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Multicenter Phase II study of CyclOBEAP regimen for elderly patients with poor-prognosis aggressive lymphoma.

Abstract
We treated elderly patients (65-69 years) who had aggressive lymphoma with the CyclOBEAP regimen, and we studied the safety and efficacy of this treatment. The CyclOBEAP regimen was administered over a total period of 12 weeks. Doxorubicin 40 mg/m(2) was given every 2 weeks in combination with either cyclophosphamide 800 mg/m(2) or etoposide 70 mg/m(2) qd x 3. During the alternate weeks, non-myelosuppressive vincristine 1.0 mg/m(2) was given either with bleomycin 10 mg/m(2) or alone. Prednisolone 40 mg/m(2) was administered daily for three 14-day periods during weeks 1-2, 5-6 and 9-10. There were 51 eligible patients. A complete response was achieved in 42 patients (82%). The 5-year overall survival (OS) rate was 60.6% and progression-free survival (PFS) rate was 51.8%. WHO grade 4 neutropenia was observed in 32 patients and thrombocytopenia in 8 patients. We showed that the CyclOBEAP regimen can be safely used in the treatment of aggressive lymphoma in elderly patients and it achieved a high rate of remission.
AuthorsNozomi Niitsu, Masataka Okamoto, Mika Kohori, Sadao Aoki, Ikuo Miura, Masami Hirano
JournalHematological oncology (Hematol Oncol) Vol. 24 Issue 4 Pg. 220-6 (Dec 2006) ISSN: 0278-0232 [Print] England
PMID16958147 (Publication Type: Clinical Trial, Phase II, Journal Article, Multicenter Study)
Chemical References
  • Bleomycin
  • Vincristine
  • Etoposide
  • Doxorubicin
  • Cyclophosphamide
  • Prednisolone
Topics
  • Aged
  • Antineoplastic Combined Chemotherapy Protocols (administration & dosage, adverse effects)
  • Bleomycin (administration & dosage, adverse effects)
  • Cyclophosphamide (administration & dosage, adverse effects)
  • Disease-Free Survival
  • Doxorubicin (administration & dosage, adverse effects)
  • Etoposide (administration & dosage, adverse effects)
  • Female
  • Follow-Up Studies
  • Humans
  • Lymphoma, Non-Hodgkin (drug therapy, mortality)
  • Male
  • Neutropenia (chemically induced)
  • Prednisolone (administration & dosage, adverse effects)
  • Remission Induction
  • Survival Rate
  • Thrombocytopenia (chemically induced)
  • Time Factors
  • Treatment Outcome
  • Vincristine (administration & dosage, adverse effects)

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