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A retrospective analysis of combination chemotherapy consisting cyclophosphamide, vincristine, prednisolone and procarbazine (C-MOPP) for pretreated aggressive non-Hodgkin lymphoma.

Abstract
The C-MOPP regimen, consisting cyclophosphamide, vincristine, prednisolone and procarbazine, has been used for treatment of non-Hodgkin lymphoma; however, there are few reports of this therapy against aggressive lymphoma. We performed a retrospective analysis of previously treated 89 patients who had received C-MOPP therapy from 1999 to 2013 at our institution. Median age was 67 (range, 22-81) years. Twenty-eight patients obtained CR, 5 obtained PR, and overall response rate was 37% (33/89). The estimated 1-year overall survival and progression-free survival rates were 61 and 33%, respectively. Major grade > 2 toxicities were leucopenia (55%) and neutropenia (52%). Efficacy and toxicity were in line with other recent studies involving new agents, given that the subjects mainly consisted of elderly outpatients. These data provide a rationale for the use of C-MOPP as a current control treatment arm when the response to new cancer therapy agents is evaluated.
AuthorsRyoko Fukushima, Yukio Kobayashi, Suguru Fukuhara, Ken'ichi Miyamoto, Wataru Munakata, Dai Maruyama, Sung-Won Kim, Takashi Watanabe, Hirokazu Taniguchi, Akiko Maeshima, Kensei Tobinai
JournalJournal of chemotherapy (Florence, Italy) (J Chemother) Vol. 28 Issue 2 Pg. 116-22 (Apr 2016) ISSN: 1973-9478 [Electronic] England
PMID27093518 (Publication Type: Journal Article)
Chemical References
  • Procarbazine
  • Rituximab
  • Vincristine
  • Cyclophosphamide
  • Prednisone
Topics
  • Adult
  • Aged
  • Aged, 80 and over
  • Antineoplastic Combined Chemotherapy Protocols (adverse effects, therapeutic use)
  • Cyclophosphamide (adverse effects, therapeutic use)
  • Disease-Free Survival
  • Female
  • Humans
  • Lymphoma, Non-Hodgkin (drug therapy, mortality)
  • Male
  • Middle Aged
  • Prednisone (adverse effects, therapeutic use)
  • Procarbazine (adverse effects, therapeutic use)
  • Retrospective Studies
  • Rituximab (therapeutic use)
  • Treatment Outcome
  • Vincristine (adverse effects, therapeutic use)
  • Young Adult

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