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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
7
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pubmed:dateCreated |
1999-1-12
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pubmed:abstractText |
Allogeneic transplantation may be curative in a proportion of patients with multiple myeloma (MM), but relapse is a major cause of treatment failure. We sought to improve complete remission (CR) rates by the use of alpha-interferon (alpha-IFN) in patients not in CR when evaluated 4 months post-transplant. We report five of 13 evaluable patients undergoing allogeneic sibling BM or PBSC transplantation for MM between 1990 and 1997 who met the criteria for adjuvant alpha-IFN therapy. A starting dose of 3 MU x 3/week was commenced at median time of day +126 (range day +112-224) post-transplant and was well-tolerated. In contrast to other reports we observed no increased toxicity in terms of GVHD compared to those patients not receiving alpha-IFN therapy and only one patient treated with alpha-IFN has developed chronic GVHD. Durable CRs were achieved in two patients within 8 weeks of starting therapy whilst two other patients required a longer course of alpha-IFN to achieve CR (36 weeks and 30 weeks, respectively). One patient whose paraprotein was rapidly rising at the time of alpha-IFN therapy clinically relapsed despite 6 months of treatment. None of the patients who achieved CR following alpha-IFN therapy have relapsed and we conclude that alpha-IFN is a safe and effective adjuvant treatment for some patients in the achievement of CR following allogeneic transplantation for myeloma.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0268-3369
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
22
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
639-43
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:9818690-Adult,
pubmed-meshheading:9818690-Antineoplastic Agents,
pubmed-meshheading:9818690-Bone Marrow Transplantation,
pubmed-meshheading:9818690-Combined Modality Therapy,
pubmed-meshheading:9818690-Female,
pubmed-meshheading:9818690-Hematopoietic Stem Cell Transplantation,
pubmed-meshheading:9818690-Humans,
pubmed-meshheading:9818690-Interferon-alpha,
pubmed-meshheading:9818690-Male,
pubmed-meshheading:9818690-Middle Aged,
pubmed-meshheading:9818690-Multiple Myeloma,
pubmed-meshheading:9818690-Remission Induction,
pubmed-meshheading:9818690-Transplantation, Homologous
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pubmed:year |
1998
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pubmed:articleTitle |
Adjuvant alpha-interferon improves complete remission rates following allogeneic transplantation for multiple myeloma.
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pubmed:affiliation |
Department of Haematology, City Hospital and University of Nottingham, UK.
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pubmed:publicationType |
Journal Article
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