Efficacy of bendamustine in relapsed/refractory myeloma patients: results from the French compassionate use program

被引:41
作者
Damaj, G. [1 ]
Malard, F.
Hulin, C. [3 ]
Caillot, D. [4 ]
Garidi, R. [5 ]
Royer, B. [1 ]
Marit, G. [6 ]
Stoppa, A. M. [7 ]
Banos, A. [8 ]
Morineau, N. [9 ]
Moreau, P. [2 ,10 ,13 ]
Fitoussi, O. [11 ]
Tiab, M. [12 ]
Moreau, P. [2 ,10 ,13 ]
机构
[1] Univ Hosp, Amiens, France
[2] Univ Hosp, Dept Hematol, Nantes, France
[3] Univ Hosp, Nancy, France
[4] Univ Hosp, Dijon, France
[5] Ctr Hosp, St Quentin en Yvelines, France
[6] Univ Hosp, Bordeaux, France
[7] Inst J Paoli I Calmettes, F-13009 Marseille, France
[8] Ctr Hosp, Bayonne, France
[9] Clin Catherine De Sienne, Nantes, France
[10] Ctr Hosp, Lorient, France
[11] Polyclin Bordeaux Nord, Bordeaux, France
[12] Ctr Hosp, La Roche Sur Yon, France
[13] CHU Hotel Dieu, Dept Hematol, Nantes, France
关键词
myeloma; chemotherapeutic approaches; bendamustine; MULTIPLE-MYELOMA; DEXAMETHASONE;
D O I
10.3109/10428194.2011.622422
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
One hundred and ten patients with multiple myeloma were treated with bendamustine as part of a French compassionate use program. To receive bendamustine, patients had to present with relapsed or refractory disease after prior therapies that had to include alkylators, steroids, IMiDs and bortezomib. The median number of bendamustine cycles administered was 4 (1-13). The overall response rate (>= partial response) was 30%, including 2% complete responses. The median progression-free and overall survival for the entire cohort were 9.3 and 12.4 months, respectively. In this series of patients with advanced disease, both the response rate and the duration of response are encouraging and indicate that bendamustine presents a feasible option, which should be considered for the treatment of relapsed/refractory patients.
引用
收藏
页码:632 / 634
页数:3
相关论文
共 14 条
[1]  
Blade Joan, 1998, British Journal of Haematology, V102, P1115, DOI 10.1046/j.1365-2141.1998.00930.x
[2]   Optimal Use of Bendamustine in Chronic Lymphocytic Leukemia, Non-Hodgkin Lymphomas, and Multiple Myeloma: Treatment Recommendations From an International Consensus Panel [J].
Cheson, Bruce D. ;
Wendtner, Clemens-Martin ;
Pieper, Angelika ;
Dreyling, Martin ;
Friedberg, Jonathan ;
Hoelzer, Dieter ;
Moreau, Philippe ;
Gribben, John ;
Knop, Stefan ;
Montillo, Marco ;
Rummel, Mathias .
CLINICAL LYMPHOMA MYELOMA & LEUKEMIA, 2010, 10 (01) :21-27
[3]   Bendamustine: Rebirth of an Old Drug [J].
Cheson, Bruce D. ;
Rummel, Mathias J. .
JOURNAL OF CLINICAL ONCOLOGY, 2009, 27 (09) :1492-1501
[4]   Escalation therapy with bortezomib, dexamethasone and bendamustine for patients with relapsed or refractory multiple myeloma [J].
Fenk, Roland ;
Michael, Mark ;
Zohren, Fabian ;
Graef, Thorsten ;
Czibere, Akos ;
Bruns, Ingmar ;
Neumann, Frank ;
Fenk, Barbara ;
Haas, Rainer ;
Kobbe, Guido .
LEUKEMIA & LYMPHOMA, 2007, 48 (12) :2345-2351
[5]  
Knop S, 2005, HAEMATOLOGICA, V90, P1287
[6]   Allogeneic Stem Cell Transplantation (SCT) for Multiple Myeloma (MM) - What Has Changed? A CIBMTR Analysis From 1989-2005 [J].
Kumar, Shaji ;
Shrestha, Smriti ;
Zhang, Mei-Jie ;
Dispenzieri, Angela ;
Milone, Gustavo A. ;
Lonial, Sagar ;
Hari, Parameswaran N. .
BLOOD, 2009, 114 (22) :28-29
[7]   Improved survival in multiple myeloma and the impact of novel therapies [J].
Kumar, Shaji K. ;
Rajkumar, S. Vincent ;
Dispenzieri, Angela ;
Lacy, Martha Q. ;
Hayman, Suzanne R. ;
Buadi, Francis K. ;
Zeldenrust, Steven R. ;
Dingli, David ;
Russell, Stephen J. ;
Lust, John A. ;
Greipp, Philip R. ;
Kyle, Robert A. ;
Gertz, Morie A. .
BLOOD, 2008, 111 (05) :2516-2520
[8]   Pomalidomide (CC4047) plus low dose dexamethasone (Pom/dex) is active and well tolerated in lenalidomide refractory multiple myeloma (MM) [J].
Lacy, M. Q. ;
Hayman, S. R. ;
Gertz, M. A. ;
Short, K. D. ;
Dispenzieri, A. ;
Kumar, S. ;
Greipp, P. R. ;
Lust, J. A. ;
Russell, S. J. ;
Dingli, D. ;
Zeldenrust, S. ;
Fonseca, R. ;
Bergsagel, P. L. ;
Roy, V. ;
Mikhael, J. R. ;
Stewart, A. K. ;
Laumann, K. ;
Allred, J. B. ;
Mandrekar, S. J. ;
Rajkumar, S. V. ;
Buadi, F. .
LEUKEMIA, 2010, 24 (11) :1934-1939
[9]   Bendamustine (Treanda) displays a distinct pattern of cytotoxicity and unique mechanistic features compared with other alkylating agents [J].
Leoni, Lorenzo M. ;
Bailey, Brandi ;
Reifert, Jack ;
Bendall, Heather H. ;
Zeller, Robert W. ;
Corbeil, Jacques ;
Elliott, Gary ;
Niemeyer, Christina C. .
CLINICAL CANCER RESEARCH, 2008, 14 (01) :309-317
[10]   Relapsed Multiple Myeloma [J].
Lonial, Sagar .
HEMATOLOGY-AMERICAN SOCIETY OF HEMATOLOGY EDUCATION PROGRAM, 2010, :303-309