Bi-weekly vincristine, epirubicin and methylprednisolone in alkylator-refractory multiple myeloma
| العنوان: | Bi-weekly vincristine, epirubicin and methylprednisolone in alkylator-refractory multiple myeloma |
|---|---|
| المؤلفون: | Sue Corringham, Tom Bozek, Glen Goss, Colin Germond, Sinoff Cl, Gilles Helie, Robert E.T. Corringham, Mark Vincent, Terry Koski |
| المصدر: | Cancer Chemotherapy and Pharmacology. 34:356-360 |
| بيانات النشر: | Springer Science and Business Media LLC, 1994. |
| سنة النشر: | 1994 |
| مصطلحات موضوعية: | Male, Alkylating Agents, Cancer Research, medicine.medical_specialty, Vincristine, medicine.drug_class, medicine.medical_treatment, Drug Resistance, Neutropenia, Toxicology, Methylprednisolone, Gastroenterology, Drug Administration Schedule, Internal medicine, Antineoplastic Combined Chemotherapy Protocols, medicine, Humans, Pharmacology (medical), Infusions, Intravenous, Aged, Epirubicin, Pharmacology, Chemotherapy, business.industry, Middle Aged, medicine.disease, Surgery, Discontinuation, Regimen, Oncology, Feasibility Studies, Corticosteroid, Female, Multiple Myeloma, business, medicine.drug |
| الوصف: | Nine patients with poor-prognosis, alkylator-refractory stage III multiple myeloma (MM) were treated with a 23-h continuous infusion (CI) of a compatible mixture of vincristine (VCR) and epirubicin (EPI) daily for 4 days along with a daily 1-h infusion of high-dose methyl prednisolone (MP) to total of 5 days (VEMP); cycles were repeated every 2 weeks when possible, usually on an outpatient basis. WHO grade 3 or 4 neutropenia and infection were the predominant toxicities encountered, necessitating some treatment delays and dose reductions. Two patients died during treatment. Peripheral neuropathy necessitated discontinuation of the VCR in six patients without obvious loss of efficacy of the regimen. Skeletal muscle dysfunction and cardiomyopathy did not occur; trivial ECG abnormalities occurred during a minority of infusions but were of indeterminate relationship to the chemotherapy. Confusion occurred in two patients; alopecia was frequent but reversible, and mild/moderate dyspepsia and stomatitis were common but easily managed. Eight patients achieved a partial response (PR); another patient experienced early death during his second cycle before response assessment. The median survival from the first VEMP administration was 9 months (range, 1-64 + months), the median response duration was 7 months (range, 1-64 + months). Two patients experienced responses too short to be clinically relevant (or = 2 months). An analysis of weekly paraprotein estimations suggests that the intended bi-weekly cycle length may be optimal. Six of these nine patients derived major benefit from this bi-weekly regimen, which deserves further exploration. |
| تدمد: | 1432-0843 0344-5704 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0a1b0b96ccd3542682805498cb98b66c https://doi.org/10.1007/bf00686045 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....0a1b0b96ccd3542682805498cb98b66c |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14320843 03445704 |
|---|