Melphalan and prednisone (MP) versus vincristine, BCNU, adriamycin, melphalan and dexamethasone (VBAM Dex) induction chemotherapy and interferon maintenance treatment in multiple myeloma. Current results of a multicenter trial. The German Myeloma Treatment Group

Onkologie. 1990 Dec;13(6):458-60. doi: 10.1159/000216820.

Abstract

277 untreated multiple myeloma patients of stage 1 (n = 33), II (n = 106) and III (n = 138) entered the study. Patients of stage II presenting a progressive tumor (n = 64) initially or during observation (n = 14) were treated with MivP (remissions: 61%). 138 patients of stage III were randomized to receive MivP or VBAMDex treatment. 51% of MivP treated patients responded versus 70% of the VBAMDex group. 71 responders of stage II and III with stable disease were randomized on Ifn-alpha maintenance versus no maintenance treatment. The relapse rate in both groups was 50% after 7 months. 75% survival was greater than 36 months in stage II and 11 months in stage III patients.

Publication types

  • Clinical Trial
  • Comparative Study
  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Carmustine / administration & dosage
  • Combined Modality Therapy
  • Dexamethasone / administration & dosage
  • Doxorubicin / administration & dosage
  • Female
  • Humans
  • Interferon Type I / administration & dosage*
  • Male
  • Melphalan / administration & dosage
  • Multiple Myeloma / drug therapy
  • Multiple Myeloma / pathology
  • Multiple Myeloma / therapy*
  • Neoplasm Staging
  • Prednisone / administration & dosage
  • Recombinant Proteins
  • Vincristine / administration & dosage

Substances

  • Interferon Type I
  • Recombinant Proteins
  • Vincristine
  • Dexamethasone
  • Doxorubicin
  • Melphalan
  • Carmustine
  • Prednisone

Supplementary concepts

  • VBAMDex protocol