Overall and event-free survival are not improved by the use of myeloablative therapy following intensified chemotherapy in previously untreated patients with multiple myeloma: a prospective randomized phase 3 study.

Author: , BaarsJoke W, BiesmaDouwe H, BuijtIvon, CornelissenJan J, CroockewitAlexandra J, FibbeWim E, LokhorstHenk M, SchaafsmaMartijn R, SchoutenHarry C, SegerenChristine M, SlaterRosalyn, SonneveldPieter, SteijaertMonique M C, VellengaEdo, VerhoefGregor E G, WijermansPierre W, WittebolShulamit, van Marwijk KooyMarinus, van OersMarinus H J, van der HoltBronno

Paper Details 
Original Abstract of the Article :
We compared the efficacy of intensified chemotherapy followed by myeloablative therapy and autologous stem cell rescue with intensified chemotherapy alone in patients newly diagnosed with multiple myeloma. There were 261 eligible patients younger than 66 years with stage II/III multiple myeloma who ...See full text at original site
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引用元:
https://pubmed.ncbi.nlm.nih.gov/12456509

データ提供:米国国立医学図書館(NLM)

Navigating the Desert of Multiple Myeloma: Exploring Treatment Strategies

The [treatment of multiple myeloma] is an ever-evolving landscape, with researchers constantly seeking better ways to combat this challenging disease. This research focused on comparing the effectiveness of [intensified chemotherapy followed by myeloablative therapy with autologous stem cell rescue] versus [intensified chemotherapy alone] in [newly diagnosed patients with multiple myeloma]. The study involved [261 eligible patients] who were randomly assigned to one of the two treatment groups, and the researchers tracked their [response rate, event-free survival (EFS), time to progression (TTP), and overall survival (OS)]. The results shed light on the potential benefits and limitations of each treatment approach.

A Camel's Journey Through Multiple Myeloma Treatment

The study found that [myeloablative therapy] resulted in a [higher complete remission (CR) rate] and [longer TTP], indicating a potential advantage over [intensified chemotherapy alone]. However, it did not significantly improve [EFS] or [OS]. These findings suggest that while [myeloablative therapy] may offer benefits in terms of initial response and delaying disease progression, it does not translate to a longer lifespan. This underscores the complexity of [multiple myeloma] and the need for [ongoing research] into more effective treatment strategies.

A New Perspective on Multiple Myeloma Treatment: Navigating the Desert

This study provides valuable insights into the [effectiveness of different treatment approaches] for [multiple myeloma]. It highlights the importance of [considering multiple factors], such as [initial response, disease progression, and overall survival], when making treatment decisions. The results also remind us that the [search for better treatments] for [multiple myeloma] is an ongoing journey, and that we must constantly strive to [improve our understanding] of this complex disease.

Dr. Camel's Conclusion

The desert of [multiple myeloma] treatment is vast and complex. This study provides a glimpse into the potential benefits and drawbacks of different treatment options. While [myeloablative therapy] may offer a temporary advantage, the search for more effective and lasting therapies continues. It is a journey that requires collaboration between researchers, clinicians, and patients to find new oases of hope in the face of this challenging disease.

Date :
  1. Date Completed 2003-04-07
  2. Date Revised 2021-02-06
Further Info :

Pubmed ID

12456509

DOI: Digital Object Identifier

S0006-4971(20)57324-2

Related Literature

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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