Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
10
pubmed:dateCreated
2006-10-30
pubmed:abstractText
Thirty untreated patients, median age 69 years (range 60 - 75 years), with diffuse large B-cell lymphoma (B-DLCL) were treated with a pegylated liposomal doxorubicin (PL-doxorubicin) modified CHOP-rituximab regimen. PL-doxorubicin 30 mg/m2, was given in combination with standard dosage of prednisone, vincristine, cyclophosphamide, rituximab (according to CHOP-R regimen) every 21 days for six courses. Cardiac toxicity was evaluated by mean of echocardiography for left ventricular ejection fraction (LVEF) evaluations and serum troponin-I levels. Overall response and complete response rates were 76% and 59%. Projected two year event free survival and overall survival are 65.5% and 68.5%. No treatment-related mortality was documented. WHO grade III-IV neutropenia and thrombocytopenia were 86% and 3%. Extra-hematological III-IV toxicity was represented, respectively, by a single case of infection, mucositis, and bleeding. LVEF evaluations and the troponin levels did not show significant changes over the course of the treatment. One patient with a previous history of atrial fibrillation experienced a single episode of arrhythmia. None of the patients developed palmar-plantar erythrodysesthesia. This regimen appears an active regimen for the treatment of elderly patients with B-DLCL. The replacement of conventional doxorubicin with PL-doxorubicin seems to be associated with a negligible incidence of extra-hematological toxicity, in particular cardiac and infectious complications.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
1042-8194
pubmed:author
pubmed:issnType
Print
pubmed:volume
47
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
2174-80
pubmed:dateRevised
2010-11-18
pubmed:meshHeading
pubmed-meshheading:17071492-Aged, pubmed-meshheading:17071492-Antibodies, Monoclonal, pubmed-meshheading:17071492-Antibodies, Monoclonal, Murine-Derived, pubmed-meshheading:17071492-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:17071492-Cyclophosphamide, pubmed-meshheading:17071492-Disease-Free Survival, pubmed-meshheading:17071492-Doxorubicin, pubmed-meshheading:17071492-Female, pubmed-meshheading:17071492-Humans, pubmed-meshheading:17071492-Lymphoma, B-Cell, pubmed-meshheading:17071492-Male, pubmed-meshheading:17071492-Middle Aged, pubmed-meshheading:17071492-Pilot Projects, pubmed-meshheading:17071492-Polyethylene Glycols, pubmed-meshheading:17071492-Prednisone, pubmed-meshheading:17071492-Time Factors, pubmed-meshheading:17071492-Treatment Outcome, pubmed-meshheading:17071492-Vincristine
pubmed:year
2006
pubmed:articleTitle
CHOP-rituximab with pegylated liposomal doxorubicin for the treatment of elderly patients with diffuse large B-cell lymphoma.
pubmed:affiliation
Division of Hematology, DIRM, University Hospital, Udine, Italy. francesco.zaja@med.uniud.it
pubmed:publicationType
Journal Article, Multicenter Study, Clinical Trial, Phase II