Bendamustine in patients with relapsed or refractory multiple myeloma.

Eur J Med Res

Department of Hematology, Oncology and Clinical Immunology, Heinrich-Heine-University, Duesseldorf, Germany.

Published: January 2010

AI Article Synopsis

  • Bendamustine monotherapy is effective in patients with relapsed or refractory multiple myeloma, showing promise as a treatment option.
  • In a study involving 39 patients, those received a median of 3 cycles of bendamustine, with some also receiving steroids alongside the treatment.
  • The results indicated mild to moderate toxicity, with overall survival averaging 17 months, suggesting that further clinical trials are needed to explore bendamustine's role in treating advanced multiple myeloma.

Article Abstract

Objective: In patients with multiple myeloma, bendamustine monotherapy is effective as 1st and 2nd line therapy. However, data for patients with advanced multiple myeloma is rare.

Methods: In this retrospective analysis we have identified 39 patients with relapsed or refractory multiple myeloma by means of case research, who have been treated at our institution with bendamustine as salvage therapy. After in median 2 lines of prior therapy (range: 1-5) patients received in median 3 (range: 1-10) cycles of bendamustine. Bendamustine dosage was 80-150 mg on day 1+2 of a monthly cycle. Bendamustine was administered as monotherapy in 39% of patients, whereas 61% received concomitant steroids.

Results: Toxicity was mild to moderate. Response rates were as follows: 3% vgPR, 33% PR, 18% MR, 26% SD and 20% PD. The median event-free and overall survival were 7 and 17 months, respectively.

Conclusions: In conclusion, in patients with advanced multiple myeloma bendamustine is effective and associated with mild toxicity. Therefore, the role of bendamustine in patients with multiple myeloma should be investigated in further clinical trials.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3351842PMC
http://dx.doi.org/10.1186/2047-783x-15-1-13DOI Listing

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