硼替佐米用于3例初治多发性骨髓瘤的诱导化疗及自体干细胞移植预处理

Bortezomib used in chemotherapy for 3 patients with multiple myeloma and pretreatment of allogeneic stem cell transplantation

  • 摘要: 目的 探讨硼替佐米应用于初治多发性骨髓瘤患者的诱导化疗及自体外周血造血干细胞移植预处理方案的可行性和效果。方法 对3例初治多发性骨髓瘤患者给予PAD(硼替佐米+表柔比星+地塞米松)方案化疗4疗程,后进行PMD(硼替佐米+马法兰+地塞米松)方案预处理的自体外周血造血干细胞移植。动员方案为环磷酰胺+硼替佐米+地塞米松联合G-CSF 5~10μg/(kg.d)。结果 3例患者在4疗程PAD方案化疗后达VGPR,干细胞采集顺利,移植后造血功能顺利重建,移植后中性粒细胞和血小板临床植入的时间分别为14、16、16d和25、29、22d。结论 万珂应用于初治多发性骨髓瘤患者的诱导治疗及自体外周血造血干细胞移植的预处理,安全有效,值得临床进一步研究探索。

     

    Abstract: Objective To study the feasibility and efficacy of Bortezomib used in therapy for 3 patients with multiple myeloma(MM) and pretreatment of auto peripheral blood stem cell transplantation(PBSCT). Methods Three MM patients were given chemotherapy with Bortezomib + epirubicin + dexamethasone(PAD) for 4 courses and then underwent auto-PBSCT pretreated with Bortezomib + melphalan + dexamethasone(PMD).Cyclophosphamide,dexamethasone and bortezomib in combination with granulocyte colony stimulating factor(G-CSF,5-10μg/(kg.d)) were used as a mobilization regimen. Results VGPR was achieved in the 3 patients after four courses of PAD.After the collected stem cells were transplanted,the hematopoietic function was restored.The transplant time of neutrophils and platelets was 14,16,16 days and 25,29,22 days,respectively. Conclusion Bortezomib is safe and effective for used in therapy for patients with MM and pretreatment of auto-PBSCT.Further study is needed to prove its clinical effect and safety on MM.

     

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