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Natural history of relapsed myeloma, refractory to immunomodulatory drugs and proteasome inhibitors: a multicenter IMWG study. Leukemia 2017 11;31(11):2443-2448 PMID: 28620163

Pubmed ID

28620163

Abstract

Introduction of new myeloma therapies offers new options for patients refractory to immunomodulatory drugs (IMiDs) and proteasome inhibitors (PIs). In this multicenter study, patients with relapsed multiple myeloma, who have received at least three prior lines of therapy, are refractory to both an IMiD (lenalidomide or pomalidomide) and a PI (bortezomib or carfilzomib), and have been exposed to an alkylating agent were identified. The time patients met the above criteria was defined as time zero (T). Five hundred and forty-three patients diagnosed between 2006 and 2014 were enrolled in this study. Median age at T was 62 years (range 31-87); 61% were males. The median duration between diagnosis and T was 3.1 years. The median number of lines of therapy before T was 4 (range 3-13). The median overall survival (OS) from T for the entire cohort was 13 (95% confidence interval (CI) 11, 15) months. At least one regimen recorded after T in 462 (85%) patients, with a median (95% CI) progression-free survival and OS from T of 5 (4, 6), and 15.2 (13, 17) months, respectively. The study provides the expected outcome of relapsed multiple myeloma that is refractory to a PI and an IMiD, a benchmark for comparison of new therapies being evaluated.

Author List

Kumar SK, Dimopoulos MA, Kastritis E, Terpos E, Nahi H, Goldschmidt H, Hillengass J, Leleu X, Beksac M, Alsina M, Oriol A, Cavo M, Ocio EM, Mateos MV, O'Donnell EK, Vij R, Lokhorst HM, van de Donk NWCJ, Min C, Mark T, Turesson I, Hansson M, Ludwig H, Jagannath S, Delforge M, Kyriakou C, Hari P, Mellqvist U, Usmani SZ, Dytfeld D, Badros AZ, Moreau P, Kim K, Otero PR, Lee JH, Shustik C, Waller D, Chng WJ, Ozaki S, Lee JJ, de la Rubia J, Eom HS, Rosinol L, Lahuerta JJ, Sureda A, Kim JS, Durie BGM

Author

Parameswaran Hari MD Chief, Professor in the Medicine department at Medical College of Wisconsin




Scopus

2-s2.0-85031678437   26 Citations

MESH terms used to index this publication - Major topics in bold

Adjuvants, Immunologic
Adult
Aged
Aged, 80 and over
Cohort Studies
Female
Humans
Male
Middle Aged
Multiple Myeloma
Prognosis
Proteasome Inhibitors
Recurrence
Survival Analysis
jenkins-FCD Prod-296 4db9d02597e0a2e889e230f853b641c12f1c3ee3