'ACOPP' chemotherapy for older and less fit patients with Hodgkin lymphoma-A multicentre, retrospective study

被引:4
作者
Wilson, Matthew R. R. [1 ,4 ]
Haynes, Euan [2 ]
Parsons, Katrina [1 ]
Hopkins, David [1 ]
Robertson, Elizabeth [3 ]
Ferguson, Graeme [1 ]
Quinn, Daire [1 ]
Murray, Jim [3 ]
Osborne, Wendy [2 ]
Leach, Mike [1 ]
McKay, Pam [1 ]
机构
[1] Beatson West Scotland Canc Ctr, Dept Haematol, Glasgow, Scotland
[2] Newcastle Tyne NHS Fdn Trust, Dept Haematol, Newcastle Upon Tyne, England
[3] Royal United Hosp Bath NHS Trust, Dept Haematol, Bath, England
[4] Beatson West Scotland Canc Ctr, 1053 Great Western Rd, Glasgow G12 0YN, Scotland
关键词
chemotherapy; elderly; Hodgkin disease; Hodgkin lymphoma; STUDY-GROUP GHSG; 1ST-LINE THERAPY; ELDERLY-PATIENTS; OPEN-LABEL; BLEOMYCIN; PROCARBAZINE; DACARBAZINE; PHASE-2; DISEASE; TRIAL;
D O I
10.1111/bjh.18947
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Management of classical Hodgkin lymphoma in older patients is challenging due to poor tolerance of the chemotherapy regimens used in younger patients. We modified the BEACOPP regimen (bleomycin, etoposide, doxorubicin, cyclophosphamide, vincristine, procarbazine and prednisolone), whereby bleomycin and etoposide were removed and cyclophosphamide dose was reduced, for older patients with co-morbidities. Here we present data from the first 41 patients treated with 'ACOPP' across 3 centres, demonstrating that it can be delivered, with a favourable toxicity profile (TRM 2%) and promising efficacy (2-year PFS and OS, 73% (95% CI: 52-94) and 93% (95% CI: 80-100) respectively).
引用
收藏
页码:796 / 800
页数:5
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