《多发性骨髓瘤化疗方案.docx》由会员分享，可在线阅读，更多相关《多发性骨髓瘤化疗方案.docx（8页珍藏版）》请在三一文库上搜索。
1、精品文档化疗方案骨髓瘤万案药物剂量用法时间ABVD母28天周期阿霉素25mg/m2ivd1, 15博来霉素210mg/mivd1, 15长春碱6mg/m2ivd1, 15达卡巴嗪375mg/m2ivd1, 15BACOP（*为加强方案）阿霉素25mg/m2 (*40mg/m2)或ivd1, 8母28天周期EPI 40mg/m2 (*50mg/m2)环磷酰胺2650mg/mivd1, 8长春新碱21.4mg/mivd1, 8泼尼松40-60mg/m2pod15-28博来霉素10mg/m2ivd15, 22BEACOPP（*为加强方案）阿霉素25mg/m2 (*35mg/m2)ivd1每21天一周
2、期环磷酰胺650mg/m2 (*1250mg/m2)ivd1依托泊甘100mg/m2 (*200mg/m2)ivd1-3长春新碱1.4mg/m (max 2mg/m )ivd8甲基苄肼2100mg/mpod1-7泼尼松40mg/m2pod1-14博来霉素210mg/mivd8dex-DEAM卡莫司汀260mg/mivd2美法仑220mg/mivd3依托泊甘2200mg/miv ,Q12hd4-7阿糖胞甘100mg/m2iv ,Q12hd4-7地塞米松8mgpo, tidd1-10mi ni-DEAM卡莫司汀260mg/mivd1美法仑30mg/m (max 50mg)ivd5依托泊甘75mg/
3、m2ivd2-5阿糖胞甘2100mg/miv ,Q12hd2-5CHOP14天或21天一阿霉素50mg/m2(或 EPI 80mg/m2)ivd1周期环磷酰胺2750mg/mivd1长春新碱1.4mg/m2ivd1泼尼松100mgpod1-5CHOP-E每21天一周期阿霉素50mg/m2(或 EPI 80mg/m2)ivd1环磷酰胺2750mg/mivd1长春新碱1.4mg/mivd1依托泊甘100mg/m2ivd1-3泼尼松100mgPod1-5CHOP-L-ASP每21天周期阿霉素50mg/m2(或 EPI 80mg/m2)ivd1环磷酰胺2750mg/mivd1长春新碱1.4mg/m2
4、(max 2mg)ivd1泼尼松100mgpod1-5左旋门冬6000U/ivd1,3,7,9,11酰胺酶CEOP每21天周期环磷酰胺500mg/m2ivd1依托泊甘237.5mg/mivd1长春新碱2mgivd1泼尼松75mg/m2pod1-5COP每14-21天一周环磷酰胺750mg/m2ivd1期长春新碱1.4mg/m (max 2mg)ivd1, 8泼尼松100mgpod1-5COPP每28天周期环磷酰胺600-800mgivd1, 8长春新碱1.4mg/m2 (max 2mg)ivd1, 8丙卡巴肼2100mg/mpod1-14泼尼松40mg/m2pod1-14CVP每21天周期环磷
5、酰胺2400mg/mivd1-5长春新碱1.4 (max 2mg)ivd1泼尼松100mgpod1-5DDP-VP-16每21天周期顺铂230mg/mivd1-3 (水化）依托泊甘40-50mg/m2ivd5-10DHAP每14-21天一周顺铂100mg/m2ivd1期阿糖胞甘2g/m2iv ,Q12hd2地塞米松40mgivd1-4DICE每21天周期异环磷酰21000mg/mivd1-4胺顺铂25mg/m2ivd1-4依托泊甘260mg/mivd1-4地塞米松6-9mg/m2pod1-10EPOCH每21天周期阿霉素10mg/m2iv （连续d1-496h)依托泊甘50mg/m2iv （连
6、续d1-496h)长春新碱0.4mg/m2iv （连续d1-496h)环磷酰胺2750mg/mivd5泼尼松60mg/m2Pod1-5EPOCH每21天周期依托泊甘260mg/mivd1-4顺铂25mg/m2iv （连续d1-496h)甲泼尼龙500mg/m2ivd1-4阿糖胞甘2g/m2ivd5FC每28天周期氟达拉滨25-30mg/m2ivd1-3环磷酰胺2250-300mg/mivd1-3FCM每28天周期氟达拉滨225mg/mivd1-3米托蒽醌26-8mg/mivd1环磷酰胺2200mg/mivd1-3FCM每28天周期氟达拉滨25mg/m2ivd1-3米托蒽醌210mg/mivd1
7、地塞米松20mgiv/pod1-5GDP每21天周期吉西他滨1000mg/mfivd1, 8顺铂275mg/mivd1地塞米松40mgivd1-4GemOx吉西他滨1000mg/mfivd1奥沙利铂2100mg/mivd1ICE依托泊甘2100mg/mivd1-3异环磷酰5000mg/m?iv (24h胺输注）d2卡铂按 AUC=5, max800mgivd2IVE每21天周期表阿霉素250mg/mivd1异环磷酰3000mg/m?iv (22h)d1-3胺依托泊甘2200mg/miv (2h)d1-3MACOP-B每12周重复一阿霉素50mg/m2ivwk1,3,5,7.周期9,11环磷酰胺
