In this study to evaluate and compare the therapeutic effect Bortezomib subcutaneous + Dexamethasone (IV) + thalidomide oral with Bortezomib subcutaneous + oral prednisolone + thalidomide orally in patients with newly diagnosed multiple myeloma.
In this study, which is done as a simple randomized clinical trial, 30 patients with newly diagnosed multiple myeloma who wish to participate in the study, and written informed consent form to complete, beginning with clinical trials including CBC-BUN-Cr-ESR-CRP-Ca-Alb-B2M-LDH-Electrophoresis of serum Pr and urine & BMA/B Divided into 2 groups:
1:
3 cycles of Bortezomib S.C (1.3 mg/m2 on days 1, 4, 8, and 11 at 3-week intervals
Dexamethasone (40 mg I.V on days 1, 4, 8, and 11 at 3-week intervals)
Tab Thalidomide (100 mg P.O Daily D1_D21)
2:
3 cycles of Bortezomib S.C (1.3 mg/m2 on days 1, 4, 8, and 11 at 3-week intervals)
Tab Prednisolone (100 mg P.O on days 1_ 4, and 8_11 at 3-week intervals)
Tab Thalidomide (100 mg P.O Daily D1_ D21)
After 4 cycles of treatment to assess response to treatment clinical trials and once again BMA / B and flow cytometry repeated. In addition, the side effects of therapy in the two study groups was determined and compared.