Clinical Edge

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Combo could replace standard conditioning regimen for myeloma

Key clinical point: Busulfan plus melphalan could replace melphalan alone as the standard conditioning regimen for multiple myeloma patients undergoing autologous hematopoietic cell transplant.
Major finding: Patients who received busulfan plus melphalan had significantly longer median progression-free survival compared with patients who received melphalan alone - 64.7 months versus 43.5 months (P = .022).
Study details: A phase 3 trial of 205 patients with multiple myeloma undergoing autologous hematopoietic cell transplant.
Disclosures: The trial was sponsored by MD Anderson Cancer Center in collaboration with Otsuka Pharmaceutical Development & Commercialization. The work was funded in part by the National Institutes of Health. The researchers reported having no financial disclosures.

Citation:

Bashir Q et al. Lancet Haematol. 2019 Mar 22. doi: 10.1016/S2352-3026(19)30023-7.