Is there still a role for stem cell transplantation in multiple myeloma?

被引:24
作者
Mina, Roberto [1 ]
Lonial, Sagar [1 ]
机构
[1] Emory Univ, Hematol & Med Oncol, Winship Canc Inst, 1365 Clifton Rd, Atlanta, GA 30322 USA
关键词
allogeneic; autologous; multiple myeloma; novel agents; transplant; TERM-FOLLOW-UP; PROSPECTIVE RANDOMIZED-TRIAL; BONE-MARROW-TRANSPLANTATION; HIGH-RISK CYTOGENETICS; HIGH-DOSE CHEMOTHERAPY; AUTOLOGOUS TRANSPLANTATION; STANDARD CHEMOTHERAPY; MAINTENANCE THERAPY; ELDERLY-PATIENTS; FRONT-LINE;
D O I
10.1002/cncr.32060
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
High-dose chemotherapy and autologous stem cell transplantation (ASCT) are a standard of care for transplant-eligible patients with newly diagnosed multiple myeloma (MM). The introduction of novel agents, which range from immunomodulatory drugs and proteasome inhibitors to monoclonal antibodies and have now been integrated into both induction and salvage regimens, has dramatically revolutionized the treatment landscape of MM and challenged the role of high-dose chemotherapy and ASCT in treating MM. These advances have led to a number of provocative questions. First, what is the current role of stem cell transplantation (SCT) in comparison with standard-dose therapy incorporating novel agents? Second, should ASCT be performed upfront ("early") or later ("delayed") in the course of the disease? Third, should single or double ASCT be performed? Fourth, is allogeneic SCT still an option for patients with MM? This article provides an overview of available data and evidence-based responses regarding the role of SCT in MM.
引用
收藏
页码:2534 / 2543
页数:10
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