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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1998-12-1
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pubmed:abstractText |
Despite intensive search for the optimal combination chemotherapy for aggressive non-Hodgkin's lymphoma (NHL), the CHOP (cyclophosphamide, adriamycin, vincristine and prednisolone) regimen is still the standard therapy. We investigated the clinical efficacy of a new combination regimen consisting of vincristine, bleomycin-cyclophosphamide, adriamycin, etoposide and prednisolone (VB-CHEP) in patients with aggressive NHL. A total of 29 patients with aggressive NHL was enrolled into the protocol. Eight patients were consolidated with cisplatin and cytarabine and 5 patients received radiotherapy for bulky disease. Objective response was achieved in 82.8% of the patients. Complete remission (CR) and partial remission rates were 72.4%, and 10.3%, respectively. CR rate was significantly lower in patients with advanced stage, extranodal disease and bone marrow involvement. Median follow-up time is 34+ months; 17 patients are disease-free while 12 died and only 2 patients with CR have relapsed so far. Median response duration is 29+ months and the median survival is 48+ months. The survival rate is 69% in the first year and 66% in the second year. A total of 152 cycles were evaluated for toxicity. Major hematological toxicity was myelosuppression and neutropenia, detected in 50.65%, was mostly grades 1-2. Neutropenic fever occurred in only 11 cycles. The side effects of the consolidation therapy were also acceptable. We conclude that the VB-CHEP regimen with consolidation therapy for high-risk patients may be an effective treatment for advanced stage aggressive NHL.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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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/Etoposide,
http://linkedlifedata.com/resource/pubmed/chemical/Prednisolone,
http://linkedlifedata.com/resource/pubmed/chemical/Vincristine
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pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0902-4441
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
61
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
261-5
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pubmed:dateRevised |
2006-4-24
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pubmed:meshHeading |
pubmed-meshheading:9820633-Adolescent,
pubmed-meshheading:9820633-Adult,
pubmed-meshheading:9820633-Aged,
pubmed-meshheading:9820633-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:9820633-Bleomycin,
pubmed-meshheading:9820633-Combined Modality Therapy,
pubmed-meshheading:9820633-Cyclophosphamide,
pubmed-meshheading:9820633-Doxorubicin,
pubmed-meshheading:9820633-Etoposide,
pubmed-meshheading:9820633-Female,
pubmed-meshheading:9820633-Humans,
pubmed-meshheading:9820633-Lymphoma, Non-Hodgkin,
pubmed-meshheading:9820633-Male,
pubmed-meshheading:9820633-Middle Aged,
pubmed-meshheading:9820633-Prednisolone,
pubmed-meshheading:9820633-Treatment Outcome,
pubmed-meshheading:9820633-Vincristine
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pubmed:year |
1998
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pubmed:articleTitle |
VB-CHEP chemotherapy regimen for aggressive non-Hodgkin's lymphomas.
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pubmed:affiliation |
Hacettepe University Institute of Oncology Ankara, Turkey.
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pubmed:publicationType |
Journal Article,
Clinical Trial
|