Coagulation profiles and thromboembolic events of bortezomib plus thalidomide and dexamethasone therapy in newly diagnosed multiple myeloma

被引:16
作者
Shen, Yunfeng [1 ]
Zhou, Xin [1 ]
Wang, Zhi [2 ]
Yang, Guohua [1 ]
Jiang, Yuanqiang [1 ]
Sun, Chao [1 ]
Wang, Jing [1 ]
Tong, Yi [1 ]
Guo, Hongfeng [1 ]
机构
[1] Nanjing Med Univ, Wuxi Peoples Hosp, Dept Hematol, Wuxi 214023, Peoples R China
[2] Nanjing Med Univ, Wuxi Peoples Hosp 2, Dept Hematol, Wuxi, Peoples R China
关键词
Bortezomib; Multiple myeloma; Hematological toxicity; Thromboembolic event; Coagulation; Thalidomide; VENOUS THROMBOEMBOLISM; EFFECTIVE REGIMEN; HUMAN PLATELETS; COMBINATION; THROMBOSIS; EXPERIENCE; MELPHALAN; VTD;
D O I
10.1016/j.leukres.2010.08.007
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Patients with multiple myeloma (MM) are at relatively high risk of developing thromboembolic event (TEE), especially during treatment with immnomodulatory agents. We characterized coagulation profiles and evaluate the incidence of TEE associated with the combination therapy of bortezomib-thalidomide-dexamethasone (VTD) in Chinese patients with newly diagnosed MM. The results indicated that the platelet count and platelet aggregation induced by the agonists were decreased after a short exposure to bortezomib in vivo. The incidence of TEE was low in VTD therapy for an overall rate of 3%. We do not recommend routine thromboprophylaxis for VTD therapy in Chinese patients with MM. (C) 2010 Elsevier Ltd. All rights reserved.
引用
收藏
页码:147 / 151
页数:5
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