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Cited by 486

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Superiority of bortezomib, thalidomide, and dexamethasone (VTD) as induction pretransplantation therapy in multiple myeloma: a randomized phase 3 PETHEMA/GEM study

Open access
Rosiñol, Laura, Oriol, Albert, Teruel, Ana Isabel, Hernández, Dolores, López-Jiménez, Javier, de la Rubia, Javier, Granell, Miquel, Besalduch, Joan, Palomera, Luis, González, Yolanda, Etxebeste, Mª Asunción, Díaz-Mediavilla, Joaquín, Hernández, Miguel T., de Arriba, Felipe, Gutiérrez, Norma C., Martín-Ramos, Mª Luisa, Cibeira, Mª Teresa, Mateos, Mª Victoria, Martínez, Joaquín, Alegre, Adrián, Lahuerta, Juan José, San Miguel, Jesús, Bladé, Joan·2012·Blood

Abstract

The Spanish Myeloma Group conducted a trial to compare bortezomib/thalidomide/dexamethasone (VTD) versus thalidomide/dexamethasone (TD) versus vincristine, BCNU, melphalan, cyclophosphamide, prednisone/vincristine, BCNU, doxorubicin, dexamethasone/bortezomib (VBMCP/VBAD/B) in patients aged 65 years or younger with multiple myeloma. The primary endpoint was complete response (CR) rate postinduction and post–autologous stem cell transplantation (ASCT). Three hundred eighty-six patients were allocated to VTD (130), TD (127), or VBMCP/VBAD/B (129). The CR rate was significantly higher with VTD than with TD (35% vs 14%, P = .001) or with VBMCP/VBAD/B (35% vs 21%, P = .01). The median progression-free survival (PFS) was significantly longer with VTD (56.2 vs 28.2 vs 35.5 months, P = .01). In an intention-to-treat analysis, the post-ASCT CR rate was higher with VTD than with TD (46% vs 24%, P = .004) or with VBMCP/VBAD/B (46% vs 38%, P = .1). Patients with high-risk cytogenetics had a shorter PFS and overall survival in the overall series and in all treatment groups. In conclusion, VTD resulted in a higher pre- and posttransplantation CR rate and in a significantly longer PFS although it was not able to overcome the poor prognosis of high-risk cytogenetics. Our results support the use of VTD as a highly effective induction regimen prior to ASCT. The study was registered with http://www.clinicaltrials.gov (NCT00461747) and Eudra CT (no. 2005-001110-41).

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Crossref · 10.1182/blood-2012-02-408922

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Metadata

Authors
Rosiñol, L., Oriol, A., Teruel, A. I., Hernández, D., López-Jiménez, J., de la Rubia, J., Granell, M., Besalduch, J., Palomera, L., González, Y., Etxebeste, M. A., Díaz-Mediavilla, J., Hernández, M. T., de Arriba, F., Gutiérrez, N. C., Martín-Ramos, M. L., Cibeira, M. T., Mateos, M. V., Martínez, J., Alegre, A., Lahuerta, J. J., San Miguel, J., & Bladé, J.
Venue
Blood
Published
2012-08-23
Volume
120
Issue
8
Pages
1589-1596
ISSN
  • 0006-4971 (ISSN-L)
  • 1528-0020
OpenAlex
W2039496823
Cited by
486
References
3
FWCI
31.50
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Superiority of bortezomib, thalidomide, and dexamethasone (VTD) as induction pretransplantation therapy in multiple myeloma: a randomized phase 3 PETHEMA/GEM study. https://app.cochat.ai/papers/10.1182/blood-2012-02-408922
The paper
Rosiñol, L., Oriol, A., Teruel, A. I., Hernández, D., López-Jiménez, J., de la Rubia, J., Granell, M., Besalduch, J., Palomera, L., González, Y., Etxebeste, M. A., Díaz-Mediavilla, J., Hernández, M. T., de Arriba, F., Gutiérrez, N. C., Martín-Ramos, M. L., Cibeira, M. T., Mateos, M. V., Martínez, J., . . . Bladé, J. (2012). Superiority of bortezomib, thalidomide, and dexamethasone (VTD) as induction pretransplantation therapy in multiple myeloma: a randomized phase 3 PETHEMA/GEM study. Blood. https://doi.org/10.1182/blood-2012-02-408922

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

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