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. 2016 Dec 9;8(2):55–70. doi: 10.1177/2040620716680548

Table 1.

Induction treatment in newly diagnosed transplant-eligible multiple myeloma.

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.