In this issue of the Journal, San Miguel et al.1 describe thebenefit of combining bortezomib with melphalan plus prednisone,as compared with melphalan plus prednisone alone, as initialtherapy for patients with myeloma who are not candidates forhematopoietic stem-cell transplantation. The critical comparativestatistics leave no doubt that combination therapy with bortezomibis superior to melphalan plus prednisone alone. But how doesthis clear-cut evidence inform treatment decisions? To effectivelyapply these findings to clinical practice in the appropriatesetting, we need prospective comparisons with other availableoptions, valid uniform standards for those comparisons, andgreater consideration of . . . [Full Text of this Article]
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From the Cedars–Sinai Outpatient Cancer Center at the Samuel Oschin Comprehensive Cancer Institute and Aptium Oncology — both in Los Angeles.
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