Source:http://linkedlifedata.com/resource/pubmed/id/12920037
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
13
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pubmed:dateCreated |
2003-12-5
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pubmed:abstractText |
We conducted a randomized trial to compare the intensive conventional chemotherapy regimen ACVBP (doxorubicin, cyclophosphamide, vindesine, bleomycin, prednisone) with standard CHOP (cyclophosphamide, doxorubicin, vincristine, and prednisone) in previously untreated patients with poor-risk aggressive lymphoma. Patients aged 61 to 69 years who had aggressive non-Hodgkin lymphoma with at least one prognostic factor of the age-adjusted international prognostic index (IPI) were included. ACVBP consisted of an induction phase of intensified chemotherapy and central nervous system (CNS) prophylaxis followed by a sequential consolidation phase. Of the 708 patients registered for the study, 635 were eligible. The rate of complete response was 58% in the ACVBP group and 56% in the CHOP group (P =.5). Treatment-related death occurred in 13% of the ACVBP group and 7% of the CHOP group (P =.014). At 5 years, the event-free survival was 39% in the ACVBP group and 29% in the CHOP group (P =.005). The overall survival was significantly longer for patients treated with ACVBP, at 5 years it was 46% compared with 38% for patients treated with CHOP (P =.036). CNS progressions or relapses were more frequent in the CHOP group (P =.004). Despite higher toxicity, the ACVBP regimen, used as first-line treatment for patients with poor-risk aggressive lymphoma, is superior to standard CHOP with regard to both event-free survival and overall survival.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Bleomycin,
http://linkedlifedata.com/resource/pubmed/chemical/Cyclophosphamide,
http://linkedlifedata.com/resource/pubmed/chemical/Doxorubicin,
http://linkedlifedata.com/resource/pubmed/chemical/Prednisone,
http://linkedlifedata.com/resource/pubmed/chemical/Vincristine,
http://linkedlifedata.com/resource/pubmed/chemical/Vindesine
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0006-4971
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pubmed:author |
pubmed-author:AttalMichelM,
pubmed-author:BlancMichelM,
pubmed-author:BoslyAndreA,
pubmed-author:CoiffierBertrandB,
pubmed-author:FilletGeorgesG,
pubmed-author:GisselbrechtChristianC,
pubmed-author:Groupe d'Etude des Lymphomes de l'Adulte,
pubmed-author:GuettierCatherineC,
pubmed-author:HerbrechtRaoulR,
pubmed-author:LepageEricE,
pubmed-author:MolinaThierry JoTJ,
pubmed-author:ReyesFelixF,
pubmed-author:TillyHerveH
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pubmed:issnType |
Print
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pubmed:day |
15
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pubmed:volume |
102
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
4284-9
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:12920037-Aged,
pubmed-meshheading:12920037-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:12920037-Bleomycin,
pubmed-meshheading:12920037-Cyclophosphamide,
pubmed-meshheading:12920037-Disease-Free Survival,
pubmed-meshheading:12920037-Doxorubicin,
pubmed-meshheading:12920037-Female,
pubmed-meshheading:12920037-Humans,
pubmed-meshheading:12920037-Life Tables,
pubmed-meshheading:12920037-Lymphoma, Non-Hodgkin,
pubmed-meshheading:12920037-Male,
pubmed-meshheading:12920037-Middle Aged,
pubmed-meshheading:12920037-Prednisone,
pubmed-meshheading:12920037-Remission Induction,
pubmed-meshheading:12920037-Survival Analysis,
pubmed-meshheading:12920037-Survival Rate,
pubmed-meshheading:12920037-Vincristine,
pubmed-meshheading:12920037-Vindesine
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pubmed:year |
2003
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pubmed:articleTitle |
Intensive conventional chemotherapy (ACVBP regimen) compared with standard CHOP for poor-prognosis aggressive non-Hodgkin lymphoma.
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pubmed:affiliation |
Department of Hematology, Centre Henri Becquerel, 76038 Rouen, France. herve.tilly@rouen.fnclcc.fr
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't,
Multicenter Study,
Clinical Trial, Phase III
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