Thalidomide in relapsed-refractory patients with MM
Regimen . | No. patients . | CR, % . | Greater than PR, % . | PFS/EFS/TTP, % . | OS, % . | Reference . |
---|---|---|---|---|---|---|
Thalidomide alone | ||||||
T | 84 | 2 | 25 | 50 at 3 mo | 58 at 12 mo | 9 |
T | 169 | 14* | 30 | 20 at 24 mo | 48 at 24 mo | 10 |
T | 400 | ND | ND | ND | 69-73 at 12 mo | 14 |
T | 1674 | ND | 29 | 50 at 12 mo | 50 at 14 mo | 12 |
Dexamethasone | ||||||
TD | 62 | ND | 56 | 50 at 17 mo | 60 at 36 mo | 17 |
TD | 58 | ND | 46 | 50 at 11 mo | 50 at 19 mo | 17 |
TD | 77 | ND | 41 | 50 at 12 mo | ND | 18 |
TD | 44 | ND | 55 | 50 at 4 mo | 50 at 13 mo | 19 |
TD | 58 | ND | 65 | 47 at 12 mo | ND | 20 † |
Melphalan | ||||||
TM | 27 | ND | 59 | 61 at 24 mo | 61 at 24 mo | 21 |
MivPT | 24 | ND | 41 | 50 at 9 mo | 50 at 14 mo | 22 |
MTD | 21 | 5 | 18‡ | 50 at 9 mo | 50 at 13 mo | 23 |
Doxorubicin | ||||||
TAD | 50 | 26 | 76 | 50 at 17 mo | ND | 24 |
DVd-T | 49 | 20 | 75 | 50 at 16 mo | 50 at 40 mo | 25 |
Cyclophosphamide | ||||||
CDT | 52 | 17 | 79 | 34 at 24 mo | 73 at 24 mo | 26 |
Pulsed CTD | 53 | 5 | 60 | 50 at 8 mo | 50 at 18 mo | 27 |
ThaCyDex | 71 | 2 | 55 | 57 at 24 mo | 66 at 24 mo | 28 |
HyperCTD | 60 | 4 | 72 | 50 at 11 mo | 50 at 19 mo | 29 |
Regimen . | No. patients . | CR, % . | Greater than PR, % . | PFS/EFS/TTP, % . | OS, % . | Reference . |
---|---|---|---|---|---|---|
Thalidomide alone | ||||||
T | 84 | 2 | 25 | 50 at 3 mo | 58 at 12 mo | 9 |
T | 169 | 14* | 30 | 20 at 24 mo | 48 at 24 mo | 10 |
T | 400 | ND | ND | ND | 69-73 at 12 mo | 14 |
T | 1674 | ND | 29 | 50 at 12 mo | 50 at 14 mo | 12 |
Dexamethasone | ||||||
TD | 62 | ND | 56 | 50 at 17 mo | 60 at 36 mo | 17 |
TD | 58 | ND | 46 | 50 at 11 mo | 50 at 19 mo | 17 |
TD | 77 | ND | 41 | 50 at 12 mo | ND | 18 |
TD | 44 | ND | 55 | 50 at 4 mo | 50 at 13 mo | 19 |
TD | 58 | ND | 65 | 47 at 12 mo | ND | 20 † |
Melphalan | ||||||
TM | 27 | ND | 59 | 61 at 24 mo | 61 at 24 mo | 21 |
MivPT | 24 | ND | 41 | 50 at 9 mo | 50 at 14 mo | 22 |
MTD | 21 | 5 | 18‡ | 50 at 9 mo | 50 at 13 mo | 23 |
Doxorubicin | ||||||
TAD | 50 | 26 | 76 | 50 at 17 mo | ND | 24 |
DVd-T | 49 | 20 | 75 | 50 at 16 mo | 50 at 40 mo | 25 |
Cyclophosphamide | ||||||
CDT | 52 | 17 | 79 | 34 at 24 mo | 73 at 24 mo | 26 |
Pulsed CTD | 53 | 5 | 60 | 50 at 8 mo | 50 at 18 mo | 27 |
ThaCyDex | 71 | 2 | 55 | 57 at 24 mo | 66 at 24 mo | 28 |
HyperCTD | 60 | 4 | 72 | 50 at 11 mo | 50 at 19 mo | 29 |
TTP indicates time to progression; T, thalidomide; TM, thalidomide-melphalan; MivPT, intravenous melphalan-thalidomide-prednisone; MTD, melphalan-thalidomide-dexamethasone; TAD, thalidomide-pegylated lyposomal doxorubicin-dexamethasone; DVd-T, pegylated lyposomal doxorubicin-vincristine-decreased frequency dexamethasone-thalidomide; CDT, cyclophosphamide-dexamethasone-thalidomide; CTD, cyclophosphamide-thalidomide-dexamethasone; ThaCyDex, thalidomide-cyclophosphamide–dexamethasone; and ND, not determined.
CR plus near CR.
Randomized trial.
Serum monoclonal protein reduction greater than 96%.