Publication details

Pegylated liposomal doxorubicin plus bortezomib in relapsed or refraktory multiple myeloma: efficacy and safety in patients with renal function impairment.

Authors

BLADÉ J. SONNEVELD P. SAN MIGUEL JF. SUTHERLAND HJ. HÁJEK Roman NAGLER A SPENCER A ROBAK T CIBEIRA MT ZHUANG SH HAROUSSEAU JL ORLOWSKI RZ

Year of publication 2008
Type Article in Periodical
Magazine / Source Clinical lymphoma & myeloma
MU Faculty or unit

Faculty of Medicine

Citation
Field Oncology and hematology
Keywords doxorubicin;bortezomib
Description A retrospective analysis was undertaken of patients (n = 193) with renal insufficiency (creatinine clearance [CrCl] < 60 mL/min) from a phase III trial comparing bortezomib +/- pegylated liposomal doxorubicin (PLD) in relapsed/refractory myeloma (n = 646). The response rate (49% vs. 42%) and median time to disease progression (331 days vs. 199 days) were comparable or slightly better for patients with renal insufficiency treated with PLD/bortezomib compared with patients treated with bortezomib alone. There was a steady, clinically meaningful improvement in renal function for patients with renal insufficiency in both treatment arms. However, patients with impaired renal function were at a slightly increased risk of a drug-related serious adverse event (28% vs. 19% for CrCl < 60 and > or = 60 mL/min, respectively).

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