Source:http://linkedlifedata.com/resource/pubmed/id/17589534
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2007-9-5
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pubmed:abstractText |
Clinical outcomes of patients with AL amyloidosis treated with high-dose melphalan and stem cell transplantation (HDM/SCT) are tightly linked to the achievement of a hematologic complete response (HCR). We conducted a prospective trial to determine whether a second cycle of HDM/SCT could induce HCR in patients in whom the plasma cell dyscrasia persisted following initial treatment with HDM/SCT. Sixty-two patients were enrolled. Nine patients (15%) were removed from the protocol. Of the 53 patients continuing in this study, four died within 100 days of treatment (8%), and 27 (55%) achieved an HCR at 6 months after the first cycle of HDM/SCT. Of the 22 patients who did not achieve an HCR after initial treatment, 17 received a second HDM/SCT, 1 died within 100 days of treatment (6%), while 5 (31%) achieved an HCR. Thus, the HCR rate was 67% (32/48) for surviving patients on study, 60% (32/53) for all patients who received initial cycle of HDM/SCT, and 56% (35/62) by intention-to-treat. The median survival for all patients enrolled on the trial has not yet been reached. Thus, tandem cycles of HDM/SCT can increase the proportion of patients who achieve an HCR.
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pubmed:grant | |
pubmed:commentsCorrections | |
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 |
Sep
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pubmed:issn |
0268-3369
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
40
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
557-62
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pubmed:meshHeading |
pubmed-meshheading:17589534-Adult,
pubmed-meshheading:17589534-Aged,
pubmed-meshheading:17589534-Amyloidosis,
pubmed-meshheading:17589534-Antineoplastic Agents, Alkylating,
pubmed-meshheading:17589534-Combined Modality Therapy,
pubmed-meshheading:17589534-Female,
pubmed-meshheading:17589534-Hematopoietic Stem Cell Transplantation,
pubmed-meshheading:17589534-Humans,
pubmed-meshheading:17589534-Immunoglobulin Light Chains,
pubmed-meshheading:17589534-Male,
pubmed-meshheading:17589534-Melphalan,
pubmed-meshheading:17589534-Middle Aged,
pubmed-meshheading:17589534-Patient Dropouts,
pubmed-meshheading:17589534-Prospective Studies,
pubmed-meshheading:17589534-Survival Rate,
pubmed-meshheading:17589534-Transplantation, Autologous,
pubmed-meshheading:17589534-Treatment Outcome
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pubmed:year |
2007
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pubmed:articleTitle |
Tandem cycles of high-dose melphalan and autologous stem cell transplantation increases the response rate in AL amyloidosis.
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pubmed:affiliation |
Department of Medicine [corrected] Stem Cell Transplantation Program, Section of Hematology-Oncology, Boston University School of Medicine [corrected] Boston, MA, USA. Vaishali.Sanchorawala@bmc.org
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, Non-U.S. Gov't,
Research Support, N.I.H., Extramural
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