8、2350mg/mivwk1,3,5,7,9,11匚 jTfIt21.4mg/m (max 2mg)ivwk2,4,6,8.长春新碱10,12博来霉素210mg/mivwk4,8,12泼尼松75mg/dpowk1-11 后逐渐减量wk2,6,10MIMEMethy-2500mg/mivd1guazone异环磷酰1000mg/m2ivd1-5胺依托泊甘2100mg/mivd1-3甲氨蝶呤230mg/mivd3MOEP 每21天周期米托蒽醌匚 7rF(710mg1.4mg/m (max 2mg)ivivd1-3d1长春新碱依托泊甘100mgivd1-5 (7)泼尼松60mgpod1-5 (7)MOP
9、P 每28天周期氮芥匚 7rF(76mg/m221.4mg/mivivd1, 8d1, 8长春新碱丙卡巴肼2100mg/mpod1-14泼尼松40mg/m2pod1-14SMILE 每28天周期甲氨蝶呤2g/m2ivd1异环磷酰 胺21500mg/mivd2-4依托泊甘2100mg/mivd2-4地塞米松40mg/m2ivd2-4L-ASP6000U/m2ivd8,10,12,14,16,18,20HD-MTX甲氨蝶呤1-3giv (12h)d1HD-AraC阿糖胞甘3g/m2iv ,Q12hd1-3 (6)ABCM阿霉素30mg/m2ivd1卡莫司汀230mg/mivd1环磷酰胺2100mg
10、/mpod22-25美法仑26mg/mpod22-25DCEP地塞米松40mg/dIv/pod1-4环磷酰胺2400mg/miv,持续d1-4依托泊甘40mg/m2iv,持续d1-4顺铂210mg/miv,持续d1-4DT-PACE地塞米松40mg/div/pod1-4沙利度胺400mg/dpo维持阿霉素10mg/m2Ivd1-4顺铂210mg/miv,持续d1-4环磷酰胺2400mg/miv,持续d1-4依托泊甘40mg/m2iv,持续d1-4MP每4-6周一周期美法仑10mg/m2pod1-4泼尼松50mg/m2pod1-4M2美法仑8mg/m2pod1-4卡莫司汀220mg/mivd1环
11、磷酰胺长春新碱400mg/m221.2mg/mivivd1d1泼尼松2 240mg/m ,20mg/mpod1-7,8-14PEDA顺铂220mg/mivd1-4依托泊甘100mg/m2ivd1-4地塞米松40mg/divd1-5阿糖胞甘1g/m2ivd5VAD长春新碱0.4mg/m2ivd1-4阿霉素29mg/mivd1-4地塞米松40mgpod1-4,9-12,17-20LD雷利度胺25mg/dpod1-21地塞米松40mg/div/pod1-4,9-12,17-20LR雷利度胺25mg/dpo每月wks1-3利妥昔单 抗375mg/m2ivwks2-5,13-16L+DVD雷利度胺10m
12、g/dpod1-21脂质体阿 霉素长春新碱40mg/m22mgivivd1d1地塞米松40mg/dpod1-4L+MP雷利度胺5-10mg/dpod1-21美法仑0.18-0.25mg/kg/dpod1-4CTD泼尼松2mg/kg/dpod1-4沙利度胺200mgpod1-28环磷酰胺50mg/d,bidpod1-21MPT地塞米松50mg/d,Qodpod1-4,15-21沙利度胺100mg/dpod1-28美法仑4mg/m2pod1-7TD泼尼松40mg/m2pod1-7沙利度胺200mg/dpod1-28地塞米松40mg/dpod1-4,9-12,17-20 （奇数周期）TDD40mg/
13、dpod1-4 （偶数周期）沙利度胺100mg/dpod1-28脂质体阿霉素240mg/mivd1TP地塞米松40mg/dpod1-4,9-12,17-20沙利度胺200mg/dpoQdVD泼尼松50mgpoQod硼替佐米21.3mg/mivd1,4,8,11VMP地塞米松40mg/divd1-4,9-12,17-20 （奇数周期）d1-4 （偶数周期）硼替佐米1.0-1.3mg/mFivd1,4,8,11,22,25,29,32美法仑9mg/mFivd1-4PDA泼尼松260mg/mpod1-4硼替佐米1.3mg/m2ivd1,4,8,11阿霉素20,4,5,9mg/mivd1-4地塞米松40mg/div第1周期：d1-4,8-11,15-18 第2-4周期：d1-4VTD硼替佐米21.3mg/mivd1,4,8,11沙利度胺100-200mg/dpod1-28地塞米松220mg/mivd1-4,9-12,17-20VM硼替佐米21.3mg/mivd1,4,8,11美法仑0.025-0.25mg/kg/dpod1-4VL硼替佐米1.0 或 1.3mg/m2ivd1,4,8,11雷利度胺5,10,15,20mg/dpod1-14VT硼替佐米1.3mg/m2ivd1,4,8,11沙利度胺50,100,150,200mg/dpo维持