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VANTAGE 095: An International, Multicenter, Open-Label Study of Vorinostat (MK-0683) in Combination With Bortezomib in Patients With Relapsed and Refractory Multiple Myeloma.

Identifieur interne : 001D35 ( PubMed/Corpus ); précédent : 001D34; suivant : 001D36

VANTAGE 095: An International, Multicenter, Open-Label Study of Vorinostat (MK-0683) in Combination With Bortezomib in Patients With Relapsed and Refractory Multiple Myeloma.

Auteurs : David S. Siegel ; Meletios Dimopoulos ; Sundar Jagannath ; Hartmut Goldschmidt ; Simon Durrant ; Jonathan L. Kaufman ; Xavier Leleu ; Arnon Nagler ; Fritz Offner ; Thorsten Graef ; Joseph E. Eid ; Jennifer Houp ; Christine Gause ; Scott Vuocolo ; Kenneth C. Anderson

Source :

RBID : pubmed:27025160

English descriptors

Abstract

The present global, open-label, single-arm, multicenter, phase IIb study was designed to determine the efficacy and tolerability of oral vorinostat combined with standard doses of bortezomib in patients with multiple myeloma considered refractory to novel myeloma agents.

DOI: 10.1016/j.clml.2016.02.042
PubMed: 27025160

Links to Exploration step

pubmed:27025160

Le document en format XML

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<div type="abstract" xml:lang="en">The present global, open-label, single-arm, multicenter, phase IIb study was designed to determine the efficacy and tolerability of oral vorinostat combined with standard doses of bortezomib in patients with multiple myeloma considered refractory to novel myeloma agents.</div>
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<Title>Clinical lymphoma, myeloma & leukemia</Title>
<ISOAbbreviation>Clin Lymphoma Myeloma Leuk</ISOAbbreviation>
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<ArticleTitle>VANTAGE 095: An International, Multicenter, Open-Label Study of Vorinostat (MK-0683) in Combination With Bortezomib in Patients With Relapsed and Refractory Multiple Myeloma.</ArticleTitle>
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<AbstractText Label="BACKGROUND">The present global, open-label, single-arm, multicenter, phase IIb study was designed to determine the efficacy and tolerability of oral vorinostat combined with standard doses of bortezomib in patients with multiple myeloma considered refractory to novel myeloma agents.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS">Eligible patients were age ≥ 18 years, had received ≥ 2 previous regimens, had disease refractory to ≥ 1 previous bortezomib-containing regimen, and had received ≥ 1 dose of an immunomodulatory drug (thalidomide or lenalidomide)-based regimen. The patients received 21-day cycles of bortezomib (1.3 mg/m(2) intravenously on days 1, 4, 8, and 11) plus oral vorinostat (400 mg/d on days 1-14). Oral dexamethasone, 20 mg, on the day of and the day after each dose of bortezomib could be added for patients with progressive disease after 2 cycles or no change after 4 cycles. The primary endpoint was the objective response rate.</AbstractText>
<AbstractText Label="RESULTS">The objective response rate was 11.3% (95% confidence interval, 6.6%-17.7%), and the median duration of response was 211 days (range, 64-550 days). The median overall survival duration was 11.2 months (95% confidence interval, 8.5-14.4 months), with a 2-year survival rate of 32%. The frequently reported adverse events were thrombocytopenia (69.7%), nausea (57.0%), diarrhea (53.5%), anemia (52.1%), and fatigue (48.6%); the overall safety profile was consistent with that of bortezomib and vorinostat.</AbstractText>
<AbstractText Label="CONCLUSION">The combination of vorinostat and bortezomib is active in patients with multiple myeloma refractory to novel treatment modalities and offers a new therapeutic option for this difficult-to-treat patient population (ClinicalTrials.gov identifier, NCT00773838).</AbstractText>
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