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1000 Titel
  • Deepening responses associated with improved progression-free survival with ixazomib versus placebo as posttransplant maintenance in multiple myeloma
1000 Autor/in
  1. Goldschmidt, Hartmut |
  2. Dimopoulos, Meletios A. |
  3. Rajkumar, S. Vincent |
  4. Weisel, Katja C. |
  5. Moreau, Philippe |
  6. Chng, Wee-Joo |
  7. Mikala, Gábor |
  8. Cavo, Michele |
  9. Ramasamy, Karthik |
  10. Suryanarayan, Kaveri |
  11. Teng, Zhaoyang |
  12. Labotka, Richard |
  13. Mateos, María-Victoria |
1000 Erscheinungsjahr 2020
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2020-04-23
1000 Erschienen in
1000 Quellenangabe
  • 34(11):3019-3027
1000 Copyrightjahr
  • 2020
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1038/s41375-020-0819-8 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7584475/ |
1000 Publikationsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • In the TOURMALINE-MM3 study, post-autologous stem cell transplantation maintenance therapy with the oral proteasome inhibitor ixazomib versus placebo significantly improved progression-free survival (PFS), with a favorable safety profile. With ixazomib versus placebo maintenance, deepening responses occurred in 139/302 (46%) versus 60/187 (32%) patients with very good partial response or partial response (VGPR/PR) at study entry (relative risk 1.41, P = 0.004), and median time to best confirmed deepened response was 19.9 versus 30.8 months (24-month rate: 54.2 versus 41.4%; hazard ratio (HR): 1.384; P = 0.0342). Median PFS in patients with VGPR/PR at study entry was 26.2 versus 18.5 months (HR: 0.636, P < 0.001) with ixazomib versus placebo; in a pooled analysis across arms, in patients with versus without deepening responses, the median PFS was not reached versus 15.9 months (HR: 0.245, P < 0.001). In patients with deepening responses, 24-month PFS rate was 77.4 versus 68.3% with ixazomib versus placebo (HR: 0.831; P = 0.466); in patients without deepening responses, median PFS was 17.9 versus 14.1 months (HR: 0.741; P = 0.028). These analyses demonstrate the significantly higher rate of deepening responses with ixazomib versus placebo maintenance and the association between deepening response and prolonged PFS.
1000 Sacherschließung
lokal Antineoplastic Agents/adverse effects [MeSH]
lokal Glycine/therapeutic use [MeSH]
lokal Multiple Myeloma/pathology [MeSH]
lokal Aged [MeSH]
lokal Boron Compounds/administration
lokal Antineoplastic Agents/administration
lokal Neoplasm Staging [MeSH]
lokal Male [MeSH]
lokal Combined Modality Therapy [MeSH]
lokal Multiple Myeloma/therapy [MeSH]
lokal Glycine/adverse effects [MeSH]
lokal Female [MeSH]
lokal Postoperative Care [MeSH]
lokal Adult [MeSH]
lokal Kaplan-Meier Estimate [MeSH]
lokal Humans [MeSH]
lokal Treatment Outcome [MeSH]
lokal Boron Compounds/adverse effects [MeSH]
lokal Hematopoietic Stem Cell Transplantation [MeSH]
lokal Middle Aged [MeSH]
lokal Randomized controlled trials
lokal Boron Compounds/therapeutic use [MeSH]
lokal Article
lokal Maintenance Chemotherapy [MeSH]
lokal Young Adult [MeSH]
lokal Antineoplastic Agents/therapeutic use [MeSH]
lokal Myeloma
lokal Glycine/administration
lokal Multiple Myeloma/mortality [MeSH]
lokal Glycine/analogs
1000 Liste der Beteiligten
  1. https://frl.publisso.de/adhoc/uri/R29sZHNjaG1pZHQsIEhhcnRtdXQ=|https://frl.publisso.de/adhoc/uri/RGltb3BvdWxvcywgTWVsZXRpb3MgQS4=|https://frl.publisso.de/adhoc/uri/UmFqa3VtYXIsIFMuIFZpbmNlbnQ=|https://frl.publisso.de/adhoc/uri/V2Vpc2VsLCBLYXRqYSBDLg==|https://frl.publisso.de/adhoc/uri/TW9yZWF1LCBQaGlsaXBwZQ==|https://frl.publisso.de/adhoc/uri/Q2huZywgV2VlLUpvbw==|https://frl.publisso.de/adhoc/uri/TWlrYWxhLCBHw6Fib3I=|https://frl.publisso.de/adhoc/uri/Q2F2bywgTWljaGVsZQ==|https://frl.publisso.de/adhoc/uri/UmFtYXNhbXksIEthcnRoaWs=|https://frl.publisso.de/adhoc/uri/U3VyeWFuYXJheWFuLCBLYXZlcmk=|https://frl.publisso.de/adhoc/uri/VGVuZywgWmhhb3lhbmc=|https://frl.publisso.de/adhoc/uri/TGFib3RrYSwgUmljaGFyZA==|https://orcid.org/0000-0003-2390-1218
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