Recommend upfront consolidation with high-dose melphalan and autologous stem cell support Journal Article


Authors: Shah, G. L.; Giralt, S. A.
Article Title: Recommend upfront consolidation with high-dose melphalan and autologous stem cell support
Abstract: The overall goal of treatment for multiple myeloma (MM) is to prolong survival for as long as possible with the minimal treatment burden for each patient. Consolidation with upfront high-dose melphalan and autologous hematopoietic stem cell transplantation (ASCT) can prolong progression-free and overall survival by deepening response. It thereby can improve quality of life by allowing patients to have a time on maintenance therapy along with infrequent office visits, making it cost-effective in many situations. The impact of minimal residual disease (MRD) negativity is important, but further studies are needed to quantify the pharmacoeconomic and quality-of-life differences between early and delayed transplant strategies. Therefore, with the currently available evidence, upfront ASCT is standard of care regardless of MRD status. © 2016 Elsevier Inc.
Keywords: multiple myeloma; minimal residual disease; autologous stem cell transplant
Journal Title: Seminars in Oncology
Volume: 43
Issue: 6
ISSN: 0093-7754
Publisher: Elsevier Inc.  
Date Published: 2016-12-01
Start Page: 707
End Page: 708
Language: English
DOI: 10.1053/j.seminoncol.2016.11.007
PROVIDER: scopus
PUBMED: 28061992
DOI/URL:
Notes: Review -- Export Date: 2 February 2017 -- Source: Scopus
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  1. Sergio Andres Giralt
    1050 Giralt
  2. Gunjan Lalitchandra Shah
    418 Shah