Retrospective Review of the Use of High-Dose Cyclophosphamide, Bortezomib, Doxorubicin, and Dexamethasone for the Treatment of Multiple Myeloma and Plasma Cell Leukemia

Samer Tabchi, Rajit Nair, Chutima Kunacheewa, Krina K. Patel, Hans C. Lee, Sheeba K. Thomas, Behrang Amini, Sairah Ahmed, Rohtesh S. Mehta, Qaiser Bashir, Muzzaffar H. Qazilbash, Donna M. Weber, Robert Z. Orlowski, Raymond Alexanian, Lei Feng, Elisabet E. Manasanch

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

Abstract

We present retrospective data on 140 patients treated with mCBAD (a high-dose modified cyclophosphamide, bortezomib, doxorubicin, and dexamethasone regimen) at our institution. More than 80% (120/140 patients) of patients received ≤2 cycles of mCBAD with best overall response ≥90% (very good partial response 18%-23%, and complete remission 7%-23%). Median overall survival from start date of mCBAD and treatment-related mortality were 14 months for relapsed patients: 8% (10/116; n = 116), 16 months for plasma cell leukemia: 9% (1/11; n = 11), and 35 months for newly diagnosed myeloma: 0% (n = 13). mCBAD response is short-lived and has high treatment-related mortality. It might be useful as a bridge to transplantation or cell therapies when other treatments are not available.

Original languageEnglish (US)
Pages (from-to)560-569
Number of pages10
JournalClinical Lymphoma, Myeloma and Leukemia
Volume19
Issue number9
DOIs
StatePublished - Sep 2019

Keywords

  • High-risk MM
  • Multiple myeloma
  • Newly diagnosed MM
  • Relapse/refractory MM
  • mCBAD

ASJC Scopus subject areas

  • Hematology
  • Oncology
  • Cancer Research

MD Anderson CCSG core facilities

  • Biostatistics Resource Group
  • Clinical Trials Office

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