Comparison of gemcitabine, oxaliplatin and L-asparaginase and etoposide, vincristine, doxorubicin, cyclophosphamide and prednisone as first-line chemotherapy in patients with stage IE to IIE extranodal natural killer/T-cell lymphoma : a multicenter retrospective study

Optimal chemotherapy regimen for Extranodal natural killer/T-cell lymphoma (ENKTL) has not yet been defined. We retrospectively compared the outcome of 93 patients newly diagnosed with stage IE to IIE ENKTL who received gemcitabine, oxaliplatin and L-asparaginase (GELOX) (n = 40) or etoposide, vincristine, doxorubicin, cyclophosphamide and prednisone (EPOCH) (n = 53) as induction chemotherapy. After induction chemotherapy, the complete response (CR) rate and overall response rate (ORR) for the GELOX group were higher than those for the EPOCH group (70.0% vs. 41.5%, p = 0.007 for CR; 87.5% vs. 67.9%, p = 0.047 for ORR). The GELOX regimen resulted in significantly superior 5-year progression-free survival (PFS) (79.0% vs. 46.5%, p = 0.005) and overall survival (OS) rates (78.9% vs. 50.4%, p = 0.003). Toxicity of both regimens was acceptable. The GELOX regimen produces a better long outcome with less toxicity than the EPOCH regimen for patients with early stage ENKTL.

Medienart:

E-Artikel

Erscheinungsjahr:

2015

Erschienen:

2015

Enthalten in:

Zur Gesamtaufnahme - volume:56

Enthalten in:

Leukemia & lymphoma - 56(2015), 4 vom: 03. Apr., Seite 971-7

Sprache:

Englisch

Beteiligte Personen:

Wang, Hua [VerfasserIn]
Wuxiao, Zhi-Jun [VerfasserIn]
Zhu, Jiayu [VerfasserIn]
Wang, Zhihui [VerfasserIn]
Wang, Ke-Feng [VerfasserIn]
Li, Su [VerfasserIn]
Chen, Xiaoqin [VerfasserIn]
Lu, Yue [VerfasserIn]
Xia, Zhong-Jun [VerfasserIn]

Links:

Volltext

Themen:

04ZR38536J
0W860991D6
5J49Q6B70F
6PLQ3CP4P3
80168379AG
8N3DW7272P
Asparaginase
Comparative Study
Cyclophosphamide
Deoxycytidine
Doxorubicin
EC 3.5.1.1
EPOCH
Etoposide
Extranodal NK/T-cell lymphoma
GELOX
Gemcitabine
Induction chemotherapy
Journal Article
Multicenter Study
Organoplatinum Compounds
Oxaliplatin
Prednisone
Research Support, Non-U.S. Gov't
Response
Survival
VB0R961HZT
Vincristine

Anmerkungen:

Date Completed 04.04.2016

Date Revised 07.12.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.3109/10428194.2014.939964

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM239779541