M., Harousseau  J. L., Facon  T.
ISSN
1466-4860 (Print)
Statut éditorial
Publié
Date de publication
2000
Volume
1
Numéro
3
Pages
186-9
Notes
Clinical Trial
Journal Article
Multicenter Study
Résumé
INTRODUCTION: Recently, a report has suggested the efficacy and safety of thalidomide in refractory multiple myeloma. In an attempt to assess the efficacy and tolerance of thalidomide in advanced multiple myeloma (on behalf of the Intergroupe Franchophone dy Myelome (IFM)), we report the preliminary experience of the IFM with this drug. MATERIALS AND METHODS: Patients with advanced multiple myeloma (n=27) were treated with an oral dose of thalidomide (median 400 mg/day). At the start of treatment, all patients had active disease and 20 patients had received at least one autologous transplantation. RESULTS: Median follow-up was 105 days from the first administration. The serum and/or urine levels of the M-component were reduced by at least 75% in four patients including one patient with a >90% reduction, by at least 50% in five patients and by at least 25% in three patients, giving a total response rate of 45% (12 out of 27 patients). Nine patients had stable disease and six patients had progressed disease. Short-term side-effects of thalidomide were generally moderate. CONCLUSION: This study confirms that thalidomide is an effective agent in patients with advanced myeloma.
Mots-clé
Agranulocytosis/chemically induced Angiogenesis Inhibitors/adverse effects/*therapeutic use Dose-Response Relationship, Drug Female Follow-Up Studies Humans Immunoglobulin A/blood Immunoglobulin G/blood Immunoglobulin Isotypes/blood Immunoglobulin Light Chains/blood Male Multiple Myeloma/blood/*drug therapy/immunology/pathology Thalidomide/adverse effects/*therapeutic use Time Factors Treatment Outcome
Pubmed
Création de la notice
28/01/2008 9:32
Dernière modification de la notice
03/03/2018 21:25
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