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- W2308121640 abstract "e19523 Background: Preclinical data show that PLD and bortezomib demonstrate synergistic anti-MM effects. Clinical trials have demonstrated the efficacy of this combination for MM patients (pts) as well as its superiority to bortezomib alone. In vivo studies have shown that more frequent administration of low-dose PLD produces enhanced anti-MM effects with better tolerability compared to weekly standard doses of PLD. Thus, a low dose PLD dosing schedule was evaluated in combination with bortezomib and dexamethasone for pts with R/R MM. Methods: This retrospective analysis sought to evaluate the DVD regimen for pts with R/R MM. Twenty pts who had received and failed at least one prior treatment for MM were studied. Treatment consisted of intravenous administration of 40 mg dexamethasone, 1.0 mg/m 2 bortezomib and 5.0 mg/m 2 PLD on days 1, 4, 8 and 11 of a 28-day cycle. Pts ranged in age from 43–81 years (median 65), and had received between 1–14 prior therapies (median 5). Baseline disease stage was: 6 (I), 7 (II), and 7 (III). Elevated serum creatinine levels at baseline were found in 30% of patients. Results: The objective response rate (ORR) was 50%, which included 1 complete response (5%), 1 very good partial response (5%), 4 partial responses (20%), and 4 minimal responses (20%). Sixteen pts had previously received bortezomib-containing regimens and 6 (38%) responded. Among the entire cohort, the duration of response was 2+-19+ months (mo) (median 7 mo). Six pts had stable disease (30%) lasting between 5–9 mo (median 9 mo). Progression-free survival was 1+-19+ mo (median 8 mo). The regimen was well tolerated with a single mild case of transient hand and foot syndrome and 10 pts developed grade 1 or 2 peripheral neuropathy. One pt discontinued the regimen due to an adverse event (AE; 5%). The median overall survival was 17 mo (range 1+-33+ mo). Conclusions: Patients treated with the DVD regimen in this study who had failed many prior regimens (median 5) with progressive disease demonstrated a high response rate (50%). In addition, there were few significant or drug-related AEs. Because of these encouraging results, we are now evaluating this regimen in a phase 2 clinical trial in the frontline setting. [Table: see text]" @default.
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- W2308121640 date "2009-05-20" @default.
- W2308121640 modified "2023-09-27" @default.
- W2308121640 title "A retrospective review of pegylated liposomal doxorubicin (PLD), bortezomib, and dexamethasone (DVD) for relapsed or refractory (R/R) multiple myeloma (MM)" @default.
- W2308121640 doi "https://doi.org/10.1200/jco.2009.27.15_suppl.e19523" @default.
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