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International Myeloma Working Group Consensus Statement for the Management, Treatment, and Supportive Care of Patients With Myeloma Not Eligible for Standard Autologous Stem-Cell Transplantation

Identifieur interne : 005990 ( PascalFrancis/Curation ); précédent : 005989; suivant : 005991

International Myeloma Working Group Consensus Statement for the Management, Treatment, and Supportive Care of Patients With Myeloma Not Eligible for Standard Autologous Stem-Cell Transplantation

Auteurs : Antonio Palumbo [Italie] ; S. Vincent Rajkumar [États-Unis] ; Jesus F. San Miguel [Espagne] ; Alessandra Larocca [Italie] ; Ruben Niesvizky [États-Unis] ; Gareth Morgan [Royaume-Uni] ; Ola Landgren [États-Unis] ; Roman Hajek [République tchèque] ; Hermann Einsele [Allemagne] ; Kenneth C. Anderson [États-Unis] ; Meletios A. Dimopoulos [Grèce] ; Paul G. Richardson [États-Unis] ; Michele Cavo [Italie] ; Andrew Spencer [Australie] ; A. Keith Stewart [États-Unis] ; Kazuyuki Shimizu [Japon] ; Sagar Lonial [États-Unis] ; Pieter Sonneveld [Pays-Bas] ; Brian G. M. Durie [États-Unis] ; Philippe Moreau [France] ; Robert Z. Orlowski [États-Unis]

Source :

