Table 1.
Authors | Cooperative group |
Population | Age criteria |
Follow-up (months) |
N | Median age | Conditioning | GVHD prophylaxis |
|||
---|---|---|---|---|---|---|---|---|---|---|---|
|
|
|
|||||||||
TA | AR | TA | AR | Auto | RIC | ||||||
Bjorkstrand | EBMT | Newly diagnosed MM patients | <70 | 61 | 249 | 108 | 57 | 54 | Mel200 | Flu + TBI 200 cGy | CSA + MMF |
Garban, Moreau | IFM | Chr 13 del + β2 microglobulin >3 mg/L | <65 | 56 | 219 | 65 | 58 | 54 | Mel200, Mel220 | Bu + Flu + ATG | CSA + MTX |
Giaccone, Bruno | NA | Newly diagnosed MM patients | ≤65 | 86 | 82 | 80 | 54 (mean) | 54 (mean) | Mel200, Mel100–200 | TBI 200 cGy | CSA + MMF |
Knop | DSMM | Chr 13 del by FISH | ≤60 | 41 | 73 | 126 | 56 | 52 | Mel200 | Flu + Mel + /− ATG | NA |
Krishnan (SR) | BMT-CTN | Not meeting criteria for high risk | ≤70 | 40 | 436 | 189 | 55 | 53 | Mel200 | TBI 200 cGy | CSA + MMF |
Krishnan (HR) | BMT-CTN | Chr13 del by metaphase cytogenetics or β2 microglobulin >4 mg/L | ≤70 | 40 | 48 | 37 | 57 | 51 | Mel200 | TBI 200 cGy | CSA + MMF |
Rosinol | PETHEMA | Not achieving CR/nCR after first autologous | <65 | 62 | 85 | 25 | 55 | 52 | Mel200 or CVB | Flu + Mel | CSA + MTX |
Abbreviations: AR = autologous + reduced intensity allogeneic transplantation; ATG = antithymocyte globulin; BMT-CTN = Blood and Marrow Transplant Clinical Trials Network; Bu = busulfan; CVB = cyclophosphamide, etoposide, BCNU; DSMM = Deutsche Studiengruppe Multiples Myelom; EBMT = European BMT; Flu = fludarabine; HR = high risk; IFM = Intergroupe Francophone du Myelome; Mel200 = Melphalan 200 mg/m2; MM = multiple myeloma; MMF = mycophenolate mofetil; NA, not applicable; PETHEMA = Programa para el Estudio de la Terapéutica en Hemopatía Maligna; SR = standard risk; TA = tandem autologous transplantation; TBI = total body irradiation.