Bortezomib a safe treatment for patients with multiple myeloma and cystic fibrosis.

Abstract:

INTRODUCTION:Bortezomib is a proteasome inhibitor that targets myeloma cell and its bone marrow microenvironment. Intravenous Bortezomib with or without dexamethasone, is effective and well tolerated in patients with relapsed/refractory multiple myeloma (MM). METHODS:We used Bortezomib without corticosteroids, to avoid the risk of lung infection reactivations due to patient's Pseudomonas aeruginosa colonization, in a MM patient with Cystic Fibrosis. Four 21-day cycles of Bortezomib were administrated at 1.3 mg/m(2) on days 1,4,8 and 11 with a 10 day rest period. Treatment response and toxicity were evaluated. RESULTS:After four cycles of therapy the patient achieved a very good partial response (VGPR) according to the IMWG response criteria, without clinically significant side effects. CONCLUSIONS:Bortezomib can be successfully utilized for the management of this difficult disease situation.

authors

Gentilini F,Levi A,Federico V,Russo E,Foà R,Petrucci MT

doi

10.4084/MJHID.2012.035

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

e2012035

issue

1

issn

2035-3006

pii

mjhid-4-1-e2012035

journal_volume

4

pub_type

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