PMID- 35488603 OWN - NLM STAT- MEDLINE DCOM- 20220503 LR - 20220503 IS - 0578-1426 (Print) IS - 0578-1426 (Linking) VI - 61 IP - 5 DP - 2022 May 1 TI - [A single-center retrospective analysis of 100 consecutive cases treated with lenalidomide/bortezomib/dexamethasone in newly diagnosed multiple myeloma]. PG - 531-536 LID - 10.3760/cma.j.cn112138-20211105-00776 [doi] AB - Objective: To investigate the efficacy and safety of lenalidomide combined with bortezomib and dexamethasone (RVD) in patients with newly diagnosed multiple myeloma (NDMM). Methods: A total of 100 consecutive NDMM patients treated with RVD from August 2016 to September 2020 at Peking University People's Hospital were retrospectively analyzed, including response, drug toxicity, follow-up and survival, and subgroup analysis. Results: The median follow-up time was 19.5 (2.0-57.0) months. For patients undergoing autologous stem cell transplantation (ASCT) after RVD regimen, the objective response rate (ORR)/complete response+stringent complete response (CR+sCR)/>/=very good partial response (VGPR) rates were 100%, 73.3% (33/45), 95.6% (43/45) respectively. For 54 patients not receiving transplantation, the ORR/CR+sCR/>/=VGPR rates were 79.6% (43/54), 18.5% (10/54), 51.9% (28/54) respectively. As to the survival analysis, 2-year progression free survival (PFS) rates were 84.5% and 70.9% in transplant and non-transplant patients respectively (P=0.102). Two-year overall survival (OS) rates were 100% and 80.8% in transplant and non-transplant patients respectively (P=0.003). The common hematologic adverse events (AEs) were thrombocytopenia (33%) and neutropenia (25%). Abnormal liver function (43%) and peripheral neuropathy (24%) were recognized more as non-hematologic AEs. Conclusion: RVD as front-line regimen has high efficient response rate and acceptable safety in Chinese NDMM patients. FAU - Wang, W X AU - Wang WX AD - Department of Hematology, Peking University People's Hospital & Peking University Institute of Hematology, National Clinical Research Center for Hematologic Disease, Beijing 100044, China. FAU - Bi, J Y AU - Bi JY AD - Department of Hematology, Peking University People's Hospital & Peking University Institute of Hematology, National Clinical Research Center for Hematologic Disease, Beijing 100044, China. FAU - Wen, L AU - Wen L AD - Department of Hematology, Peking University People's Hospital & Peking University Institute of Hematology, National Clinical Research Center for Hematologic Disease, Beijing 100044, China. FAU - Duan, W B AU - Duan WB AD - Department of Hematology, Peking University People's Hospital & Peking University Institute of Hematology, National Clinical Research Center for Hematologic Disease, Beijing 100044, China. FAU - Liu, Y AU - Liu Y AD - Department of Hematology, Peking University People's Hospital & Peking University Institute of Hematology, National Clinical Research Center for Hematologic Disease, Beijing 100044, China. FAU - Wang, F R AU - Wang FR AD - Department of Hematology, Peking University People's Hospital & Peking University Institute of Hematology, National Clinical Research Center for Hematologic Disease, Beijing 100044, China. FAU - He, Q AU - He Q AD - Department of Hematology, Peking University People's Hospital & Peking University Institute of Hematology, National Clinical Research Center for Hematologic Disease, Beijing 100044, China. FAU - Lu, J AU - Lu J AD - Department of Hematology, Peking University People's Hospital & Peking University Institute of Hematology, National Clinical Research Center for Hematologic Disease, Beijing 100044, China Collaborative Innovation Center of Hematology, Suzhou 215006, China. LA - chi GR - CFH 2020-2-4082/Capital's Funds for Health Improvement and Research/ PT - Journal Article PL - China TA - Zhonghua Nei Ke Za Zhi JT - Zhonghua nei ke za zhi JID - 16210490R RN - 69G8BD63PP (Bortezomib) RN - 7S5I7G3JQL (Dexamethasone) RN - F0P408N6V4 (Lenalidomide) SB - IM MH - Antineoplastic Combined Chemotherapy Protocols/therapeutic use MH - Bortezomib/therapeutic use MH - Dexamethasone/therapeutic use MH - *Hematopoietic Stem Cell Transplantation MH - Humans MH - Lenalidomide/therapeutic use MH - *Multiple Myeloma/therapy MH - Retrospective Studies MH - Transplantation, Autologous EDAT- 2022/05/01 06:00 MHDA- 2022/05/04 06:00 CRDT- 2022/04/30 04:07 PHST- 2022/04/30 04:07 [entrez] PHST- 2022/05/01 06:00 [pubmed] PHST- 2022/05/04 06:00 [medline] AID - 10.3760/cma.j.cn112138-20211105-00776 [doi] PST - ppublish SO - Zhonghua Nei Ke Za Zhi. 2022 May 1;61(5):531-536. doi: 10.3760/cma.j.cn112138-20211105-00776.