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Fridrik, MA; Hausmaninger, H; Linkesch, W; Greil, R; Krieger, O; Baldinger, C; Klocker, J; Pont, J; Oberaigner, W.
Long-term results of dose density therapy in patients with aggressive lymphoma.
ANN HEMATOL. 2005; 84(4): 217-222. Doi: 10.1007/s00277-004-0936-x
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Linkesch Werner
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Abstract:
To evaluate the long-term outcome of dose density chemotherapy in the treatment of aggressive lymphoma, we analyzed 142 patients with untreated aggressive lymphoma. Chemotherapy was an eight-drug regimen given in weekly intervals in two prospective trials. The median observation period was 8 years; the longest follow-up was 13 years. Overall survival at 8 years was 0.583. The 8-year survival of patients < or =60 years was significantly better than that of older patients, namely 0.713 vs 0.304 (p=0.000000697). This excellent survival of patients aged < or =60 years was identical for high-risk and high-intermediate-risk patients compared with low-risk and low-intermediate-risk patients in the age-adjusted international prognostic index (IPI). The excellent long-term results of the CEOP/IMVP-Dexa regimen (cyclophosphamide, epirubicin, vincristine, and prednisone/ifosfamide with systemic mesna, methotrexate, etoposide, and dexamethasone) for patients aged < or =60 years suggest that this regimen might be superior to the standard CHOP regimen (cyclophosphamide, doxorubicin, vincristine, and prednisolone) and needs to be tested in comparison to high-dose regimens and novel approaches including antibody treatment.
Find related publications in this database (using NLM MeSH Indexing)
Age Factors -
Aged -
Antineoplastic Combined Chemotherapy Protocols - administration and dosage
Cause of Death - administration and dosage
Cyclophosphamide - administration and dosage
Dexamethasone - administration and dosage
Epirubicin - administration and dosage
Etoposide - administration and dosage
Humans - administration and dosage
Ifosfamide - administration and dosage
Longitudinal Studies - administration and dosage
Lymphoma - drug therapy
Mesna - administration and dosage
Methotrexate - administration and dosage
Middle Aged - administration and dosage
Prednisone - administration and dosage
Survival Analysis - administration and dosage
Treatment Failure - administration and dosage
Treatment Outcome - administration and dosage
Vincristine - administration and dosage

Find related publications in this database (Keywords)
lymphoma
large-cell lymphoma
drug therapy
antineoplastic combined chemotherapy protocols
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