Review Article
Autologous Stem Cell Transplantation in Elderly Patients with Multiple Myeloma: Past, Present, and Future
Table 2
Comparison of clinical outcomes of ASCT according to different age groups.
| Authors (year) | Median age (range) | Number of patients | Conditioning regimen | TRM | CR | Median PFS | Median OS |
|
Siegel et al., (1999) [23] | 52 (37–64) | 49 |
MEL 200 | 2% | 43% | 34 mo | 58 mo | 67 (65–76) | 49 | 8% | 20%* | 18 mo | 40 mo |
|
Sirohi et al., (2000) [24] | 55 (31–64) | 17 |
MEL 200 | 12% | 47% | 23 mo | 36 mo | 67 (65–74) | 17 | 18% | 35% | 24 mo | 43 mo |
|
Reece et al., (2003) [25] | 52 (30–59) | 382 |
MEL ± TBI and others | 6% | 34% | 27 mo | 39 mo | 63 (60–73) | 110 | 5% | 33% | 24 mo | 39 mo |
|
Jantunen et al., (2006) [26] | 57 (39–64) | 79 |
MEL 200 | 1% | 36% | 21 mo | 66 mo | 68 (65–73) | 22 | 0% | 44% | 23 mo | 57 mo |
|
Gertz et al., (2007) [27] | ≤65 | 541 | MEL 200 | 3% | 30% | 17 mo | 44 mo | >65 | 137 | MEL 140–200 | 3% | 40% | 17 mo | 44 mo |
| Kumar et al., (2008) [28] | 56 (37–65) | 60 | MEL 200 | 0% | 28% | 18 mo | 53 mo | 72 (70–76) | 33 | MEL 140–200 | 3% | 42% | 29 mo | NR |
|
El Cheikh et al., (2011) [29] | 62 (60–65) | 104 | MEL 140–200 | 4% | 48% | 45 mo | 57% at 5 yr | 69 (65–77) | 82 | MEL 100–200 | 4% | 41% | 27 mo** | 54% at 5 yr |
|
Muta et al., (2013) [30] | 60 (51–64) | 63 | MEL 180–200 | 3% | 24% | 21 mo | 73 mo | 67 (65–76) | 25 | MEL 100–200 | 4% | 12% | 17 mo | 41 mo |
|
|
TRM: treatment-related mortality; CR: complete response; PFS: progression-free survival; OS: overall survival; MEL: melphalan; TBI: total body irradiation; mo: months; yr: years; NR: not reached. , .
|