DHAP in combination with rituximab vs DHAP alone as salvage treatment for patients with relapsed or refractory diffuse large B-cell lymphoma: a matched-pair analysis.

Abstract:

:The addition of rituximab to chemotherapy in patients with diffuse large B-cell lymphoma (DLBCL) has been shown to improve outcome in first-line therapy. However, in patients with relapsed or refractory disease, the value of adding rituximab to salvage chemotherapy is less clearly defined. This study performed a matched-pair analysis of patients with relapsed or refractory DLBCL by comparing the combination of dexamethasone, high-dose cytarabine and cisplatin (DHAP) with rituximab to DHAP alone. Sixty-seven patients with relapsed or refractory DLBCL were collected from two prospective phase II trials from Germany and Italy. Twenty-three patient pairs treated with either DHAP in combination with rituximab or DHAP alone could be analysed after matching for important prognostic factors. The addition of rituximab to the DHAP regimen led to higher complete and similar overall remission rates. However, differences with regard to complete remission rates failed to reach statistical significance, thereby necessitating further evaluation of the role of combined immunochemotherapy in this patient population.

journal_name

Leuk Lymphoma

journal_title

Leukemia & lymphoma

authors

Mey UJ,Olivieri A,Orlopp KS,Rabe C,Strehl JW,Gorschlueter M,Hensel M,Flieger D,Glasmacher AG,Schmidt-Wolf IG

doi

10.1080/10428190600926572

subject

Has Abstract

pub_date

2006-12-01 00:00:00

pages

2558-66

issue

12

eissn

1042-8194

issn

1029-2403

pii

VK34413532W371MH

journal_volume

47

pub_type

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