Allogeneic bone marrow transplantation in 24 patients with multiple myeloma reported to the ebmt registry
✍ Scribed by Professor G. Gahrton; S. Tura; M. Flesch; A. Gratwohl; P. Gravett; A. Lindeberg; G. Lucarelli; M. Michallet; J. Reiffers; O. Ringdén; J. Nikoskelainen; M. T. Van Lint; J.-P. Vernant; F. E. Zwaan
- Publisher
- John Wiley and Sons
- Year
- 1988
- Tongue
- English
- Weight
- 338 KB
- Volume
- 6
- Category
- Article
- ISSN
- 0278-0232
No coin nor oath required. For personal study only.
✦ Synopsis
Twenty-four patients with multiple myeloma received an allogeneic bone-marrow graft from HLAcompatible sibling donors (n = 23), or a twin donor (n = 1). Eighteen patients are alive, 1-36 months post bone-marrow transplantation (median 14 months). Ten of these patients had no signs ofmultiple myeloma as judged by immunoglobulins in serum, light chains in urine, or the percentage of plasmacells in bone-marrow aspirate. Bone lesions on X-ray were mainly unchanged. Six patients died from transplant-related complications 3 weeks to 5 months post transplantation. One of these patients had severe acute graft-versus-host disease (aGVHD). In other patients aGVHD was a minor problem. Allogeneic bone-marrow transplantation appears to be a promising method for treatment of a selected group of patients with multiple myeloma.
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A study of 32 patients receiving cyclophosphamide (CY) and verapamil (VER) in addition to the drug combination vincristine, adriamycin and methyl prednisolone (VAMP) was made in which the clinical response and growth of clonogenic myeloma cells (MY-CFUJ from bone marrow aspirates were compared. At p