Table 4

Treatment exposure and response

VDCR n = 48VDR n = 42VDC n = 33VDC-mod n = 17
Patient experience on study     
    Median follow-up, mo 20 20 22 15 
    Median cycles, n (range) 5 (1-12) 6 (1-12) 6 (3-12) 6 (3-12) 
    Completed induction, n (%) 16 (33) 17 (40) 15 (45) 7 (41) 
    Completed maintenance, n (%) 12 (25) 8 (19) 10 (30) 5 (29) 
Confirmed response at cycle 4* n = 40 n = 41 n = 32 n = 17 
    Complete response 2 (5) 3 (7) 1 (3) 2 (12) 
        sCR 1 (3) 1 (2) 2 (12) 
    VGPR or better 13 (33) 13 (32) 4 (13) 7 (41) 
    ORR (PR or better) 32 (80) 30 (73) 20 (63) 14 (82) 
    Progression 
Best response across all cycles     
    Complete response 10 (25) 10 (24) 7 (22) 8 (47) 
        sCR 6 (15) 7 (17) 3 (9) 5 (29) 
    VGPR or better 23 (58) 21 (51) 13 (41) 9 (53) 
    ORR (PR or better) 35 (88) 35 (85) 24 (75) 17 (100) 
    Progression 1 (3) 1 (2) 1 (3) 
Best response across all cycles among patients65 y n = 28 n = 28 n = 21 n = 12 
    Complete response 6 (21) 6 (21) 2 (10) 7 (58) 
    VGPR or better 15 (54) 17 (61) 5 (24) 8 (67) 
    ORR (PR or better) 24 (86) 26 (93) 14 (67) 12 (100) 
VDCR n = 48VDR n = 42VDC n = 33VDC-mod n = 17
Patient experience on study     
    Median follow-up, mo 20 20 22 15 
    Median cycles, n (range) 5 (1-12) 6 (1-12) 6 (3-12) 6 (3-12) 
    Completed induction, n (%) 16 (33) 17 (40) 15 (45) 7 (41) 
    Completed maintenance, n (%) 12 (25) 8 (19) 10 (30) 5 (29) 
Confirmed response at cycle 4* n = 40 n = 41 n = 32 n = 17 
    Complete response 2 (5) 3 (7) 1 (3) 2 (12) 
        sCR 1 (3) 1 (2) 2 (12) 
    VGPR or better 13 (33) 13 (32) 4 (13) 7 (41) 
    ORR (PR or better) 32 (80) 30 (73) 20 (63) 14 (82) 
    Progression 
Best response across all cycles     
    Complete response 10 (25) 10 (24) 7 (22) 8 (47) 
        sCR 6 (15) 7 (17) 3 (9) 5 (29) 
    VGPR or better 23 (58) 21 (51) 13 (41) 9 (53) 
    ORR (PR or better) 35 (88) 35 (85) 24 (75) 17 (100) 
    Progression 1 (3) 1 (2) 1 (3) 
Best response across all cycles among patients65 y n = 28 n = 28 n = 21 n = 12 
    Complete response 6 (21) 6 (21) 2 (10) 7 (58) 
    VGPR or better 15 (54) 17 (61) 5 (24) 8 (67) 
    ORR (PR or better) 24 (86) 26 (93) 14 (67) 12 (100) 

V indicates bortezomib; D, dexamethasone; R, lenalidomide; C, cyclophosphamide; and VDC-mod, VDC plus a day 15 dose of C; CR, complete response; SCT, stem cell transplantation; sCR, stringent complete response; VGPR, very good partial response; PR, partial response; and ORR, objective response rate.

*

Ten patients were not evaluable for response.

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