Experience with poorly myelosuppressive chemotherapy schedules for advanced myeloma. The Cooperative Group of Study and Treatment of Multiple Myeloma

Br J Cancer. 1996 Mar;73(6):794-7. doi: 10.1038/bjc.1996.138.

Abstract

In a multicentre study, 83 patients with advanced and previously uniformly treated multiple myeloma (MM) were randomised between cyclophosphamide (600 mg m-2) and epirubicin (70 mg m-2), administered every 3 weeks for three courses and both associated with prednisone and interferon-alpha2b. Both regimens were administered on an outpatient basis and had low haematological toxicity. Clinical results were similar. Overall response rate (43%) and median response and survival (5.9 and 14.1 months respectively) compare well with those obtained with more aggressive chemotherapy schedules.

Publication types

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

MeSH terms

  • Adult
  • Aged
  • Antineoplastic Agents, Alkylating / administration & dosage
  • Antineoplastic Combined Chemotherapy Protocols / adverse effects
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Cyclophosphamide / administration & dosage
  • Drug Administration Schedule
  • Epirubicin / administration & dosage
  • Female
  • Humans
  • Interferon alpha-2
  • Interferon-alpha / administration & dosage
  • Male
  • Melphalan / administration & dosage
  • Middle Aged
  • Multiple Myeloma / drug therapy*
  • Myeloproliferative Disorders / chemically induced
  • Peptichemio / administration & dosage
  • Prednisone / administration & dosage
  • Recombinant Proteins
  • Vincristine / administration & dosage

Substances

  • Antineoplastic Agents, Alkylating
  • Interferon alpha-2
  • Interferon-alpha
  • Recombinant Proteins
  • Epirubicin
  • Vincristine
  • Cyclophosphamide
  • Peptichemio
  • Melphalan
  • Prednisone