Efficacy and tolerance of pegaspargase, gemcitabine and oxaliplatin with sandwiched radiotherapy in the treatment of newly-diagnosed extranodal nature killer (NK)/T cell lymphoma
机构:[1]Department of Lymphoma, Sichuan Cancer Hospital, Chengdu, People’s Republic of China四川省肿瘤医院[2]Department of Radiotherapy, Sichuan Cancer Hospital, Chengdu, People’s Republic of Chinaa四川省肿瘤医院
Extranodal nature killer (NK)/T cell lymphoma (ENKL), nasal type, is a highly aggressive and heterogeneous disease. Here we report a retrospective study of 38 newly-diagnosed ENKL patients treated with pegaspargase, gemcitabine, oxaliplatin (P-Gemox) and sandwiched radiotherapy in our department during 2012-2016. A median of 4 (range, 2-6) (total=141) cycles of P-Gemox were administered. Interim restaging after at least 2 cycles showed complete remission (CR) rate of 23.68%, partial remission (PR) rate of 63.16%, giving an overall response rate (ORR) of 86.84%. On treatment completion, the ORR became 92.1% (CR=86.84%, PR=5.26%). Only one patient experienced disease progression during therapy. Multivariate analysis showed gender was a significant independent factor impacting on CR. Hematologic toxicity was common yet nonhematologic toxicity was mild, both of them can be well controlled by supportive treatments and only one treatment-related death was observed. At a median follow-up of 15.5 months, 4 patients (10.53%) experienced disease progression and died of disease. 1-year progression-free survival (PFS) rate and 1-year overall survival (OS) rate for the whole cohort were 86.7% and 86.6%. The P-Gemox regimen with sandwiched radiotherapy may be a promising option in the treatment of newly-diagnosed ENKL due to its high efficacy yet low toxicity. (C) 2016 Elsevier Ltd. All rights reserved.
第一作者机构:[1]Department of Lymphoma, Sichuan Cancer Hospital, Chengdu, People’s Republic of China
通讯作者:
通讯机构:[1]Department of Lymphoma, Sichuan Cancer Hospital, Chengdu, People’s Republic of China[*1]No.55, Section 4, South Renmin Road, Chengdu City,People’s Republic of China.
推荐引用方式(GB/T 7714):
Jing Xiao-mei,Zhang Zhi-hui,Wu Ping,et al.Efficacy and tolerance of pegaspargase, gemcitabine and oxaliplatin with sandwiched radiotherapy in the treatment of newly-diagnosed extranodal nature killer (NK)/T cell lymphoma[J].LEUKEMIA RESEARCH.2016,47:26-31.doi:10.1016/j.leukres.2016.05.004.
APA:
Jing, Xiao-mei,Zhang, Zhi-hui,Wu, Ping,Zhang, Shi-chuan,Ren, Yuan-rong...&Li, Li.(2016).Efficacy and tolerance of pegaspargase, gemcitabine and oxaliplatin with sandwiched radiotherapy in the treatment of newly-diagnosed extranodal nature killer (NK)/T cell lymphoma.LEUKEMIA RESEARCH,47,
MLA:
Jing, Xiao-mei,et al."Efficacy and tolerance of pegaspargase, gemcitabine and oxaliplatin with sandwiched radiotherapy in the treatment of newly-diagnosed extranodal nature killer (NK)/T cell lymphoma".LEUKEMIA RESEARCH 47.(2016):26-31