Turkish Journal of Medical Sciences
Abstract
Background/aim: Carfilzomib (CFZ) is a new-generation proteasome inhibitor with significant activity in relapsed or refractory multiple myeloma (R/R-MM). We have retrospectively evaluated R/R-MM patients who were treated with CFZ plus dexamethasone. Materials and methods: Twenty-one R/R-MM patients who were treated with CFZ plus dexamethasone between October 2013 and January 2016 were screened. The patients were followed until March 2016 after CFZ treatment. Results: Ten (47.6%) of the patients were female and 11 (52.4%) of them were male. The median age was 62 (47-76) years. The median number of prior treatment lines was 3 (2-7). The median number of administered cycles of treatment for CFZ was 4 (1-10). The median overall response rate was 26.3%. The most common hematological adverse events were anemia and thrombocytopenia (38%). The most common nonhematological adverse event was fatigue (71.4%). One patient died because of a cerebrovascular event and 1 patient died because of pneumonia during the treatment period. The median duration of response rate and time to next therapy were 8 (7-9) and 3 (2-16) months, respectively. The median overall survival was 8 (0.5-33) months. Conclusion: Despite the small number of patients, our results suggest that CFZ provides acceptable responses in heavily pretreated R/R-MM patients.
DOI
10.3906/sag-1611-97
Keywords
Multiple myeloma, carfilzomib, proteasome inhibitors, novel therapies
First Page
80
Last Page
83
Recommended Citation
UYSAL, A, SOYER, N. A, ÖZKAN, M, ŞAHİN, F, VURAL, F, TÖBÜ, M, TOMBULOĞLU, M, & SAYDAM, G (2018). Carfilzomib experience in relapsed/refractory multiplemyeloma: a single-center experience. Turkish Journal of Medical Sciences 48 (1): 80-83. https://doi.org/10.3906/sag-1611-97