Table 2.
Summary of major recent clinical trials in transplant-ineligible patients with newly diagnosed multiple myeloma.
| Ref. | Regimen | Cycle of induction | N | CR rate | Median PFS | Median OS |
|---|---|---|---|---|---|---|
| San Miguel et al. [38] | VMP vs. | 9 | 344 | 30% | 19.9 mo | Not reached |
| MP | 338 | 4% | 13.1 mo | 43.1 mo | ||
| Facon et al. [40] | KMP vs. | 9 | 478 | 25.9% | 22.3 mo | NA |
| VMP | 477 | 23.1% | 22.1 mo | |||
| Facon et al. [41] | Rd continuous vs. | Continuous | 535 | 0.22 | 26.0 mo | 59.1 mo |
| MPT18 vs. | 18 | 541 | 12% | 21.9 mo | 49.1 mo | |
| Rd18 | 18 | 547 | 20% | 21.0 mo | 62.3 mo | |
| O’Donnell et al. [43] | VRD lite | 9 | 50 | 44% | 35.1 mo | NA |
| Facon et al. [44] | DRd vs. | 368 | 47.6% | Not reached | NA | |
| Rd | 369 | 24.9% | 31.9 months | |||
| Mateos et al. [45] | D-VMP vs. | 9 | 350 | 42.6% | Not reached | NA |
| VMP | 356 | 24.4% | 18.1 mo |
Abbreviations: CR, complete response; DRd, daratumumab, lenalidomide, and dexamethasone; D-VMP, daratumumab, bortezomib, melphalan, and prednisone; MP, melphalan and prednisone; MPT, melphalan, prednisone, and thalidomide; NA, not available; OS, overall survival; PFS, progression-free survival; Rd, lenalidomide and dexamethasone; Ref, reference; VMP, bortezomib, melphalan, and prednisone; VRD, bortezomib, lenalidomide, and dexamethasone.