Table 2.
Efficacy of regimens used as frontline treatment in multiple myeloma
Therapy | No. of patients | ≥PR (%) | ≥VGPR (%) | Progression-free survival | Overall survival | References |
---|---|---|---|---|---|---|
Transplant candidates | ||||||
Thal/Dex | 235 | 63 | 43.8 | 14.9 months | 68% @ 2 years | 24 |
ASCT-T | 323 | ND | ND | 56% @ 5 years | 65% @ 5 years | 25 |
Rev/Dex | 34 | 91 | 38 | 74% @ 2 years | 91% @ 2 years | 28 |
BiRD | 72 | 90 | 73 | 75% @ 2 years | ND | 31 |
Bort/Dex | 52 | 66 | 31 | ND | ND | 32 |
PAD | 65 | 97.1 | 50 | 83% @ 2 years | 92% @ 2 years | 36 |
Non-transplant candidates | ||||||
MPT | 129 | 76 | 36 | 54% @ 2 years | 80% @ 3 years | 45 |
MPT | 125 | 76 | 47 | 27.5 months | 51.6 months | 43 |
MPR | 54 | 81 | 47 | 80% @ 2 years | 91% @ 2 years | 48 |
MPV | 60 | 89 | ND | 65% @ 2 years | 86% @ 2 years | 49 |
Abbreviations: ASCT-T, autologous stem cell transplantation+thalidomide; BiRD, biaxin+lenalidomide+dexamethasone; Bort/Dex, bortezomib+-dexamethasone; MPR, melphalan+prednisone+lenalidomide; MPT, melphalan+prednisone+thalidomide; MPV, melphalan+prednisone+bortezomib; ND, not determined; PAD, bortezomib+pegylated-lyposomal-doxorubicin+dexamethasone; PR, partial response; Rev/Dex, lenalidomide+dexamethasone; Thal/Dex, thalidomide+dexamethasone; VGPR, very good partial response; VTD, bortezomib+thalidomide+dexamethasone.