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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2011-2-14
pubmed:abstractText
We investigated the administration of intravenous (i.v.) busulfan (Bu) combined with melphalan (Mel) in patients with advanced lymphoid malignancies undergoing autologous stem cell transplantation. Bu 130 mg/m(2) was infused daily for 4 days, either as a fixed dose per body surface area (BSA), or to target an average daily area under the curve of 5000 ?mol-min, determined by a test dose of i.v. Bu at 32 mg/m(2) given 48 hours prior to the high-dose regimen, followed by a rest day, followed by 2 daily doses of Mel at 70 mg/m(2). Stem cells were infused the following day. Eighty patients had i.v. Bu delivered per test dose guidance. The median daily systemic Bu exposure was 4867 ?mol-min. One hundred two patients (Hodgkin lymphoma n = 49, non-Hodgkin lymphoma n = 12, multiple myeloma = 41) with a median age of 44 years (range: 19-65 years) were treated. The 2-year overall survival and progression-free survival rates were 85% and 57%, respectively, for patients with Hodgkin lymphoma, 67% and 64%, respectively, for patients with non-Hodgkin lymphoma, and 82% and 42%, respectively, for patients with multiple myeloma. The regimen was very well tolerated with treatment-related mortality at 100 days, 1 year, and 2 years of 1%, 3%, and 3%, respectively. Intravenous Bu-Mel was well tolerated. Disease control wa encouraging, and should be explored in larger phase II studies.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
1523-6536
pubmed:author
pubmed:copyrightInfo
Copyright © 2011. Published by Elsevier Inc.
pubmed:issnType
Electronic
pubmed:volume
17
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
412-20
pubmed:meshHeading
pubmed-meshheading:20674757-Adult, pubmed-meshheading:20674757-Aged, pubmed-meshheading:20674757-Antineoplastic Agents, Alkylating, pubmed-meshheading:20674757-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:20674757-Busulfan, pubmed-meshheading:20674757-Female, pubmed-meshheading:20674757-Hematopoietic Stem Cell Transplantation, pubmed-meshheading:20674757-Hodgkin Disease, pubmed-meshheading:20674757-Humans, pubmed-meshheading:20674757-Infusions, Intravenous, pubmed-meshheading:20674757-Lymphoma, Non-Hodgkin, pubmed-meshheading:20674757-Lymphoproliferative Disorders, pubmed-meshheading:20674757-Male, pubmed-meshheading:20674757-Melphalan, pubmed-meshheading:20674757-Middle Aged, pubmed-meshheading:20674757-Multiple Myeloma, pubmed-meshheading:20674757-Severity of Illness Index, pubmed-meshheading:20674757-Survival Analysis, pubmed-meshheading:20674757-Transplantation, Autologous, pubmed-meshheading:20674757-Transplantation Conditioning, pubmed-meshheading:20674757-Young Adult
pubmed:year
2011
pubmed:articleTitle
Intravenous busulfan plus melphalan is a highly effective, well-tolerated preparative regimen for autologous stem cell transplantation in patients with advanced lymphoid malignancies.
pubmed:affiliation
Department of Stem Cell Transplantation and Cellular Therapy, University of Texas M.D. Anderson Cancer Center, Houston, Texas 77030, USA. pkebriae@mdanderson.org
pubmed:publicationType
Journal Article, Clinical Trial