Table 1.

Characteristics of patients enrolled in IV, V, VI, and VIII MRC Multiple Myeloma trials


Trial, dates (patient ages), and induction treatment

No. patients

Median OS, y

Median DP, y

IgG, %

IgA, %

LCO, %
IV, 1980-1982 (under 80 y)       
    MP   254   2.3   1.1   59   29   12  
    MPV   251   2.2   1.5   57   24   19  
V, 1982-1986 (under 75 y)       
    C-weekly-plts < 80   58   1.8   1.7   53   28   19  
    M7   291   2.0   1.4   56   29   15  
    ABCM   293   2.7   1.6   56   27   17  
VI (under 75 y)       
    1986-1991        
        HDM (M140)   12   2.5   2.5   59   33   8  
        HDMP   14   5.0   1.9   71   29   0  
        ABCM   322   2.7   1.5   58   28   14  
        ABCM-P   328   2.5   1.4   58   29   13  
    1991-1993        
        NR ABCM   271   2.6   1.4   58   28   14  
VIII, 1993-2002 (at least 65 y, or under 65 y*)        
    ABCM to plateau   135   3.1   1.4   69   25   6  
    ABCM ×3 then C-weekly   140   3.1   1.5   56   36   8  
    NR   223   1.2   1.3   63   24   13  
Total
 
2592
 
NA
 
NA
 
58
 
28
 
14
 

Trial, dates (patient ages), and induction treatment

No. patients

Median OS, y

Median DP, y

IgG, %

IgA, %

LCO, %
IV, 1980-1982 (under 80 y)       
    MP   254   2.3   1.1   59   29   12  
    MPV   251   2.2   1.5   57   24   19  
V, 1982-1986 (under 75 y)       
    C-weekly-plts < 80   58   1.8   1.7   53   28   19  
    M7   291   2.0   1.4   56   29   15  
    ABCM   293   2.7   1.6   56   27   17  
VI (under 75 y)       
    1986-1991        
        HDM (M140)   12   2.5   2.5   59   33   8  
        HDMP   14   5.0   1.9   71   29   0  
        ABCM   322   2.7   1.5   58   28   14  
        ABCM-P   328   2.5   1.4   58   29   13  
    1991-1993        
        NR ABCM   271   2.6   1.4   58   28   14  
VIII, 1993-2002 (at least 65 y, or under 65 y*)        
    ABCM to plateau   135   3.1   1.4   69   25   6  
    ABCM ×3 then C-weekly   140   3.1   1.5   56   36   8  
    NR   223   1.2   1.3   63   24   13  
Total
 
2592
 
NA
 
NA
 
58
 
28
 
14
 

IgG, 1513 patients; IgA, 718 patients; LCO, 361 patients.

MP indicates melphalan, prednisolone; MPV, melphalan, prednisolone, vincristine; C-weekly plts, cyclophosphamide weekly for low platelets; M7, melphalan; ABCM, doxorubicin, carmustine, cyclophosphamide, melphalan; NR, nonrandomized; C-VAMP, cyclophosphamide, vincristine, doxorubicin, methylprednisolone; OS, overall survival; DP, duration of plateau; IgG, immunoglobulin G; IgA, immunoglobulin A; LCO, light chain only; and NA, not applicable.

*

If high-dose therapy (HDT) contraindicated.

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