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Results from a multicenter, noninterventional registry study for multiple myeloma patients who received stem cell mobilization regimens with and without plerixafor
C. Morris, C. Chabannon, T. Masszi, N. Russell, H. Nahi, G. Kobbe, M. Krejci, HW. Auner, D. Pohlreich, P. Hayden, GW. Basak, S. Lenhoff, N. Schaap, A. van Biezen, C. Knol, S. Iacobelli, Q. Liu, M. Celanovic, L. Garderet, N. Kröger
Language English Country Great Britain
Document type Journal Article, Multicenter Study, Research Support, Non-U.S. Gov't
NLK
Free Medical Journals
from 1997 to 1 year ago
Freely Accessible Science Journals
from 1997 to 1 year ago
ProQuest Central
from 2000-01-01 to 1 year ago
Open Access Digital Library
from 1997-01-01
Health & Medicine (ProQuest)
from 2000-01-01 to 1 year ago
- MeSH
- Benzylamines MeSH
- Cyclams MeSH
- Heterocyclic Compounds * MeSH
- Humans MeSH
- Neoplasm Recurrence, Local MeSH
- Multiple Myeloma * therapy MeSH
- Hematopoietic Stem Cell Mobilization MeSH
- Registries MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Multicenter Study MeSH
- Research Support, Non-U.S. Gov't MeSH
Plerixafor plus granulocyte-colony stimulating factor (G-CSF) enhances the mobilization of hematopoietic stem cells (HSCs) for collection and subsequent autologous hematopoietic stem cell transplantation (HSCT) in patients with multiple myeloma (MM). This international, multicenter, noninterventional registry study (NCT01362972), evaluated long-term outcomes for MM patients who received plerixafor versus other mobilization regimens. The comparisons were: G-CSF + plerixafor (G-CSF + P) versus G-CSF-; G-CSF + P versus G-CSF + chemotherapy (G-CSF + C); and G-CSF + P + C versus G-CSF + C. Propensity score matching was used to balance groups. Primary outcome measures were progression free survival (PFS), overall survival (OS), and cumulative incidence of relapse (CIR) after transplantation. After propensity matching, 77 versus 41 patients in the G-CSF + P versus G-CSF cohorts, 129 versus 129 in the G-CSF + P versus G-CSF + C cohorts, and 117 versus 117 in the G-CSF + P + C versus G-CSF + C cohorts were matched, respectively. Propensity score matching resulted in a smaller sample size and imbalances were not completely overcome. For both PFS and OS, the upper limits of the hazard ratio 95% confidence intervals exceeded prespecified boundaries; noninferiority was not demonstrated. CIR rates were higher in the plerixafor cohorts. G-CSF + P remains an option for the mobilization of HSCs in poor mobilizers with MM with no substantial differences in PFS, OS, and CIR in comparison with other regimens.
Charles University Hospital Prague Czech Republic
European Society for Blood and Marrow Transplantation Leiden The Netherlands
Hospital Saint Antoine Paris France
Imperial College London London UK
Institut Paoli Calmettes Marseille France
Karolinska University Hospital Stockholm Sweden
Medical University of Warsaw Warsaw Poland
Nottingham University Nottingham UK
Radboud University Medical Centre Nijmegen The Netherlands
Semmelweis University Budapest Hungary
Skanes University Hospital Lund Sweden
St James Hospital Dublin Ireland
University Hospital Hamburg Germany
References provided by Crossref.org
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