دورية أكاديمية

Late versus early response and depth of response are associated with improved outcomes in patients with newly diagnosed multiple myeloma enrolled in the TOURMALINE-MM2 trial

التفاصيل البيبلوغرافية
العنوان: Late versus early response and depth of response are associated with improved outcomes in patients with newly diagnosed multiple myeloma enrolled in the TOURMALINE-MM2 trial
المؤلفون: Richardson, Paul G., Facon, Thierry, Venner, Christopher P., Bahlis, Nizar J., Offner, Fritz, White, Darrell, Karlin, Lionel, Benboubker, Lotfi, Voog, Eric, Yoon, Sung-Soo, Suzuki, Kenshi, Shibayama, Hirohiko, Zhang, Xiaoquan, Villarreal, Miguel, Twumasi-Ankrah, Philip, Labotka, Richard, Rifkin, Robert M., Lonial, Sagar, Kumar, Shaji K., Rajkumar, S. Vincent, Moreau, Philippe
المصدر: EJHAEM ; ISSN: 2688-6146
سنة النشر: 2023
المجموعة: Ghent University Academic Bibliography
مصطلحات موضوعية: Medicine and Health Sciences, depth of response, ixazomib, multiple myeloma, response kinetics, LENALIDOMIDE, SURVIVAL, KINETICS, THERAPY
الوصف: Deeper responses are associated with longer survival in multiple myeloma (MM); however, limited data exist on the impact of response kinetics on outcomes. We investigated progression-free survival (PFS) and duration of response (DOR) by response depth and in early (best confirmed response 0-4 months; n = 424) versus late responders (best confirmed response >4 months; n = 281). Newly diagnosed patients enrolled in TOURMALINE-MM2 receiving ixazomib-lenalidomide-dexamethasone (IRd) (n = 351) or placebo-Rd (n = 354) were evaluated post hoc. Deeper responses were associated with longer PFS (complete response [CR] not reached [NR], very good partial response [VGPR] 37.2 months, partial response [PR] 16.4 months) and DOR (CR NR, VGPR 42.6 months, PR 15.4 months). Among patients with a PFS (n = 511) or DOR (n = 484) of >= 6 months who achieved >= PR, median PFS was prolonged among late versus early responders receiving IRd (59.7 vs. 17.9 months) or placebo-Rd (56.6 vs. 12.4 months), as was median DOR (IRd, NR vs. 20.9 months; placebo-Rd, 58.2 vs. 11.7 months). While the treatment paradigm for newly diagnosed MM is treatment to progression, our findings suggest slowness of response to a proteasome inhibitor-immunomodulatory drug-steroid combination is not a negative predictor of outcome.
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: English
العلاقة: https://biblio.ugent.be/publication/01HYZTXAMK5TTTJXXA7WKKQEMRTest; http://hdl.handle.net/1854/LU-01HYZTXAMK5TTTJXXA7WKKQEMRTest; http://doi.org/10.1002/jha2.759Test; https://biblio.ugent.be/publication/01HYZTXAMK5TTTJXXA7WKKQEMR/file/01HYZTXHV49EQCFMJN7H2WFH32Test
DOI: 10.1002/jha2.759
الإتاحة: https://doi.org/10.1002/jha2.759Test
https://biblio.ugent.be/publication/01HYZTXAMK5TTTJXXA7WKKQEMRTest
http://hdl.handle.net/1854/LU-01HYZTXAMK5TTTJXXA7WKKQEMRTest
https://biblio.ugent.be/publication/01HYZTXAMK5TTTJXXA7WKKQEMR/file/01HYZTXHV49EQCFMJN7H2WFH32Test
حقوق: Creative Commons Attribution 4.0 International Public License (CC-BY 4.0) ; info:eu-repo/semantics/openAccess
رقم الانضمام: edsbas.F042ECCE
قاعدة البيانات: BASE