Feasibility of autologous hematopoietic stem cell transplant in patients aged ≥70 years with multiple myeloma Journal Article
| Authors: | Bashir, Q.; Shah, N.; Parmar, S.; Wei, W.; Rondon, G.; Weber, D. M.; Wang, M.; Orlowski, R. Z.; Thomas, S. K.; Shah, J.; Qureshi, S. R.; Dinh, Y. T.; Popat, U.; Anderlini, P.; Hosing, C.; Giralt, S.; Champlin, R. E.; Qazilbash, M. H. |
| Article Title: | Feasibility of autologous hematopoietic stem cell transplant in patients aged ≥70 years with multiple myeloma |
| Abstract: | We retrospectively analyzed the outcomes of all consecutive patients with myeloma (n = 84) aged ≥70 years who had received autologous hematopoietic stem cell transplant (auto HCT) between July 1999 and June 2010 at our institution. The median age at auto HCT was 72 years, the median number of prior therapies was 2.5 and the median time from diagnosis to auto HCT was 10.2 months. The conditioning regimen consisted of melphalan at 140 mg/m 2 in 10%, 180 mg/m 2 in 25% and 200 mg/m 2 in 65% of patients. The day-100 non-relapse mortality was 3%. The overall response rate at day 100 was 85% (complete response 18%, very good partial response 12%, partial response 55%). After a median follow-up of 25 months among surviving patients, the estimated progression-free survival and overall survival at 5 years were 27% and 67%, respectively. The incidence of grade IIIV toxicity, response rate and survival were similar across three melphalan dose levels. These results indicate that high-dose melphalan plus auto HCT is safe and feasible for patients with multiple myeloma aged ≥70 years and age alone should not be an exclusion criterion for auto HCT. © 2011 Informa UK, Ltd. |
| Keywords: | cancer survival; controlled study; treatment outcome; treatment response; aged; human cell; major clinical study; overall survival; doxorubicin; cancer combination chemotherapy; unspecified side effect; neurotoxicity; progression free survival; bortezomib; lung toxicity; multiple myeloma; cyclophosphamide; dexamethasone; melphalan; vincristine; retrospective study; age; arsenic trioxide; gastrointestinal toxicity; cardiotoxicity; cancer relapse; ascorbic acid; recombinant granulocyte colony stimulating factor; elderly; plerixafor; autologous hematopoietic stem cell transplantation; autologous hematopoietic stem cell transplant |
| Journal Title: | Leukemia and Lymphoma |
| Volume: | 53 |
| Issue: | 1 |
| ISSN: | 1042-8194 |
| Publisher: | Taylor & Francis Group |
| Date Published: | 2012-01-01 |
| Start Page: | 118 |
| End Page: | 122 |
| Language: | English |
| DOI: | 10.3109/10428194.2011.606942 |
| PROVIDER: | scopus |
| PUBMED: | 21780997 |
| DOI/URL: | |
| Notes: | --- - "Export Date: 1 March 2012" - "CODEN: LELYE" - "Source: Scopus" |
