TY - JOUR
T1 - Feasibility and toxicity of high-dose therapy (HDT) supported by peripheral blood stem cells in elderly patients with multiple myeloma and non-Hodgkin's lymphoma
T2 - Survey from a single institution
AU - Magagnoli, Massimo
AU - Castagna, Luca
AU - Balzarotti, Monica
AU - Sarina, Barbara
AU - Timofeeva, Inna
AU - Bertuzzi, Alexia
AU - Compasso, Silvana
AU - Nozza, Andrea
AU - Siracusano, Licia
AU - Santoro, Armando
PY - 2003/8/1
Y1 - 2003/8/1
N2 - The aim of this retrospective study was to investigate the feasibility of high-dose therapy (HDT) followed by peripheral blood stem cell transplantation (PBSCT) in elderly patients with hematological malignancies. From April 1998 to November 2001, 40 elderly patients (defined as ≥60 years) with non-Hodgkin's lymphoma (12 patients) and multiple myeloma (28 patients) were evaluated. Seven lymphoma and one myeloma patients were in complete remission (CR), 27 in partial remission (PR), two had stable disease (SD), and three progressive disease (PD). The median age was 65 years (range 60-71). Thirty-nine patients were mobilized with chemotherapy plus granulocyte-colony stimulating factor (G-CSF) and one with G-CSF alone. Patients received HDT including melphalan alone in 32 cases or combined with other drugs in six and BEAM in two. The median number of collected CD34+ cells was 12.4 × 106/kg (range 2.0-68.9). The median number of re-infused CD34+ cells was 9.9 × 106/kg (range 2.0-68.9). All patients engrafted after PBSC and the median time to neutrophil recovery (N > 500/IJI) 500/111) and platelet recovery (PLT > 20,000/μl) was 8 days (range 5-18) and 6 days (range 5-18), respectively. Non-hematological toxicity was mild and no patient died from transplant-related toxicity (TRM). Median duration of hospitalization was 18 days (range 12-24). To date, 32 patients are alive and eight died from disease progression at a median follow-up interval of 24 months. HDT supported by PBSC is a feasible procedure in selected elderly patients, and an age of more than 60 years should not be considered a contraindication for HDT.
AB - The aim of this retrospective study was to investigate the feasibility of high-dose therapy (HDT) followed by peripheral blood stem cell transplantation (PBSCT) in elderly patients with hematological malignancies. From April 1998 to November 2001, 40 elderly patients (defined as ≥60 years) with non-Hodgkin's lymphoma (12 patients) and multiple myeloma (28 patients) were evaluated. Seven lymphoma and one myeloma patients were in complete remission (CR), 27 in partial remission (PR), two had stable disease (SD), and three progressive disease (PD). The median age was 65 years (range 60-71). Thirty-nine patients were mobilized with chemotherapy plus granulocyte-colony stimulating factor (G-CSF) and one with G-CSF alone. Patients received HDT including melphalan alone in 32 cases or combined with other drugs in six and BEAM in two. The median number of collected CD34+ cells was 12.4 × 106/kg (range 2.0-68.9). The median number of re-infused CD34+ cells was 9.9 × 106/kg (range 2.0-68.9). All patients engrafted after PBSC and the median time to neutrophil recovery (N > 500/IJI) 500/111) and platelet recovery (PLT > 20,000/μl) was 8 days (range 5-18) and 6 days (range 5-18), respectively. Non-hematological toxicity was mild and no patient died from transplant-related toxicity (TRM). Median duration of hospitalization was 18 days (range 12-24). To date, 32 patients are alive and eight died from disease progression at a median follow-up interval of 24 months. HDT supported by PBSC is a feasible procedure in selected elderly patients, and an age of more than 60 years should not be considered a contraindication for HDT.
KW - Elderly patients
KW - Multiple myeloma
KW - Non-Hodgkin's lymphoma
KW - PBSC transplantation
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U2 - 10.1002/ajh.10384
DO - 10.1002/ajh.10384
M3 - Article
C2 - 12879431
AN - SCOPUS:0041308064
VL - 73
SP - 267
EP - 272
JO - American Journal of Hematology
JF - American Journal of Hematology
SN - 0361-8609
IS - 4
ER -