International Myeloma Working Group consensus statement regarding the current status of allogeneic stem-cell transplantation for multiple myeloma.

Lokhorst, Henk; Einsele, Hermann; Vesole, David; Bruno, Benedetto; San Miguel, Jesus; Pérez-Simon, Jose A; Kröger, Nicolaus; Moreau, Philippe et al. · J Clin Oncol · 2010

review · Level V

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Abstract

To define consensus statement regarding allogeneic stem-cell transplantation (Allo-SCT) as a treatment option for multiple myeloma (MM) on behalf of International Myeloma Working Group. In this review, results from prospective and retrospective studies of Allo-SCT in MM are summarized. Although the introduction of reduced-intensity conditioning (RIC) has lowered the high treatment-related mortality associated with myeloablative conditioning, convincing evidence is lacking that Allo-RIC improves the survival compared with autologous stem-cell transplantation. New strategies are necessary to make Allo-SCT safer and more effective for patients with MM. Until this is achieved, Allo-RIC in myeloma should only be recommended in the context of clinical trials.

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