Response rate and survival in myeloma patients receiving prednisone alone.

Response rate and survival in myeloma patients receiving prednisone alone.
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单独接受泼尼松治疗的骨髓瘤患者的缓解率和生存率。

DOI:
10.1002/mpo.2950130502
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发表时间:
1985
期刊:
Medical and pediatric oncology
影响因子:
--
通讯作者:
Leone,L
Leone,L
中科院分区:
--
文献类型:
--
作者:
McIntyre,OR;Pajak,TF;Kyle,RA;Cornwell3rd,GG;Leone,L

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32例可评估的高风险多发性骨髓瘤患者接受了70天的泼尼松逐渐疗程,开始剂量为1.2 mg/kg/天。有客观证据表明,44%的患者对这种治疗有反应。虽然强的松治疗组到疾病进展的中位时间短于随机接受强的松与烷基化剂联合治疗或单独接受烷基化剂治疗的患者,但该试验的结果表明,强的松本身可能产生客观的反应。当骨髓瘤新药与皮质类固醇联合使用时,必须谨慎解释这些试验。
Thirty‐two evaluable good risk patients with multiple myeloma received a 70‐day tapering course of prednisone beginning at a dose of 1.2 mg/kg/day. Forty‐four percent of the patients demonstrated objective evidence of response to this treatment. Although the median time to disease progression for the prednisone‐treated group was shorter than for patients randomized to receive prednisone with alkylating agents or who were treated with alkylating agent alone, the results from this trial indicate that prednisone, by itself, may produce objective responses. Caution must be used interpreting trials of new agents in myeloma when such treatments are combined with corticosteroid administration.
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