Table 1.
Study by induction regimen | Treatment schema | Number of patients | Post-induction (%) |
Post-transplant (%) |
Long-term outcomes (%) | ||
---|---|---|---|---|---|---|---|
ORR | CR /VGPR | ORR | CR /VGPR | ||||
GIMEMA Cavo et al. [2012] |
|||||||
VTd | VTd × 3-ASCT Mel200 × 2-VTd × 2-Dm | 236 | 93 | 19 CR 62 ⩾ VGPR |
93 | 42 CR 82 ⩾ VGPR |
3-year PFS: 68 3-year OS: 86 |
versus | |||||||
Td | Td × 3-ASCT Mel200 × 2-Td × 2-Dm | 238 | 79 | 5 CR 28 ⩾ VGPR |
84 | 30 CR 64 ⩾ VGPR |
3-year PFS: 56 3-year OS: 84 |
IFM Moreau et al. [2011a] |
|||||||
Vd | Vd × 3-ASCT Mel200 | 99 | 81 | 36 ⩾ VGPR | 86 | 58 ⩾ VGPR | Median PFS: 30 months |
versus | |||||||
VTd | VTd × 3-ASCT Mel200 | 100 | 88 | 49 ⩾ VGPR | 89 | 74 ⩾ VGPR | Median PFS: 26 months |
SWOG S0777 Durie et al. [2015] |
|||||||
VRd | VRd × 8-Rdm | 242 | 82 | CR 16 | NA | NA | Median PFS: 43 months Median OS: 75 months |
versus | |||||||
Rd | Rd × 6-Rdm | 232 | 72 | CR 8 | NA | NA | Median PFS: 30 months Median OS: 64 months |
Reeder et al. [2009] | |||||||
VCd (CyBorD) | VCd × 4-ASCT Mel200 | 33 | 88 | 39 CR/nCR 61 ⩾ VGPR |
NR | 70 CR/nCR 74 ⩾ VGPR |
NR |
HOVON-65/GMMG-HD4 Sonneveld [2015] |
|||||||
VAD | VAd × 3-VAD × 3-ASCT Mel200-Tm × 2 year | 414 | 54 | 2 CR 14 ⩾ VGPR |
75 | 9 CR 36 ⩾ VGPR |
Median PFS: 28 months 5-year OS: 55 |
versus | |||||||
PAD | PAd × 3-PAD × 3-ASCT Mel200-Vm × 2 year | 413 | 78 | 7 CR 42 ⩾ VGPR |
88 | 21 CR 62 ⩾ VGPR |
Median PFS: 35 months 5-year OS: 61 |
EVOLUTION Kumar et al. [2012] |
|||||||
VRd | VRd × 4-ASCT Mel200 versus VRd × 4-Vmx4 | 42 | 73 | 7 CR 32 ⩾ VGPR |
NR | NR | 1-year PFS: 83 1-year OS: 100 |
versus | |||||||
VCd | VCd × 4-ASCT Mel200 versus VCd × 4-Vmx4 | 33 | 63 | 3 CR 13 ⩾ VGPR |
NR | NR | 1-year PFS: 93 1-year OS: 100 |
versus | |||||||
VdCR | VdCR × 4-ASCT Mel200 versus VdCR × 4-Vm × 4-Rm (off protocol) | 48 | 80 | 5 CR 33 ⩾ VGPR |
NR | NR | 1-year PFS: 86 1-year OS: 92 |
versus | |||||||
VCd-mod | VCd-mod × 4-ASCT Mel200 versus VCd-mod × 4-Vm × 4 | 17 | 82 | 12 CR 41 ⩾ VGPR |
NR | NR | 1-year PFS: 100 1-year OS: 100 |
IFM 2013-14 Moreau et al. [2015b] |
|||||||
VTd | VTd × 4-ASCT | 170 | 92 | 11 CR 67 ⩾ VGPR |
NR | NR | NR |
versus | |||||||
VCd | VCd × 4-ASCT | 170 | 84 | 9.5 CR 56 ⩾ VGPR |
NR | NR | NR |
ASCT, autologous stem cell transplant; CR, complete response; Dm, dexamethasone maintenance; NA, not applicable; NR, not reported; ORR, overall response rate; OS, overall survival; PAd, bortezomib-doxorubicin-dexamethasone; PFS, progression-free survival; Rdm, lenalidomide-dexamethasone maintenance; Td, thalidomide-dexamethasone; Tm, thalidomide maintenance; VAd, vincristine-doxorubicin-dexamethasone; VCd, bortezomib-cyclophosphamide-dexamethasone; Vd, bortezomib-dexamethasone; VdCR, bortezomib-cyclophosphamide-dexamethasone-lenalidomide; VGPR, very good partial response; Vm, bortezomib maintenance; VRd, bortezomib-lenalidomide-dexamethasone; VTd, bortezomib-thalidomide-dexamethasone.