Bortezomib (Velcade) in combination with dexamethasone eor relapsed or refractory myeloma

Theproteasome inhibitor bortezomib (Velcade) has demonstrated clinical activity in patients with multiple myeloma (MM). We report the activity of borte-zomib plus dexamethasone in 60patients with relapsed and refractory myeloma. The patients had a median age of 65 years (range, 38—79 years). The med...

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Main Authors: S. S. Bessmeltsev, L. V. Stelmashenko, E. I. Podoltseva, E. V. Kariagina, G. N. Salogub, А. S. Nisamutdinova, L. M. Matuhina, K. M. Abdulkadyrov
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Language:Russian
Published: ABV-press 2022-11-01
Series:Онкогематология
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Online Access:https://oncohematology.abvpress.ru/ongm/article/view/676
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author S. S. Bessmeltsev
L. V. Stelmashenko
E. I. Podoltseva
E. V. Kariagina
G. N. Salogub
А. S. Nisamutdinova
L. M. Matuhina
K. M. Abdulkadyrov
author_facet S. S. Bessmeltsev
L. V. Stelmashenko
E. I. Podoltseva
E. V. Kariagina
G. N. Salogub
А. S. Nisamutdinova
L. M. Matuhina
K. M. Abdulkadyrov
author_sort S. S. Bessmeltsev
collection DOAJ
description Theproteasome inhibitor bortezomib (Velcade) has demonstrated clinical activity in patients with multiple myeloma (MM). We report the activity of borte-zomib plus dexamethasone in 60patients with relapsed and refractory myeloma. The patients had a median age of 65 years (range, 38—79 years). The median number of previous treatments was 3 (range, 1-9). For patients who received bortezomib plus dexamethasone the overall response rate was 73%. 38% patients achieved CR. CR in patients receiving bortezomib plus dexamethasone earlier vs later (≤ 3 и ≥ 4 line chemotherapy) were: 48% vs 27,5%. Bortezomib is active in patients with relapsed MM, including elderly patients. Side effects were predictable and manageable; principal toxicities were hematological, gastrointestinal, and peripheral neuropathy. The most common adverse events reported were asthenia (52%), neuropathy (53%), thrombocytopenia (32%), anemia (30%). Neuropathy greater than grade 2 was more frequent in patients who received 3 or more prior therapy regimens.
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spelling doaj-art-8553a7bdc296417c8a2e1b3fa806ced52025-08-20T03:01:06ZrusABV-pressОнкогематология1818-83462413-40232022-11-0104616610.17650/1818-8346-2007-0-4-61-66554Bortezomib (Velcade) in combination with dexamethasone eor relapsed or refractory myelomaS. S. Bessmeltsev0L. V. Stelmashenko1E. I. Podoltseva2E. V. Kariagina3G. N. Salogub4А. S. Nisamutdinova5L. M. Matuhina6K. M. Abdulkadyrov7Russian Research Institute of Hematology and TransfusiologyRussian Research Institute of Hematology and TransfusiologyCity Hospital 31City Hospital 15St. Petersburg State Pavlov Medical UniversityAlexandrovsky HospitalRoad Clinic HospitalRussian Research Institute of Hematology and TransfusiologyTheproteasome inhibitor bortezomib (Velcade) has demonstrated clinical activity in patients with multiple myeloma (MM). We report the activity of borte-zomib plus dexamethasone in 60patients with relapsed and refractory myeloma. The patients had a median age of 65 years (range, 38—79 years). The median number of previous treatments was 3 (range, 1-9). For patients who received bortezomib plus dexamethasone the overall response rate was 73%. 38% patients achieved CR. CR in patients receiving bortezomib plus dexamethasone earlier vs later (≤ 3 и ≥ 4 line chemotherapy) were: 48% vs 27,5%. Bortezomib is active in patients with relapsed MM, including elderly patients. Side effects were predictable and manageable; principal toxicities were hematological, gastrointestinal, and peripheral neuropathy. The most common adverse events reported were asthenia (52%), neuropathy (53%), thrombocytopenia (32%), anemia (30%). Neuropathy greater than grade 2 was more frequent in patients who received 3 or more prior therapy regimens.https://oncohematology.abvpress.ru/ongm/article/view/676bortezomib (velcade)multiple myelomacomplete remissionoverall responseneuropathy
spellingShingle S. S. Bessmeltsev
L. V. Stelmashenko
E. I. Podoltseva
E. V. Kariagina
G. N. Salogub
А. S. Nisamutdinova
L. M. Matuhina
K. M. Abdulkadyrov
Bortezomib (Velcade) in combination with dexamethasone eor relapsed or refractory myeloma
Онкогематология
bortezomib (velcade)
multiple myeloma
complete remission
overall response
neuropathy
title Bortezomib (Velcade) in combination with dexamethasone eor relapsed or refractory myeloma
title_full Bortezomib (Velcade) in combination with dexamethasone eor relapsed or refractory myeloma
title_fullStr Bortezomib (Velcade) in combination with dexamethasone eor relapsed or refractory myeloma
title_full_unstemmed Bortezomib (Velcade) in combination with dexamethasone eor relapsed or refractory myeloma
title_short Bortezomib (Velcade) in combination with dexamethasone eor relapsed or refractory myeloma
title_sort bortezomib velcade in combination with dexamethasone eor relapsed or refractory myeloma
topic bortezomib (velcade)
multiple myeloma
complete remission
overall response
neuropathy
url https://oncohematology.abvpress.ru/ongm/article/view/676
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