Association between bortezomib dose intensity and overall survival in mantle cell lymphoma patients on frontline VR-CAP in the phase 3 LYM-3002 study(*)
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12
Tipo de produção
article
Data de publicação
2019
Editora
TAYLOR & FRANCIS LTD
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Título do Volume
Autores
ROBAK, Tadeusz
HUANG, Huiqiang
JIN, Jie
ZHU, Jun
LIU, Ting
SAMOILOVA, Olga
PYLYPENKO, Halyna
VERHOEF, Gregor
SIRITANARATKUL, Noppadol
OSMANOV, Evgenii
Autor de Grupo de pesquisa
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Citação
LEUKEMIA & LYMPHOMA, v.60, n.1, p.172-179, 2019
Resumo
The pivotal LYM-3002 study compared frontline rituximab plus cyclophosphamide, doxorubicin, vincristine and prednisone (R-CHOP) with bortezomib, rituximab, cyclophosphamide, doxorubicin and prednisone (VR-CAP) in newly diagnosed mantle cell lymphoma (MCL) patients for whom stem cell transplantation was not an option. This post hoc subanalysis of the VR-CAP data from LYM-3002 evaluated the effect of bortezomib dose intensity on OS in patients who completed >= 6 cycles of treatment. From the end of cycle 6, patients receiving >= 4.6 mg/m(2)/cycle of bortezomib had significantly longer OS (but not PFS) compared with those receiving <4.6 mg/m(2)/cycle by univariate analysis (HR 0.43 [95% CI: 0.23-0.80]; p = .0059). This association remained significant in multivariate analysis adjusting for baseline patient and disease characteristics (HR 0.40 [95% CI: 0.20-0.79]; p = .008]. Higher bortezomib dose intensity was the strongest predictor of OS in newly diagnosed MCL patients receiving VR-CAP. Clinicaltrials.gov identifier: NCT00722137.
Palavras-chave
Mantle cell lymphoma, R-CHOP, VR-CAP, bortezomib, LYM-3002, dose intensity
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