New approaches to front-line therapy in multiple myeloma patients aged over 60 years

Published: June 8, 2009
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High dose therapy followed by autologous stem cell support (ASCT) represents the standard of care for younger myeloma patients. However, half of MM patients are >70 years at diagnosis and other have comorbidetes which preclude ASCT. For more than 30 years Melphalan-Prednisone (MP) has been the standard treatment for elderly MM patients, although the response rate (RR) is only 40-50% and complete responses (CR) are rare. Median duration of response to MP is 1.5 years and median O.S is 2-3 years.

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San-Miguel, J., & Mateos, M. (2009). New approaches to front-line therapy in multiple myeloma patients aged over 60 years. Hematology Meeting Reports (formerly Haematologica Reports), 2(7). https://doi.org/10.4081/hmr.v2i7.406