RBID : Pascal:14-0114004

Descripteurs français

English descriptors

Abstract

Purpose To provide an update on recent advances in the management of patients with multiple myeloma who are not eligible for autologous stem-cell transplantation. Methods A comprehensive review of the literature on diagnostic criteria is provided, and treatment options and management of adverse events are summarized. Results Patients with symptomatic disease and organ damage (ie, hypercalcemia, renal failure, anemia, or bone lesions) require immediate treatment. The International Staging System and chromosomal abnormalities identify high- and standard-risk patients. Proteasome inhibitors, immunomodulatory drugs, corticosteroids, and alkylating agents are the most active agents. The presence of concomitant diseases, frailty, or disability should be assessed and, if present, treated with reduced-dose approaches. Bone disease, renal damage, hematologic toxicities, infections, thromboembolism, and peripheral neuropathy are the most frequent disabling events requiring prompt and active supportive care. Conclusion These recommendations will help clinicians ensure the most appropriate care for patients with myeloma in everyday clinical practice.
pA  
A01 01  1    @0 0732-183X
A03   1    @0 J. clin. oncol.
A05       @2 32
A06       @2 6
A08 01  1  ENG  @1 International Myeloma Working Group Consensus Statement for the Management, Treatment, and Supportive Care of Patients With Myeloma Not Eligible for Standard Autologous Stem-Cell Transplantation
A11 01  1    @1 PALUMBO (Antonio)
A11 02  1    @1 VINCENT RAJKUMAR (S.)
A11 03  1    @1 SAN MIGUEL (Jesus F.)
A11 04  1    @1 LAROCCA (Alessandra)
A11 05  1    @1 NIESVIZKY (Ruben)
A11 06  1    @1 MORGAN (Gareth)
A11 07  1    @1 LANDGREN (Ola)
A11 08  1    @1 HAJEK (Roman)
A11 09  1    @1 EINSELE (Hermann)
A11 10  1    @1 ANDERSON (Kenneth C.)
A11 11  1    @1 DIMOPOULOS (Meletios A.)
A11 12  1    @1 RICHARDSON (Paul G.)
A11 13  1    @1 CAVO (Michele)
A11 14  1    @1 SPENCER (Andrew)
A11 15  1    @1 KEITH STEWART (A.)
A11 16  1    @1 SHIMIZU (Kazuyuki)
A11 17  1    @1 LONIAL (Sagar)
A11 18  1    @1 SONNEVELD (Pieter)
A11 19  1    @1 DURIE (Brian G. M.)
A11 20  1    @1 MOREAU (Philippe)
A11 21  1    @1 ORLOWSKI (Robert Z.)
A14 01      @1 University of Torino @2 Torino @3 ITA @Z 1 aut. @Z 4 aut.
A14 02      @1 Seragnoli Institute of Hematology, Bologna University School of Medicine @2 Bologna @3 ITA @Z 13 aut.
A14 03      @1 Mayo Clinic @2 Rochester, MN @3 USA @Z 2 aut.
A14 04      @1 University Hospital of Salamanca @2 Salamanca @3 ESP @Z 3 aut.
A14 05      @1 Weill Cornell Medical College @2 New York, NY @3 USA @Z 5 aut.
A14 06      @1 Royal Marsden Hospital @2 London @3 GBR @Z 6 aut.
A14 07      @1 National Cancer Institute @2 Bethesda, MD @3 USA @Z 7 aut.
A14 08      @1 University of Ostrava School of Medicine and University Hospital Ostrava @2 Ostrava @3 CZE @Z 8 aut.
A14 09      @1 University of Wurzburg @2 Wurzburg @3 DEU @Z 9 aut.
A14 10      @1 Dana-Farber Cancer Institute @2 Boston, MA @3 USA @Z 10 aut. @Z 12 aut.
A14 11      @1 University of Athens School of Medicine @2 Athens @3 GRC @Z 11 aut.
A14 12      @1 Alfred Hospital @2 Melbourne, Victoria @3 AUS @Z 14 aut.
A14 13      @1 Mayo Clinic @2 Scottsdale, AZ @3 USA @Z 15 aut.
A14 14      @1 Aichi Gakuin Hospital @2 Nagoya @3 JPN @Z 16 aut.
A14 15      @1 Emory University @2 Atlanta, GA @3 USA @Z 17 aut.
A14 16      @1 Erasmus Medical Centre @2 Rotterdam @3 NLD @Z 18 aut.
A14 17      @1 Cedars-Sinai Comprehensive Cancer Center @2 Los Angeles, CA @3 USA @Z 19 aut.
A14 18      @1 University Hospital @2 Nantes @3 FRA @Z 20 aut.
A14 19      @1 MD Anderson Cancer Center @2 Houston, TX @3 USA @Z 21 aut.
A20       @1 587-600
A21       @1 2014
A23 01      @0 ENG
A43 01      @1 INIST @2 20094 @5 354000505776350170
