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Volume 354:2389-2390 June 1, 2006 Number 22
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Thalidomide for Multiple Myeloma

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 by Barlogie, B.
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To the Editor: Barlogie et al. (March 9 issue)1 report an increased response rate of multiple myeloma to thalidomide plus high-dose chemotherapy and transplantation. However, there was no difference in overall survival between the group that received thalidomide from the beginning of the study and the control group, which received thalidomide only after relapse.

The fact that no increase in survival was observed may be particular to the protocol of Barlogie et al., in which high-dose chemotherapy is given concurrently with thalidomide. This design amplifies drug-related toxicity and favors the emergence of tumor and stromal elements that are resistant to . . . [Full Text of this Article]




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