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Autologous stem cell transplantation remains the gold standard of treatment for newly diagnosed patients under the age of 65. Even though it is also regularly performed above the age of 65, there are very few data in this patient population. The investigators will capture safety and efficacy data in that setting.
Newly diagnosed myeloma patients above the age of 65 years will be treated the following way: Bortezomib (Velcade®) based induction treatment (either Velcade Dexamethasone, Velcade Thalidomide Dexamethasone (VTD) or Velcade Cyclophosphamide Dexamethasone (VCD)). After the induction phase, for patients at least in partial remission, a collection of peripheral blood stem cells (PBSC) is done according to each center practice. High dose melphalan (140 mg/m2) followed by PBSC autologous transplantation is then performed. Three months post transplant, 2-3 cycles (similar to the initial induction phase) of consolidation are allowed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| above 65 years old |
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| Measure | Description | Time Frame |
|---|---|---|
| Progression Free survival | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Response | after induction, 3 months post transplant, 2 months post consolidation | |
| Time To Progression | 2 years | |
| Overall Survival |
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Inclusion Criteria:
Exclusion Criteria:
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Newly diagnosed myeloma patients over 65 years of age and a measurable disease.
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| Name | Affiliation | Role |
|---|---|---|
| Laurent Garderet, MD | Assistance Publique | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU | Dijon | France | ||||
| CHU |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27612987 | Derived | Garderet L, Beohou E, Caillot D, Stoppa AM, Touzeau C, Chretien ML, Karlin L, Moreau P, Fontan J, Blaise D, Polge E, Gueye MS, Ikhlef S, Marjanovic Z, Labopin M, Mohty M. Upfront autologous stem cell transplantation for newly diagnosed elderly multiple myeloma patients: a prospective multicenter study. Haematologica. 2016 Nov;101(11):1390-1397. doi: 10.3324/haematol.2016.150334. Epub 2016 Sep 9. |
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| ID | Term |
|---|---|
| D009101 | Multiple Myeloma |
| ID | Term |
|---|---|
| D054219 | Neoplasms, Plasma Cell |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D020141 | Hemostatic Disorders |
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| 2 years |
| Lille |
| France |
| CHU | Lyon | France |
| Institut Paoli Calmette | Marseille | France |
| CHU | Nantes | France |
| Hôpital Saint Antoine | Paris | 75012 | France |
| D014652 |
| Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D010265 | Paraproteinemias |
| D001796 | Blood Protein Disorders |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D006474 | Hemorrhagic Disorders |
| D008232 | Lymphoproliferative Disorders |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |