Serveur d'exploration sur les relations entre la France et l'Australie

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Thalidomide for treatment of multiple myeloma : 10 years later

Identifieur interne : 008996 ( Main/Exploration ); précédent : 008995; suivant : 008997

Thalidomide for treatment of multiple myeloma : 10 years later

Auteurs : Antonio Palumbo [Italie] ; Thierry Facon [France] ; Pieter Sonneveld [Pays-Bas] ; Joan Blade [Espagne] ; Massimo Offidani [Italie] ; Francesca Gay [Italie] ; Philippe Moreau [France] ; Anders Waage [Norvège] ; Andrew Spencer [Australie] ; Heinz Ludwig [Autriche] ; Mario Boccadoro [Italie] ; Jean-Luc Harousseau [France]

Source :

RBID : Pascal:08-0314257

Descripteurs français

English descriptors

Abstract

Thalidomide, bortezomib, and lenalidomide have recently changed the treatment paradigm of myeloma. In young, newly diagnosed patients, the combination of thalidomide and dexamethasone has been widely used as induction treatment before autologous stem cell transplantation (ASCT). In 2 randomized studies, consolidation or maintenance with low-dose thalidomide has extended both progression-free and overall survival in patients who underwent ASCT at diagnosis. In elderly, newly diagnosed patients, 3 independent randomized studies have reported that the oral combination of melphalan and prednisone plus thalidomide (MPT) is better than the standard melphaIan and prednisone (MP). These studies have shown better progression-free survival, and 2 have shown improved overall survival for patients assigned to MPT. In refractory-relapsed disease, combinations including thalidomide with dexamethasone, melphalan, doxorubicin, or cyclophosphamide have been extensively investigated. The risks of side effects are greater when thalidomide is used in combination with other drugs. Thromboembolism and peripheral neuropathy are the major concern. The introduction of anticoagulant prophylaxis has reduced the rate of thromboembolism to less than 10%. Immediate thalidomide dose reduction or discontinuation when paresthesia is complicated by pain or motor deficit has decreased the severity of neuropathy. Future studies will define the most effective or the best sequence of combinations which could improve life expectancy.


Affiliations:


