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Cited by 262

The DOI matches its Crossref record; 18 of the 18 references it cites were found in a registry or an index.

Thrombogenic activity of doxorubicin in myeloma patients receiving thalidomide: implications for therapy

Zangari, Maurizio, Siegel, Eric, Barlogie, Bart, Anaissie, Elias, Saghafifar, Fariba, Fassas, Athanasios, Morris, Christopher, Fink, Louis, Tricot, Guido·2002·Blood

Abstract

Ten percent of newly diagnosed myeloma patients treated with any type of chemotherapy develop deep venous thrombosis (DVT). Thalidomide has proven activity in refractory multiple myeloma (MM), and although single-agent thalidomide has minimal prothrombogenic activity, its combination with cytotoxic chemotherapy is associated with a significantly increased risk of DVT. We analyzed the incidence of DVT in 232 MM patients who received a combination of chemotherapy and thalidomide on 2 protocols that differed only by the inclusion of doxorubicin in one. DT-PACE (dexamethasone/thalidomide/cisplatin/doxorubicin/cyclophos- phanide/etoposide) was offered to patients with preceding standard dose therapy, but no prior autotransplantation, while DCEP-T (dexamethasone/cyclophosphamide/etoposide/cisplatin/thalidomide) was administered for relapse after transplantation. If there were signs or symptoms suggestive of DVT, patients received additional investigations, including Doppler ultrasonography, followed by venography if indicated. Only patients on DT-PACE but not DCEP-T experienced an increased incidence of DVT. A statistical association between the incidence of DVT and combination chemotherapy including doxorubicin (P = .02) was observed; this association was confirmed on multivariate analysis. MM patients treated with thalidomide and doxorubicin have a high risk of developing DVT.

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Metadata

Authors
Zangari, M., Siegel, E., Barlogie, B., Anaissie, E., Saghafifar, F., Fassas, A., Morris, C., Fink, L., & Tricot, G.
Venue
Blood
Published
2002-08-15
Volume
100
Issue
4
Pages
1168-1171
ISSN
  • 0006-4971 (ISSN-L)
  • 1528-0020
OpenAlex
W2103660186
Cited by
262
References
18
FWCI
11.70
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Thrombogenic activity of doxorubicin in myeloma patients receiving thalidomide: implications for therapy. https://app.cochat.ai/papers/10.1182/blood-2002-01-0335
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Zangari, M., Siegel, E., Barlogie, B., Anaissie, E., Saghafifar, F., Fassas, A., Morris, C., Fink, L., & Tricot, G. (2002). Thrombogenic activity of doxorubicin in myeloma patients receiving thalidomide: implications for therapy. Blood. https://doi.org/10.1182/blood-2002-01-0335

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