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Cited by 305

The DOI matches its Crossref record; 5 of the 5 references it cites were found in a registry or an index.

Reversibility of symptomatic peripheral neuropathy with bortezomib in the phase III APEX trial in relapsed multiple myeloma: impact of a dose‐modification guideline

Open access
Richardson, Paul G., Sonneveld, Pieter, Schuster, Michael W., Stadtmauer, Edward A., Facon, Thierry, Harousseau, Jean‐Luc, Ben‐Yehuda, Dina, Lonial, Sagar, Goldschmidt, Hartmut, Reece, Donna, Bladé, Joan, Boccadoro, Mario, Cavenagh, Jamie D., Boral, Anthony L., Esseltine, Dixie‐Lee, Wen, Patrick Y., Amato, Anthony A., Anderson, Kenneth C., San Miguel, Jesus·2009·British Journal of Haematology

Abstract

Summary: The frequency, characteristics and reversibility of bortezomib‐associated peripheral neuropathy were evaluated in the phase III APEX (Assessment of Proteasome Inhibition for Extending Remissions) trial in patients with relapsed myeloma, and the impact of a dose‐modification guideline on peripheral neuropathy severity and reversibility was assessed. Patients received bortezomib 1·3 mg/m 2 (days 1, 4, 8, 11, eight 21‐d cycles, then days 1, 8, 15, 22, three 35‐d cycles); bortezomib was held, dose‐reduced or discontinued depending on peripheral neuropathy severity, according to a protocol‐specified dose‐modification guideline. Overall, 124/331 patients (37%) had treatment‐emergent peripheral neuropathy, including 30 (9%) with grade ≥3; incidence and severity were not affected by age, number/type of prior therapies, baseline glycosylated haemoglobin level, or diabetes history. Grade ≥3 incidence appeared lower versus phase II trials (13%) that did not specifically provide dose‐modification guidelines. Of patients with grade ≥2 peripheral neuropathy, 58/91 (64%) experienced improvement or resolution to baseline at a median of 110 d, including 49/72 (68%) who had dose modification versus 9/19 (47%) who did not. Efficacy did not appear adversely affected by dose modification for grade ≥2 peripheral neuropathy. Bortezomib‐associated peripheral neuropathy is manageable and reversible in most patients with relapsed myeloma. Dose modification using a specific guideline improves peripheral neuropathy management without adversely affecting outcome.

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Metadata

Authors
Richardson, P. G., Sonneveld, P., Schuster, M. W., Stadtmauer, E. A., Facon, T., Harousseau, J., Ben‐Yehuda, D., Lonial, S., Goldschmidt, H., Reece, D., Bladé, J., Boccadoro, M., Cavenagh, J. D., Boral, A. L., Esseltine, D., Wen, P. Y., Amato, A. A., Anderson, K. C., & San Miguel, J.
Venue
British Journal of Haematology
Publisher
Wiley
Published
2009-02-19
Volume
144
Issue
6
Pages
895-903
ISSN
  • 0007-1048 (ISSN-L)
  • 1365-2141
OpenAlex
W1989740966
Cited by
305
References
5
FWCI
22.19
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Reversibility of symptomatic peripheral neuropathy with bortezomib in the phase III APEX trial in relapsed multiple myeloma: impact of a dose‐modification guideline. https://app.cochat.ai/papers/10.1111/j.1365-2141.2008.07573.x
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Richardson, P. G., Sonneveld, P., Schuster, M. W., Stadtmauer, E. A., Facon, T., Harousseau, J., Ben‐Yehuda, D., Lonial, S., Goldschmidt, H., Reece, D., Bladé, J., Boccadoro, M., Cavenagh, J. D., Boral, A. L., Esseltine, D., Wen, P. Y., Amato, A. A., Anderson, K. C., & San Miguel, J. (2009). Reversibility of symptomatic peripheral neuropathy with bortezomib in the phase III APEX trial in relapsed multiple myeloma: impact of a dose‐modification guideline. British Journal of Haematology. https://doi.org/10.1111/j.1365-2141.2008.07573.x

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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.