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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Citações na Scopus
12
Tipo de produção
article
Data de publicação
2019
Editora
TAYLOR & FRANCIS LTD
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Título da Revista
ISSN da Revista
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
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
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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