DCEP (dexamethasone, cyclophosphamide, etoposide, and cisplatin) has proved to be an effective salvage therapy for refractory-relapsed MM patients. Little is known, however, about its potential as mobilizing therapy. The aim of this study was to evaluate the efficacy of DCEP in mobilizing PBSC and to define its toxicity. Fifty-five MM patients received DCEP followed by GCSF as part of high-dose programs including autologous transplantation. At the time of mobilization, 40 patients had previously received VAD only, and 15 alkylating agents. Mobilization was successful (minimum number of CD34+ cells 2 × 106/kg) in 48/55 patients (87%), and 41/55 patients (75%) collected >4 × 106/kg CD34+ cells. Of the seven patients who did not mobilize stem cells, five (71%) had been previously exposed to alkylating agents. The median number of CD34+ cells harvested was 5.8 × 106/kg (range 2.1-22.4). There was no treatment-related mortality. The side-effects of DCEP were always tolerable. No neutropenia <1000/μl nor thrombocytopenia <50 000/μl were observed. No patient required transfusion as a consequence of therapy, or hospitalization for septic complications. In conclusion, DCEP, in addition to its demonstrated anti-tumor activity, is an effective regimen for mobilizing peripheral blood progenitor cells in myeloma patients, with little or no side-effects. These properties render DCEP a useful regimen for the debulking and mobilization phase of high-dose programs for multiple myeloma.

Lazzarino, M., Corso, A., Barbarano, L., Alessandrino, E., Cairoli, R., Pinotti, G., et al. (2001). DCEP (dexamethasone, cyclophosphamide, etoposide, and cisplatin) is an effective regimen for peripheral blood stem cell collection in multiple myeloma. BONE MARROW TRANSPLANTATION, 28(9), 835-839 [10.1038/sj.bmt.1703240].

DCEP (dexamethasone, cyclophosphamide, etoposide, and cisplatin) is an effective regimen for peripheral blood stem cell collection in multiple myeloma

Cairoli R;
2001

Abstract

DCEP (dexamethasone, cyclophosphamide, etoposide, and cisplatin) has proved to be an effective salvage therapy for refractory-relapsed MM patients. Little is known, however, about its potential as mobilizing therapy. The aim of this study was to evaluate the efficacy of DCEP in mobilizing PBSC and to define its toxicity. Fifty-five MM patients received DCEP followed by GCSF as part of high-dose programs including autologous transplantation. At the time of mobilization, 40 patients had previously received VAD only, and 15 alkylating agents. Mobilization was successful (minimum number of CD34+ cells 2 × 106/kg) in 48/55 patients (87%), and 41/55 patients (75%) collected >4 × 106/kg CD34+ cells. Of the seven patients who did not mobilize stem cells, five (71%) had been previously exposed to alkylating agents. The median number of CD34+ cells harvested was 5.8 × 106/kg (range 2.1-22.4). There was no treatment-related mortality. The side-effects of DCEP were always tolerable. No neutropenia <1000/μl nor thrombocytopenia <50 000/μl were observed. No patient required transfusion as a consequence of therapy, or hospitalization for septic complications. In conclusion, DCEP, in addition to its demonstrated anti-tumor activity, is an effective regimen for mobilizing peripheral blood progenitor cells in myeloma patients, with little or no side-effects. These properties render DCEP a useful regimen for the debulking and mobilization phase of high-dose programs for multiple myeloma.
Articolo in rivista - Articolo scientifico
Chemotheraphy; Mobilization; Myeloma; Peripheral stem cell; Purging in vivo;
English
2001
28
9
835
839
reserved
Lazzarino, M., Corso, A., Barbarano, L., Alessandrino, E., Cairoli, R., Pinotti, G., et al. (2001). DCEP (dexamethasone, cyclophosphamide, etoposide, and cisplatin) is an effective regimen for peripheral blood stem cell collection in multiple myeloma. BONE MARROW TRANSPLANTATION, 28(9), 835-839 [10.1038/sj.bmt.1703240].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/408703
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