Table 5.
Summary of prospective upfront tandem ASCT/alloSCT studies
Study | n | Induction | AlloSCT | OS | TRM | Other |
---|---|---|---|---|---|---|
IFM99-037, 9 | 65 (46 completed) | VAD | Bu/Flu/AT G | Median: 35 mos | 10.9% | Del(13q) (FISH) and β2MG >3 |
PETHEMA/GEM −200010 | 25 | VBMCP/VBAD | FluMel | 5 yrs: 62% | 16% | Not in nCR/CR post-ASCT |
DSMM V46 | 126 | Anthracycline/dex-based followed by one cycle of ifosfamide/epirubi cin/etoposide | FluMel | Median: 70.2 mos | 12.7% at 2 yrs | Del(13q) (FISH) |
BMT-CTN 010212 | 226 (185 completed) | Not specified | TBI 200 cGy | 3 yrs: 77% | 11% at 3 yrs | |
HOVON-50/5415 | 122 | VAD or TAD | TBI 2 Gy | 6 yrs: 55% | 16% at 6 yrs (NRM) | |
Bruno et al.8, 13 | 80 (58 completed) | VAD | TBI 200 cGy | Median NR after median f/u of 7 years | 10% | |
EBMT-NMAM200014, 16 | 108 | Not specified | TBI 2 Gy + Flu | 5 yrs: 65% 8 yrs: 49% | 12% at 3 yrs (NRM) | |
Kroger et al.48 | 73 | Ida/Dex, VAD, or BD | Flu/Mel/AT G | 5 yrs: 54% | 23% at 1 yr | |
CALGB 100001 | 57 (49 completed) | Not specified | Flu/Cy | Median: 6.6 yrs | 2% at 6 month s |
Abbreviations: β2MG, β2-microglobulin; BD, bortezomib/dexamethasone; Bu, busulfan; CR, complete response; Cy, cyclophosphamide; Dex, dexamethasone; Flu, fludarabine; Ida, idarubicin; nCR, near complete response; NRM, non-relapse mortality; TAD, thalidomide/doxorubicin/dexamethasone; TBI, total body irradiation; VAD, vincristine/doxorubicin/dexamethasone; VBAD, vincristine/carmustine/doxorubicin/dexamethasone; VBMCP, vincristine/carmustine/melphalan/cyclophosphamide/prednisone.