A44       @0 0000 @1 © 2014 INIST-CNRS. All rights reserved.
A45       @0 122 ref.
A47 01  1    @0 14-0114004
A60       @1 P
A61       @0 A
A64 01  1    @0 Journal of clinical oncology
A66 01      @0 USA
C01 01    ENG  @0 Purpose To provide an update on recent advances in the management of patients with multiple myeloma who are not eligible for autologous stem-cell transplantation. Methods A comprehensive review of the literature on diagnostic criteria is provided, and treatment options and management of adverse events are summarized. Results Patients with symptomatic disease and organ damage (ie, hypercalcemia, renal failure, anemia, or bone lesions) require immediate treatment. The International Staging System and chromosomal abnormalities identify high- and standard-risk patients. Proteasome inhibitors, immunomodulatory drugs, corticosteroids, and alkylating agents are the most active agents. The presence of concomitant diseases, frailty, or disability should be assessed and, if present, treated with reduced-dose approaches. Bone disease, renal damage, hematologic toxicities, infections, thromboembolism, and peripheral neuropathy are the most frequent disabling events requiring prompt and active supportive care. Conclusion These recommendations will help clinicians ensure the most appropriate care for patients with myeloma in everyday clinical practice.
C02 01  X    @0 002B04
C02 02  X    @0 002B06D02
C03 01  X  FRE  @0 Myélome @5 01
C03 01  X  ENG  @0 Myeloma @5 01
C03 01  X  SPA  @0 Mieloma @5 01
C03 02  X  FRE  @0 International @5 02
C03 02  X  ENG  @0 International @5 02
C03 02  X  SPA  @0 Internacional @5 02
C03 03  X  FRE  @0 Consensus @5 03
C03 03  X  ENG  @0 Consensus @5 03
C03 03  X  SPA  @0 Consenso @5 03
C03 04  X  FRE  @0 Conduite à tenir @5 05
C03 04  X  ENG  @0 Clinical management @5 05
C03 04  X  SPA  @0 Actitud médica @5 05
C03 05  X  FRE  @0 Traitement @5 06
C03 05  X  ENG  @0 Treatment @5 06
C03 05  X  SPA  @0 Tratamiento @5 06
C03 06  X  FRE  @0 Soin de support @5 07
C03 06  X  ENG  @0 Supportive care @5 07
C03 06  X  SPA  @0 Cuidado de soporte @5 07
C03 07  X  FRE  @0 Homme @5 08
C03 07  X  ENG  @0 Human @5 08
C03 07  X  SPA  @0 Hombre @5 08
C03 08  X  FRE  @0 Norme @5 09
C03 08  X  ENG  @0 Standards @5 09
C03 08  X  SPA  @0 Norma @5 09
C03 09  X  FRE  @0 Cellule hématopoïétique @5 11
C03 09  X  ENG  @0 Hematopoietic cell @5 11
C03 09  X  SPA  @0 Célula hematopoyética @5 11
C03 10  X  FRE  @0 Cellule souche @5 12
C03 10  X  ENG  @0 Stem cell @5 12
C03 10  X  SPA  @0 Célula primitiva @5 12
C03 11  X  FRE  @0 Cancérologie @5 17
C03 11  X  ENG  @0 Cancerology @5 17
C03 11  X  SPA  @0 Cancerología @5 17
C03 12  X  FRE  @0 Hémopathie maligne lymphoïde @4 CD @5 96
C03 12  X  ENG  @0 Lymphoid neoplasm @4 CD @5 96
C03 13  X  FRE  @0 Hémopathie lymphoïde B @4 CD @5 97
C03 13  X  ENG  @0 B cell neoplasm @4 CD @5 97
C03 14  X  FRE  @0 Autogreffe de cellules souches hématopoïétiques @4 CD @5 98
C03 14  X  ENG  @0 Autologous hematopoietic stem cell transplantation @4 CD @5 98
C03 14  X  SPA  @0 Autoinjerto de células precursoras hematopoyéticas @4 CD @5 98
C07 01  X  FRE  @0 Hémopathie maligne @2 NM @5 37
C07 01  X  ENG  @0 Malignant hemopathy @2 NM @5 37
C07 01  X  SPA  @0 Hemopatía maligna @2 NM @5 37
C07 02  X  FRE  @0 Cancer @2 NM
C07 02  X  ENG  @0 Cancer @2 NM
C07 02  X  SPA  @0 Cáncer @2 NM
C07 03  X  FRE  @0 Immunoglobulinopathie @5 38
C07 03  X  ENG  @0 Immunoglobulinopathy @5 38
C07 03  X  SPA  @0 Inmunoglobulinopatía @5 38
C07 04  X  FRE  @0 Syndrome lymphoprolifératif @2 NM @5 39
C07 04  X  ENG  @0 Lymphoproliferative syndrome @2 NM @5 39
C07 04  X  SPA  @0 Linfoproliferativo síndrome @2 NM @5 39
C07 05  X  FRE  @0 Immunopathologie @5 40
C07 05  X  ENG  @0 Immunopathology @5 40
C07 05  X  SPA  @0 Inmunopatología @5 40
N21       @1 146
N44 01      @1 OTO
N82       @1 OTO

