PMID- 34979777 OWN - NLM STAT- MEDLINE DCOM- 20220105 LR - 20220105 IS - 0578-1426 (Print) IS - 0578-1426 (Linking) VI - 61 IP - 1 DP - 2022 Jan 1 TI - [Efficacy of total oral regimens containing ixazomib in patients with relapsed and refractory multiple myeloma]. PG - 95-98 LID - 10.3760/cma.j.cn112138-20210117-00045 [doi] AB - To investigate the efficacy and safety of total oral regimen containing ixazomib in multidrug-resistant relapsed and refractory multiple myeloma(RRMM). A total of 38 patients were retrospectively analyzed from August 2018 to January 2020 in the First Affiliated Hospital of Soochow University. The overall response rate (ORR)was 36.8%. Among them, the very good partial response (VGPR) or better rate was 23.7%, and the complete response (CR) rate was 5.3%. The ORR was 41.7% in patients receiving ixazomib-lenalidomide-dexamethasone (IRD) regimen. Median PFS was 5 months and median OS was 7.5 months. The ORR was 50% after second-line therapy, 40% after third-line therapy and 12.5% after forth-line therapy or more. The ORR was 29.0% in bortezomib-refractory patients, 38.0% in lenalidomide-refractory patients, 21.4% in bortezmoib & lenalidomide dual refractory patients. Grade 3-4 hematological adverse events (AEs) were reported in 21% patients. Common hematological AEs included lymphopenia, neutropenia, thrombocytopenia. Other usual AEs were fatigue and diarrhea. No grade 3-4 peripheral neuropathy was recorded. In the treatment of relapsed/refractory multiple myeloma patients with multidrug resistance, the total oral regimens containing ixazomib demonstrate reliable efficacy and safety. Early administration of ixazomib at first or second relapse is suggested for more favorable clinical outcome. FAU - Wang, J AU - Wang J AD - Department of Hematology, Soochow Hopes Hematology Hospital, Suzhou 215128, China. FAU - Shang, J J AU - Shang JJ AD - Department of Hematology, the First Affiliated Hospital of Soochow University, Jiangsu Institute of Hematology, Suzhou 215006, China. FAU - Jin, S AU - Jin S AD - Department of Hematology, the First Affiliated Hospital of Soochow University, Jiangsu Institute of Hematology, Suzhou 215006, China. FAU - Yao, Y AU - Yao Y AD - Department of Hematology, Soochow Hopes Hematology Hospital, Suzhou 215128, China. FAU - Yan, Z AU - Yan Z AD - Department of Hematology, the First Affiliated Hospital of Soochow University, Jiangsu Institute of Hematology, Suzhou 215006, China. FAU - Wu, D P AU - Wu DP AD - Department of Hematology, Soochow Hopes Hematology Hospital, Suzhou 215128, China Department of Hematology, the First Affiliated Hospital of Soochow University, Jiangsu Institute of Hematology, Suzhou 215006, China. FAU - Fu, C C AU - Fu CC AD - Department of Hematology, Soochow Hopes Hematology Hospital, Suzhou 215128, China Department of Hematology, the First Affiliated Hospital of Soochow University, Jiangsu Institute of Hematology, Suzhou 215006, China. LA - chi GR - 2020ZKPB01/Translational Research Grant of National Clinical Research Center of Hematology/ GR - SLJ2021004/the 12th Batch of Science and Technology Development Plan of Suzhou Medical Equipments and New Medicines in 2021-Projects of Collaborative Innovation in Medicine and Engineering/ PT - Journal Article PL - China TA - Zhonghua Nei Ke Za Zhi JT - Zhonghua nei ke za zhi JID - 16210490R RN - 0 (Boron Compounds) RN - 71050168A2 (ixazomib) RN - 7S5I7G3JQL (Dexamethasone) RN - TE7660XO1C (Glycine) SB - IM MH - Antineoplastic Combined Chemotherapy Protocols/therapeutic use MH - Boron Compounds MH - Dexamethasone/therapeutic use MH - Glycine/analogs & derivatives MH - Humans MH - *Multiple Myeloma/drug therapy MH - Neoplasm Recurrence, Local/drug therapy MH - Retrospective Studies EDAT- 2022/01/05 06:00 MHDA- 2022/01/06 06:00 CRDT- 2022/01/04 02:04 PHST- 2022/01/04 02:04 [entrez] PHST- 2022/01/05 06:00 [pubmed] PHST- 2022/01/06 06:00 [medline] AID - 10.3760/cma.j.cn112138-20210117-00045 [doi] PST - ppublish SO - Zhonghua Nei Ke Za Zhi. 2022 Jan 1;61(1):95-98. doi: 10.3760/cma.j.cn112138-20210117-00045.