Skip to main content
Log in

Vincristine and oral etoposide in refractory multiple myeloma

  • Clinical Trial Report
  • Refractory Multiple Myeloma, Vincristine, Etoposide
  • Published:
Cancer Chemotherapy and Pharmacology Aims and scope Submit manuscript

Abstract

A total of 15 patients with refractory multiple myeloma (MM; 4 primary unresponsive and 11 relapsed and resistant to re-induction/salvage therapy) received i.v. vincristine on day 1 and oral etoposide daily for 4 days, the treatment being repeated at 3-weekly intervals. The patients were re-assessed after three cycles of chemotherapy, and non-responders received no further therapy. There was no complete or partial response. A minimal response was seen in two patients, and two others showed stable disease. None of the responses was sustained, and all patients eventually had progressive disease. It is concluded that combination chemotherapy with vincristine and oral etoposide given by this schedule is unlikely to be of any value in refractory myeloma.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Alberto DS, Durie BGM, Salmon SE (1977) Treatment of multiple myeloma in remission with anticancer drugs having cell cycle specific characteristics. Cancer Treat Rep 61: 381

    Google Scholar 

  2. Alexanian R, Dimopoulos M, Barlogie B, Vadhan RS, Champlin R (1991) Chemotherapy for resistant and relapsing multiple myeloma. In: Pileri A, Boccadoro M (eds) Multiple myeloma from biology to therapy — abstracts of the IIIrd International Workshop, Turin. p 105

  3. Barlogie B, Smith L, Alexanian R (1984) Effective treatment of advanced multiple myeloma refractory to alkylating agents. N Engl J Med 310: 1353

    Article  CAS  PubMed  Google Scholar 

  4. Barlogie B, Velasquez WS, Alexanian R, Cabanillas F (1989) Etoposide, dexamethasone, cytarabine and cisplatin in vincristine, doxorubicin and dexamethasone refractory myeloma. J Clin Oncol 7: 1514

    CAS  PubMed  Google Scholar 

  5. Dalton WS, Salmon SE (1992) Drug resistance in myeloma: mechanisms and approaches to circumvention. Haematol Oncol Clin North Am 6: 383

    CAS  Google Scholar 

  6. Durie BGM, Salmon SE (1982) The current status and future prospects of treatment for multiple myeloma. Clin Haematol 11: 181

    CAS  PubMed  Google Scholar 

  7. Gore ME, Viner C, Meldrum M, Bell J, Milan S, Zuiable A, Slevin M, Selby PJ, Clark PI, Millar B, Maitland JA, Judson IR, Tillyer C, Malpas JS, McElwain TJ (1989) Intensive treatment of multiple myeloma and criteria for complete remission. Lancet II: 879

    Article  Google Scholar 

  8. Leoni F, Ciolli S, Salti F, Teodori P, Ferrini PR (1991) Teniposide, dexamethasone and continuous-infusion cyclophosphamide in advanced refractory myeloma. Br J Haematol 77: 180

    Article  CAS  PubMed  Google Scholar 

  9. Salmon SE, Haut A, Bonnet JD, Amare M, Weick JK, Durie BM (1983) Alternating combination chemotherapy improves survival in multiple myeloma — a South-West Oncology Group study. J Clin Oncol 1: 453

    CAS  PubMed  Google Scholar 

  10. WHO (1979) Handbook for reporting results of cancer treatment. Offset publication 45. WHO, Geneva

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ganjoo, R.K., Williams, A. & Malpas, J.S. Vincristine and oral etoposide in refractory multiple myeloma. Cancer Chemother. Pharmacol. 35, 343–344 (1995). https://doi.org/10.1007/BF00689456

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00689456

Key words

Navigation