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MPT方案治疗初治老年多发性骨髓瘤疗效观察 被引量:4

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摘要 目的评价沙利度胺联合美法仑、泼尼松(MPT方案)治疗多发性骨髓瘤(MM)的临床疗效及不良反应。方法初治老年MM患者39例,给予MPT方案治疗,分析有效率、治疗前后血红蛋白、尿M蛋白、骨髓浆细胞比例、β2-微球蛋白等改善情况及不良反应。结果完全缓解(CR)3例,非常好的部分缓解(VGPR)6例,部分缓解(PR)15例,微小缓解(MR)6例,无变化(NC)5例,进展(PD)4例,总有效率(CR+VGPR+PR)61.5%;中位起效时间为9周,临床状况及体力状态明显改善;不良反应轻微,患者均可耐受。结论 MPT治疗初治老年MM患者临床疗效显著,不良反应轻微,患者耐受性好。
出处 《山东医药》 CAS 北大核心 2011年第8期75-76,共2页 Shandong Medical Journal
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  • 1中国多发性骨髓瘤诊治指南[J].中华内科杂志,2008,47(10):869-872. 被引量:87
  • 2Glasmacher A,Hahn A,Hoffmann F,et al.A systematic review of phase-Ⅱtrials of thalidomide monotherapy in patients with relapsed or refractory multiple myeloma[J].Br J Hematol,2005,132(5):584-593.
  • 3Yakoub-Agha I,Doyen C,Hulin C,et al.A multi-center prospective randomised study testing noninferiority of thalidomide 100 ms/day as compared with 400 me/day in patients with refractory/relapsed multiple myeloma:results of the final analysis of the IFM 01-02 study[J].J Clin Oncol,2006,24(18s):7520.
  • 4Hulin C,Facon T,Rodon P,et al.Efficacy of melphalan and prednisone plus thalidomide in patients older than 75 years with newly diagnosed multiple myelomaa:IFM 01/01 trial[J].J Clin Oncol,2009,27(22):3664-3670.
  • 5Facon T,Mary JY,Hulin C,et al.Melphalan and prednisone plus thalidomide versus melphalan and prednisone alone or reduced-intensity autologous stem cell transplantation in elderly patients with multiple myeloma(IFM 99-06):a randomised trial[J].Lancet,2007,370(9594):1209-1218.
  • 6Palumim A,Bringhen S,Liberati AM,et al.Oral melphalan,prednisone,and thalidomide in elderly patients with multiple myeloma:updated results of a randomized controlled trial[J].Blood,2008.112(8):3107-3114.

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  • 1傅爱林,沈文香,罗青松.三氧化二砷联合沙利度胺加地塞米松治疗难治性、复发性多发性骨髓瘤19例疗效分析[J].湖南中医药大学学报,2010,30(10):50-51. 被引量:6
  • 2任明强,陈琦.多发性骨髓瘤血清TPO水平动态监测及临床意义[J].遵义医学院学报,2006,29(2):122-123. 被引量:4
  • 3王智,赵晓红,陆时运,周仲昊,宣旻.三氧化二砷联合沙利度胺及维生素C治疗复发难治性多发性骨髓瘤疗效观察[J].实用临床医药杂志,2007,11(3):98-99. 被引量:5
  • 4Greer JP, Foerster J, Lukens JN. Wintrobe's clinical hematology [ M ]. 11 th ed. Philadelphia: Lippincott Williams&Wilkins,2004 : 2583 - 2636.
  • 5Jayasundar R, Shah T, Vaishya S, Singh VP, Sarkar C. In vivo and in vitro MR spectroscopic profile of central neurocytomas[ J]. J Magn Reson Imaging,2003,17(2) :256 -260.
  • 6Rajkumar SV, Jacobus S, Callander NS, Fonseca R, Vesole DH, Williams ME, Abonour R, Siegel DS, Katz M, Greipp PR, Eastern Cooperative Oneology Group. Lenalidomiide plus highdose dex- amethasone versus lenalidomiide plus low - dose dexamethasone as initial therapy for newly diagnosed multiple myeloma:au openlabel randomized controlled trial[ J]. Lancet Oncol,2010,11 ( 1 ) :29 - 37.
  • 7Oken MM, Harrington DP, Abramson N, Kyle RA, Knospe W, Glick JH. Comparison of melphalan and prednisone with vincyis- tine,carmustime meiphalan,eyclophospham and prednisone in the treatment of multiple myeloma. Results of Eastern Cooperative On- cologv Study E2 479 [ J]. Cancer. 1997.79 ( 8 ) :1561 - 1567.
  • 8Blade J, Samson D, Reece D. Creteria for evaluating disease re- sponse and progession in patients with multiple myeloma treated by high- dose therapy and haemopeietic stem cell transplantation. Myeloma Subcommittee of the EBMT. European Group for Blood and Marrow Transplant [ J ]. Br J Haemaol, 1998, 102 ( 10 ) : 1115 - 1123,.
  • 9San Miguel JF, Schlag R, Khuageva NK, Dimopoulos MA, Shpil- berg O, Kropff M, Spieka I, Petrucci MT, Palumbo A, Samoilova OS, Dmoszynska A, Abdulkadyrov KM, Schots R, Jiang B, Ma- teos MV, Anderson KC, Esseltine DL, Liu K, Cakana A, van de Velde H, Richardson PG; VISTA Trial Investigators. Bortezomib plus melphalan and prednisone for initial treatment of multiple my- eloma[ J]. N Engl J Meal,2008,359(9) :906 -917.
  • 10Hulin C, Facon T, Rodon P, Pegourie B, Benboubker L, Doyen C, Dib M, Guillerm G, SalIes B, Esehard JP, Lenain P, Casas- sus P, Azais I, Decaux O, Garderet L, Mathiot C, Fontan J, Lafon I, Virion JM, Moreau P. Efficacy of melphalan and predni- sone plus thalidomide in patients older than 75 years with newly diagnosed multiple myeloma: IFM 01 /01 trial [ J]. J Clin On- col,2009,27(22) :3664-3670.

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