A modified high-dose dexamethasone regimen for primary systemic (AL) amyloidosis.

Abstract:

:High-dose dexamethasone (HD-Dex) has been reported to benefit AL amyloidosis patients with varying response rates. Our preliminary experience with the usual HD-Dex schedule indicated that the induction phase was rather toxic in AL patients. We therefore adopted a milder schedule consisting of dexamethasone 40 mg on d 1-4 q21 d for up to eight cycles. Overall 8 out of 23 (35%) treated patients responded to treatment in a median time of 4 months (range 2-6 months) without significant toxicity. This regimen may be considered front-line therapy when autologous stem cell transplantation is not feasible and when a rapid response is particularly important.

journal_name

Br J Haematol

authors

Palladini G,Anesi E,Perfetti V,Obici L,Invernizzi R,Balduini C,Ascari E,Merlini G

doi

10.1046/j.1365-2141.2001.02859.x

subject

Has Abstract

pub_date

2001-06-01 00:00:00

pages

1044-6

issue

4

eissn

0007-1048

issn

1365-2141

pii

bjh2859

journal_volume

113

pub_type

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