硼替佐米为主方案治疗难治/复发轻链型多发性骨髓瘤

Effects of bortezomib on refractory or relapsed light-chain multiple myeloma

  • 摘要: 目的 了解硼替佐米对难治/复发性轻链型多发性骨髓瘤的疗效。方法 采用BD/BP、BAD/BAP、BAEP及BVAD方案治疗14例轻链型MM患者。结果 14例患者中,CR1例,nCR2例,PR5例,ORR8例。6例合并肾功能不全患者与8例肾功能正常患者的疗效相近。不良反应主要有乏力、胃肠道反应、末梢神经炎、血小板减少等,均可耐受。结论 硼替佐米对部分已对化疗耐药的难治/复发性轻链型MM仍然有效,且效果显著。

     

    Abstract: Objective To elucidate the curative effects and toxicity of bortezomib on refractory or relapsed light-chain multiple myeloma (MM). Methods Fourteen patients with refractory or relapsed light-chain MM were treated with BD/BP, BAD/BAP, and BAEP or BVAD. Results The complete, near complete, and partial remission rate was 7.1%(1/14), 14.2%(2/14), and 35.7%(5/11), respectively, with an overall response rate of 57.1%. The response rate of patients with and without renal impairment was similar. The main toxicities were languor, gastrointestinal side effects, peripheral neuropathy, thrombocytopenia. Conclusion Patients with refractory or relapsed MM resistant to chemotherapy can respond to bortezomib. The regimen is safe and its side effects are tolerable.

     

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