TY - JOUR
T1 - Thalidomide in induction treatment increases the very good partial response rate before and after high-dose therapy in previously untreated multiple myeloma
AU - Lokhorst, Henk M.
AU - Schmidt-Wolf, Ingo
AU - Sonneveld, Pieter
AU - van der Holt, Bronno
AU - Martin, Hans
AU - Barge, Rene
AU - Bertsch, Uta
AU - Schlenzka, Jana
AU - Bos, Gerard M. J.
AU - Croockewit, Sandra
AU - Zweegman, Sonja
AU - Breitkreuz, Iris
AU - Joosten, Peter
AU - Scheid, Christof
AU - van Marwijk-Kooy, Marinus
AU - Salwender, Hans-Juergen
AU - van Oers, Marinus H. J.
AU - Schaafsma, Ron
AU - Naumann, Ralph
AU - Sinnige, Harm
AU - Blau, Igor
AU - Verhoef, Gregor
AU - de Weerdt, Okke
AU - Wijermans, Pierre
AU - Wittebol, Shulamiet
AU - Duersen, Ulrich
AU - Vellenga, Edo
AU - Goldschmidt, Hartmut
AU - Van Der Holt, Pieter Sonneveldbronno
PY - 2008/1
Y1 - 2008/1
N2 - In the prospective phase 3 HOVON-50/GMMG-HD3 trial, patients randomized to TAD (thalidomide, doxorubicin, dexamethasone) had a significantly higher response rate (at least PR) after induction compared with patients randomized to VAD (vincristine, adriamycin, dexamethasone, 72% vs. 54%, p <0.001). Complete remission (CR) and very good partial remission (VGPR) were also higher after TAD. After High Dose melphalan 200mg/m(2) response was comparable in both arms, 76% and 79% respectively. However, CR plus VGPR were significantly higher in the patients randomized to TAD (49% vs. 32%, p <0.001). CTC grade 3-4 adverse events were similar in both arms
AB - In the prospective phase 3 HOVON-50/GMMG-HD3 trial, patients randomized to TAD (thalidomide, doxorubicin, dexamethasone) had a significantly higher response rate (at least PR) after induction compared with patients randomized to VAD (vincristine, adriamycin, dexamethasone, 72% vs. 54%, p <0.001). Complete remission (CR) and very good partial remission (VGPR) were also higher after TAD. After High Dose melphalan 200mg/m(2) response was comparable in both arms, 76% and 79% respectively. However, CR plus VGPR were significantly higher in the patients randomized to TAD (49% vs. 32%, p <0.001). CTC grade 3-4 adverse events were similar in both arms
KW - Thalidomide
KW - Untreated multiple myeloma
U2 - https://doi.org/10.3324/haematol.11644
DO - https://doi.org/10.3324/haematol.11644
M3 - Article
C2 - 18166796
SN - 0390-6078
VL - 93
SP - 124
EP - 127
JO - Haematologica
JF - Haematologica
IS - 1
ER -