مورد إلكتروني

Efficacy and safety of lenalidomide prednisolone combination treatment for Japanese elderly multiple myeloma patients

التفاصيل البيبلوغرافية
العنوان: Efficacy and safety of lenalidomide prednisolone combination treatment for Japanese elderly multiple myeloma patients
بيانات النشر: Kindai University Medical Association 2021 12 2022-01-17 2021-12
تفاصيل مُضافة: Hanamoto, Hitoshi
Fujii, Aki
Yamada, Kaori
Fujimoto, Ko
Fujiwara, Ryosuke
Shimada, Takahiro
نوع الوثيقة: Electronic Resource
مستخلص: type:Departmental Bulletin Paper
[Abstract] Object: Adverse events of steroids such as infections are likely to occur in the elderly patients with multiple myeloma. We examined the efficacy and safety of lenalidomide and prednisolone therapy in which the dosage of steroid was reduced in the elderly patients in Japan. Method: We retrospectively analyzed 22 elderly relapsed/refractory and newly diagnosed refractory multiple myeloma patients treated at our hospital between January 2011 and February 2015. Treatment efficacy was assessed according to the International Uniform Response Criteria for Multiple Myeloma and adverse events by NCI-CTCAE Ver. 4. EZR was used for statistical analysis. Result: Complete response, very good partial response and partial response was found in 3, 1 and 18 patients, respectively. The overall three year survival rate was 58% and time to next treatment was 1 year in 49% of patients. The adverse events were leukopenia (G1-2 23%, G3 9%), anemia (32% G1-2 and 18% G3) and thrombocytopenia (14% G1-2 and 9% G3). Non-hematological adverse events included rash (41% G1-2 and 23% G3), peripheral nerve disorder (23% G1-2, none above G3), and G3-4 renal failure in 10%. Infections of G3 occurred in 5%, and there was no deep-vein thrombosis. Conclusion: Lenalidomide and low-dose prednisolone can be safely and effectively administered in elderly patients with MM.
مصطلحات الفهرس: multiple myeloma, RP therapy, elderly patients, Departmental Bulletin Paper, VoR
URL: http://id.nii.ac.jp/1391/00022068/
https://doi.org/10.15100/00022068
https://kindai.repo.nii.ac.jp/?action=repository_action_common_download&item_id=22093&item_no=1&attribute_id=40&file_no=1
الإتاحة: Open access content. Open access content
ملاحظة: application/pdf
English
أرقام أخرى: JPNII oai:irdb.nii.ac.jp:01272:0005213520
2432-7166
ACTA MEDICA KINDAI UNIVERSITY, 46(2), 23-28
1378470244
المصدر المساهم: NATIONAL INST OF INFO
From OAIster®, provided by the OCLC Cooperative.
رقم الأكسشن: edsoai.on1378470244
قاعدة البيانات: OAIster