Source:http://linkedlifedata.com/resource/pubmed/id/17089127
Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
|
pubmed:dateCreated |
2007-1-11
|
pubmed:abstractText |
The hyper-CVAD + rituximab (R) programme consists of fractionated cyclophosphamide, vincristine, doxorubicin and dexamethasone + R alternating with high-dose methotrexate + cytarabine (HD MTX/ARA-C) + R. This regimen, when used as initial therapy for patients under 65 years of age with previously untreated mantle cell lymphoma (MCL), results in remission rates of > 85% with a median event-free survival (EFS) of > 50 months, but with a pattern of continuous relapse out to 60 months. We performed a study of hyper-CVAD + R, followed by consolidative peripheral blood progenitor cells autograft [autologous stem cell transplant (AuSCT)] with high-dose busulfan and melphalan (Bu/Mel) conditioning, in patients with responsive disease. Thirteen patients with a median age of 54 (range = 33-61) were treated. Complete remission (CR) was achieved in 12 patients (92%) after hyper-CVAD + R and 12 completed AuSCT after Bu/Mel conditioning. One patient died during the autograft and another declined AuSCT after achieving a CR with hyper-CVAD + R. With a median follow-up from diagnosis of 36 months (range = 16-53 months), the observed 36 months overall survival and EFS are both 92% for the whole cohort. These data confirm the excellent CR rates achieved by the use of hyper-CVAD + R in patients with MCL and suggest that consolidation with Bu/Mel and AuSCT may improve durable disease control when compared to published outcomes of hyper-CVAD + R alone.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Antibodies, Monoclonal,
http://linkedlifedata.com/resource/pubmed/chemical/Antibodies, Monoclonal...,
http://linkedlifedata.com/resource/pubmed/chemical/Busulfan,
http://linkedlifedata.com/resource/pubmed/chemical/Cyclophosphamide,
http://linkedlifedata.com/resource/pubmed/chemical/Dexamethasone,
http://linkedlifedata.com/resource/pubmed/chemical/Doxorubicin,
http://linkedlifedata.com/resource/pubmed/chemical/Melphalan,
http://linkedlifedata.com/resource/pubmed/chemical/Vincristine,
http://linkedlifedata.com/resource/pubmed/chemical/rituximab
|
pubmed:status |
MEDLINE
|
pubmed:month |
Feb
|
pubmed:issn |
1432-0584
|
pubmed:author | |
pubmed:issnType |
Electronic
|
pubmed:volume |
86
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
101-5
|
pubmed:dateRevised |
2010-11-18
|
pubmed:meshHeading |
pubmed-meshheading:17089127-Adult,
pubmed-meshheading:17089127-Antibodies, Monoclonal,
pubmed-meshheading:17089127-Antibodies, Monoclonal, Murine-Derived,
pubmed-meshheading:17089127-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:17089127-Busulfan,
pubmed-meshheading:17089127-Cyclophosphamide,
pubmed-meshheading:17089127-Dexamethasone,
pubmed-meshheading:17089127-Disease-Free Survival,
pubmed-meshheading:17089127-Doxorubicin,
pubmed-meshheading:17089127-Female,
pubmed-meshheading:17089127-Follow-Up Studies,
pubmed-meshheading:17089127-Humans,
pubmed-meshheading:17089127-Lymphoma, Mantle-Cell,
pubmed-meshheading:17089127-Male,
pubmed-meshheading:17089127-Melphalan,
pubmed-meshheading:17089127-Middle Aged,
pubmed-meshheading:17089127-Neoplasm Staging,
pubmed-meshheading:17089127-Stem Cell Transplantation,
pubmed-meshheading:17089127-Survival Rate,
pubmed-meshheading:17089127-Time Factors,
pubmed-meshheading:17089127-Transplantation, Homologous,
pubmed-meshheading:17089127-Vincristine
|
pubmed:year |
2007
|
pubmed:articleTitle |
The hyper-CVAD-rituximab chemotherapy programme followed by high-dose busulfan, melphalan and autologous stem cell transplantation produces excellent event-free survival in patients with previously untreated mantle cell lymphoma.
|
pubmed:affiliation |
Department of Haematology and Medical Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia. david.ritchie@petermac.org
|
pubmed:publicationType |
Journal Article,
Clinical Trial
|