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Pascal:14-0114004

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<title xml:lang="en" level="a">International Myeloma Working Group Consensus Statement for the Management, Treatment, and Supportive Care of Patients With Myeloma Not Eligible for Standard Autologous Stem-Cell Transplantation</title>
<author>
<name sortKey="Palumbo, Antonio" sort="Palumbo, Antonio" uniqKey="Palumbo A" first="Antonio" last="Palumbo">Antonio Palumbo</name>
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<country>Italie</country>
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<name sortKey="Vincent Rajkumar, S" sort="Vincent Rajkumar, S" uniqKey="Vincent Rajkumar S" first="S." last="Vincent Rajkumar">S. Vincent Rajkumar</name>
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<s1>Mayo Clinic</s1>
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<name sortKey="San Miguel, Jesus F" sort="San Miguel, Jesus F" uniqKey="San Miguel J" first="Jesus F." last="San Miguel">Jesus F. San Miguel</name>
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<inist:fA14 i1="04">
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<country>Espagne</country>
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</author>
<author>
<name sortKey="Larocca, Alessandra" sort="Larocca, Alessandra" uniqKey="Larocca A" first="Alessandra" last="Larocca">Alessandra Larocca</name>
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<country>Allemagne</country>
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<country>Grèce</country>
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<series>
<title level="j" type="main">Journal of clinical oncology</title>
<title level="j" type="abbreviated">J. clin. oncol.</title>
<idno type="ISSN">0732-183X</idno>
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<title level="j" type="main">Journal of clinical oncology</title>
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<term>Autologous hematopoietic stem cell transplantation</term>
<term>B cell neoplasm</term>
<term>Cancerology</term>
<term>Clinical management</term>
<term>Consensus</term>
<term>Hematopoietic cell</term>
<term>Human</term>
<term>International</term>
<term>Lymphoid neoplasm</term>
<term>Myeloma</term>
<term>Standards</term>
<term>Stem cell</term>
<term>Supportive care</term>
<term>Treatment</term>
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<term>Myélome</term>
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<term>Cellule souche</term>
<term>Cancérologie</term>
<term>Hémopathie maligne lymphoïde</term>
<term>Hémopathie lymphoïde B</term>
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<div type="abstract" xml:lang="en">Purpose To provide an update on recent advances in the management of patients with multiple myeloma who are not eligible for autologous stem-cell transplantation. Methods A comprehensive review of the literature on diagnostic criteria is provided, and treatment options and management of adverse events are summarized. Results Patients with symptomatic disease and organ damage (ie, hypercalcemia, renal failure, anemia, or bone lesions) require immediate treatment. The International Staging System and chromosomal abnormalities identify high- and standard-risk patients. Proteasome inhibitors, immunomodulatory drugs, corticosteroids, and alkylating agents are the most active agents. The presence of concomitant diseases, frailty, or disability should be assessed and, if present, treated with reduced-dose approaches. Bone disease, renal damage, hematologic toxicities, infections, thromboembolism, and peripheral neuropathy are the most frequent disabling events requiring prompt and active supportive care. Conclusion These recommendations will help clinicians ensure the most appropriate care for patients with myeloma in everyday clinical practice.</div>
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<fC03 i1="09" i2="X" l="ENG">
<s0>Hematopoietic cell</s0>
<s5>11</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Célula hematopoyética</s0>
<s5>11</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE">
<s0>Cellule souche</s0>
<s5>12</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG">
<s0>Stem cell</s0>
<s5>12</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA">
<s0>Célula primitiva</s0>
<s5>12</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE">
<s0>Cancérologie</s0>
<s5>17</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG">
<s0>Cancerology</s0>
<s5>17</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA">
<s0>Cancerología</s0>
<s5>17</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE">
<s0>Hémopathie maligne lymphoïde</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG">
<s0>Lymphoid neoplasm</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC03 i1="13" i2="X" l="FRE">
<s0>Hémopathie lymphoïde B</s0>
<s4>CD</s4>
<s5>97</s5>
</fC03>
<fC03 i1="13" i2="X" l="ENG">
<s0>B cell neoplasm</s0>
<s4>CD</s4>
<s5>97</s5>
</fC03>
<fC03 i1="14" i2="X" l="FRE">
<s0>Autogreffe de cellules souches hématopoïétiques</s0>
<s4>CD</s4>
<s5>98</s5>
</fC03>
<fC03 i1="14" i2="X" l="ENG">
<s0>Autologous hematopoietic stem cell transplantation</s0>
<s4>CD</s4>
<s5>98</s5>
</fC03>
<fC03 i1="14" i2="X" l="SPA">
<s0>Autoinjerto de células precursoras hematopoyéticas</s0>
<s4>CD</s4>
<s5>98</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Hémopathie maligne</s0>
<s2>NM</s2>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Malignant hemopathy</s0>
<s2>NM</s2>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Hemopatía maligna</s0>
<s2>NM</s2>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Cancer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Cancer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Cáncer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Immunoglobulinopathie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Immunoglobulinopathy</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Inmunoglobulinopatía</s0>
<s5>38</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Syndrome lymphoprolifératif</s0>
<s2>NM</s2>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Lymphoproliferative syndrome</s0>
<s2>NM</s2>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Linfoproliferativo síndrome</s0>
<s2>NM</s2>
<s5>39</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Immunopathologie</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Immunopathology</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Inmunopatología</s0>
<s5>40</s5>
</fC07>
<fN21>
<s1>146</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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