Gentle yet effective treatment for elderly patients with refractory or relapsing multiple myeloma.

Abstract:

:Fourteen patients, aged 65-85 years, with refractory (11) or relapsing (3) multiple myeloma were treated with a "protracted-sequential" protocol comprising vincristine 1-2 mg or vindesine 3 mg/M(2) (max. 5 mg) IVI over 4 hr on D1, prednisolone 40-50 mg PO D1-14, and melphalan 2-4 mg PO or cyclophosphamide 50-100 mg PO D15-28; cycles were repeated at 4-6 weekly intervals. Treatment was continued for 12 months if the response was optimal or indefinitely if the response was suboptimal. Five patients responded optimally; their survival from the commencement of this protocol ranged from 30 to 120 months. The other nine patients achieved a partial response, their survival ranging from 4+ to 79 months. The treatment is simple, nontoxic, and as convenient as the "classic combination" of melphalan and prednisolone.

journal_name

Am J Hematol

authors

Manoharan A

doi

10.1002/1096-8652(200009)65:1<81::aid-ajh15>3.0.co

keywords:

subject

Has Abstract

pub_date

2000-09-01 00:00:00

pages

81-2

issue

1

eissn

0361-8609

issn

1096-8652

pii

10.1002/1096-8652(200009)65:1<81::AID-AJH15>3.0.CO

journal_volume

65

pub_type

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