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Le document en format XML

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<title xml:lang="en" level="a">Thalidomide for treatment of multiple myeloma : 10 years later</title>
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<name sortKey="Waage, Anders" sort="Waage, Anders" uniqKey="Waage A" first="Anders" last="Waage">Anders Waage</name>
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<name sortKey="Spencer, Andrew" sort="Spencer, Andrew" uniqKey="Spencer A" first="Andrew" last="Spencer">Andrew Spencer</name>
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<country>Australie</country>
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<settlement type="city">Melbourne</settlement>
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<name sortKey="Ludwig, Heinz" sort="Ludwig, Heinz" uniqKey="Ludwig H" first="Heinz" last="Ludwig">Heinz Ludwig</name>
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<settlement type="city">Vienne (Autriche)</settlement>
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<name sortKey="Boccadoro, Mario" sort="Boccadoro, Mario" uniqKey="Boccadoro M" first="Mario" last="Boccadoro">Mario Boccadoro</name>
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<name sortKey="Harousseau, Jean Luc" sort="Harousseau, Jean Luc" uniqKey="Harousseau J" first="Jean-Luc" last="Harousseau">Jean-Luc Harousseau</name>
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<country>France</country>
<placeName>
<region type="region">Pays de la Loire</region>
<region type="old region">Pays de la Loire</region>
<settlement type="city">Nantes</settlement>
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<title level="j" type="main">Blood</title>
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<term>Antineoplastic agent</term>
<term>Hematology</term>
<term>Myeloma</term>
<term>Thalidomide</term>
<term>Treatment</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Thalidomide</term>
<term>Traitement</term>
<term>Hématologie</term>
<term>Myélome</term>
<term>Anticancéreux</term>
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<div type="abstract" xml:lang="en">Thalidomide, bortezomib, and lenalidomide have recently changed the treatment paradigm of myeloma. In young, newly diagnosed patients, the combination of thalidomide and dexamethasone has been widely used as induction treatment before autologous stem cell transplantation (ASCT). In 2 randomized studies, consolidation or maintenance with low-dose thalidomide has extended both progression-free and overall survival in patients who underwent ASCT at diagnosis. In elderly, newly diagnosed patients, 3 independent randomized studies have reported that the oral combination of melphalan and prednisone plus thalidomide (MPT) is better than the standard melphaIan and prednisone (MP). These studies have shown better progression-free survival, and 2 have shown improved overall survival for patients assigned to MPT. In refractory-relapsed disease, combinations including thalidomide with dexamethasone, melphalan, doxorubicin, or cyclophosphamide have been extensively investigated. The risks of side effects are greater when thalidomide is used in combination with other drugs. Thromboembolism and peripheral neuropathy are the major concern. The introduction of anticoagulant prophylaxis has reduced the rate of thromboembolism to less than 10%. Immediate thalidomide dose reduction or discontinuation when paresthesia is complicated by pain or motor deficit has decreased the severity of neuropathy. Future studies will define the most effective or the best sequence of combinations which could improve life expectancy.</div>
</front>
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<li>Australie</li>
<li>Autriche</li>
<li>Espagne</li>
<li>France</li>
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<li>Norvège</li>
<li>Pays-Bas</li>
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<li>Catalogne</li>
<li>Hauts-de-France</li>
<li>Hollande-Méridionale</li>
<li>Nord-Pas-de-Calais</li>
<li>Pays de la Loire</li>
<li>Piémont</li>
<li>Trøndelag</li>
<li>Victoria (État)</li>
<li>Vienne (Autriche)</li>
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<li>Lille</li>
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<li>Nantes</li>
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<name sortKey="Palumbo, Antonio" sort="Palumbo, Antonio" uniqKey="Palumbo A" first="Antonio" last="Palumbo">Antonio Palumbo</name>
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<name sortKey="Boccadoro, Mario" sort="Boccadoro, Mario" uniqKey="Boccadoro M" first="Mario" last="Boccadoro">Mario Boccadoro</name>
<name sortKey="Gay, Francesca" sort="Gay, Francesca" uniqKey="Gay F" first="Francesca" last="Gay">Francesca Gay</name>
<name sortKey="Offidani, Massimo" sort="Offidani, Massimo" uniqKey="Offidani M" first="Massimo" last="Offidani">Massimo Offidani</name>
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<region name="Hauts-de-France">
<name sortKey="Facon, Thierry" sort="Facon, Thierry" uniqKey="Facon T" first="Thierry" last="Facon">Thierry Facon</name>
</region>
<name sortKey="Harousseau, Jean Luc" sort="Harousseau, Jean Luc" uniqKey="Harousseau J" first="Jean-Luc" last="Harousseau">Jean-Luc Harousseau</name>
<name sortKey="Moreau, Philippe" sort="Moreau, Philippe" uniqKey="Moreau P" first="Philippe" last="Moreau">Philippe Moreau</name>
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<country name="Pays-Bas">
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<name sortKey="Sonneveld, Pieter" sort="Sonneveld, Pieter" uniqKey="Sonneveld P" first="Pieter" last="Sonneveld">Pieter Sonneveld</name>
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<name sortKey="Blade, Joan" sort="Blade, Joan" uniqKey="Blade J" first="Joan" last="Blade">Joan Blade</name>
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<country name="Norvège">
<region name="Trøndelag">
<name sortKey="Waage, Anders" sort="Waage, Anders" uniqKey="Waage A" first="Anders" last="Waage">Anders Waage</name>
</region>
</country>
<country name="Australie">
<region name="Victoria (État)">
<name sortKey="Spencer, Andrew" sort="Spencer, Andrew" uniqKey="Spencer A" first="Andrew" last="Spencer">Andrew Spencer</name>
</region>
</country>
<country name="Autriche">
<region name="Vienne (Autriche)">
<name sortKey="Ludwig, Heinz" sort="Ludwig, Heinz" uniqKey="Ludwig H" first="Heinz" last="Ludwig">Heinz Ludwig</name>
</region>
</country>
</tree>
</affiliations>
</record>

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