Study entry criteria
Inclusion criteria |
MM/NHL in 1st or 2nd CR or PR |
Age, 18-70 y |
ECOG performance status of 0 or 1 |
Up to 3 prior chemotherapy regimens (thalidomide and dexamethasone were not considered chemotherapy for this purpose) |
Resolution of all prior acute chemotherapy toxicities |
WBC count greater than 3.0 × 109/L; ANC greater than 1.5 × 109/L; platelet count greater than 100 × 109/L |
Cr no more than 195 μM |
AST/ALT/bilirubin less than twice normal |
LVEF greater than 45% |
DLco greater than 45%, FEV1 greater than 50% predicted |
HIV negative |
Able to provide informed consent |
For women, not being pregnant and being willing to use contraception |
Exclusion criteria |
High-risk comorbidities for acute treatment complications (eg, symptomatic coronary artery disease) |
Residual acute conditions from prior chemotherapy |
Brain metastases or carcinomatous meningitis |
Acute infection or unexplained fever above 38°C |
Hypercalcemia (0.25 mM above normal) |
Weight greater than 150% of ideal weight |
Experimental therapy within 4 wk |
Recent cytokine administration (pegfilgrastim [Neulasta] within 21 d; other cytokines within 7 d) |
For women, pregnancy or lactation |
ECOG, Eastern Cooperative Oncology Group; WBC, white blood cell; ANC, absolute neutrophil count; Cr, creatine; AST, aspartate aminotransferase; ALT, alanine aminotransferase; LVEF, alanine aminotransferase; DLco, diffusing lung capacity for carbon monoxide; FEV1, forced expiratory volume in 1 second. |
Inclusion criteria |
MM/NHL in 1st or 2nd CR or PR |
Age, 18-70 y |
ECOG performance status of 0 or 1 |
Up to 3 prior chemotherapy regimens (thalidomide and dexamethasone were not considered chemotherapy for this purpose) |
Resolution of all prior acute chemotherapy toxicities |
WBC count greater than 3.0 × 109/L; ANC greater than 1.5 × 109/L; platelet count greater than 100 × 109/L |
Cr no more than 195 μM |
AST/ALT/bilirubin less than twice normal |
LVEF greater than 45% |
DLco greater than 45%, FEV1 greater than 50% predicted |
HIV negative |
Able to provide informed consent |
For women, not being pregnant and being willing to use contraception |
Exclusion criteria |
High-risk comorbidities for acute treatment complications (eg, symptomatic coronary artery disease) |
Residual acute conditions from prior chemotherapy |
Brain metastases or carcinomatous meningitis |
Acute infection or unexplained fever above 38°C |
Hypercalcemia (0.25 mM above normal) |
Weight greater than 150% of ideal weight |
Experimental therapy within 4 wk |
Recent cytokine administration (pegfilgrastim [Neulasta] within 21 d; other cytokines within 7 d) |
For women, pregnancy or lactation |
ECOG, Eastern Cooperative Oncology Group; WBC, white blood cell; ANC, absolute neutrophil count; Cr, creatine; AST, aspartate aminotransferase; ALT, alanine aminotransferase; LVEF, alanine aminotransferase; DLco, diffusing lung capacity for carbon monoxide; FEV1, forced expiratory volume in 1 second. |