Main randomized clinical trials comparing single and tandem transplant
| Trial . | Number of patients . | Regimens . | Efficacy . | Benefit . |
|---|---|---|---|---|
| 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 |
| Trial . | Number of patients . | Regimens . | Efficacy . | Benefit . |
|---|---|---|---|---|
| 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.