Table 3.

Main randomized clinical trials comparing single and tandem transplant

TrialNumber of patientsRegimensEfficacyBenefit
IFM 9431  399 Mel 140/TBI
vs Mel 140/TBI, then Mel 140 
mEFS: 25 vs 30 mo (P  =  .03)
mPFS: 29 vs 36 mo (P  <  .01)
mOS: 48 vs 58 mo (P  =  .01) 
EFS + PFS + OS 
Bologna 9632  321 Mel 200
vs Mel 200, then Mel 120 + Bu 4 
mEFS: 23 vs 35 mo (P  =  .001)
mPFS: 24 vs 42 mo (P  <  .001)
mOS: 65 vs 71 mo (P  =  .09) 
EFS + PFS + OS 
GMMG HD233  358 Mel 200
vs Mel 200, then Mel 200 
mEFS: 25 vs 28.7 mo
mOS: 73 vs 75.3 mo 
Not significant 
EMN02/HO9520  1197 Mel 200
vs Mel 200, then Mel 200 
5y-PFS: 44.9% vs 53.5% (P  =  .036)
5y-OS: 72.6% vs 80.3% (P  =  .022) 
PFS + OS 
STAMINA34  758 Mel 200
vs Mel 200, then VRD
vs Mel 200, then Mel 200 
38 mo-PFS: 58.5% vs 57.8% vs 53.9%
38 mo-OS: 81.8% vs 85.4% vs 83.7%
 
Not significant 
TrialNumber of patientsRegimensEfficacyBenefit
IFM 9431  399 Mel 140/TBI
vs Mel 140/TBI, then Mel 140 
mEFS: 25 vs 30 mo (P  =  .03)
mPFS: 29 vs 36 mo (P  <  .01)
mOS: 48 vs 58 mo (P  =  .01) 
EFS + PFS + OS 
Bologna 9632  321 Mel 200
vs Mel 200, then Mel 120 + Bu 4 
mEFS: 23 vs 35 mo (P  =  .001)
mPFS: 24 vs 42 mo (P  <  .001)
mOS: 65 vs 71 mo (P  =  .09) 
EFS + PFS + OS 
GMMG HD233  358 Mel 200
vs Mel 200, then Mel 200 
mEFS: 25 vs 28.7 mo
mOS: 73 vs 75.3 mo 
Not significant 
EMN02/HO9520  1197 Mel 200
vs Mel 200, then Mel 200 
5y-PFS: 44.9% vs 53.5% (P  =  .036)
5y-OS: 72.6% vs 80.3% (P  =  .022) 
PFS + OS 
STAMINA34  758 Mel 200
vs Mel 200, then VRD
vs Mel 200, then Mel 200 
38 mo-PFS: 58.5% vs 57.8% vs 53.9%
38 mo-OS: 81.8% vs 85.4% vs 83.7%
 
Not significant 

Bu 4, busulfan 4  mg/kg; Mel 140, melphalan 140  mg/m2.

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