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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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机构: [a]Copernicus Memorial Hospital, Medical University of Lodz, Lodz, Poland [b]Sun Yat-sen University Cancer Center, Guangzhou,Guangdong, China [c]The First Affiliated Hospital of Zhejiang University College of Medicine, Hangzhou, Zhejiang, China [d]Beijing Cancer Hospital, Beijing, China [e]West China Hospital of Sichuan University, Chengdu, Sichuan, China [f]Nizhniy Novgorod Region Clinical Hospital, Nizhniy Novgorod, Russian Federation [g]Cherkassy Regional Oncology Dispensary, Cherkassy, Ukraine [h]University Hospital Leuven, Leuven, Belgium [i]Siriraj Hospital, Mahidol University, Bangkok, Thailand [j]Cancer Research Center RAMS – N.N.Blokhin Academy of Medical Science, Moscow, Russian Federation [k]Hospital das Clinicas da Faculdade de Medicina da USP, S~aoPaolo, Brazil [l]Faculty Hospital Brno, Brno, Czech Republic [m]Fudan University Shanghai Cancer Center, Shanghai, China [n]Department of Chemotherapy, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Japan [o]Janssen Research andDevelopment, LLC, Raritan, NJ, USA [p]Janssen Research & Development, High Wycombe, Buckinghamshire, UK [q]Millennium Pharmaceuticals, Inc., Cambridge, MA, USA, a wholly owned subsidiary of Takeda Pharmaceutical Company Limited [r]Oncology Institute of Southern Switzerland, Ospedale San Giovanni, Bellinzona, Ticino, Switzerland [s]Chibanishi General Hospital, Chiba, Japan.
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关键词: Mantle cell lymphoma R-CHOP VR-CAP bortezomib LYM-3002 dose intensity

摘要:
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.

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出版当年[2019]版:
大类 | 4 区 医学
小类 | 4 区 肿瘤学 4 区 血液学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 血液学 4 区 肿瘤学
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出版当年[2019]版:
Q2 HEMATOLOGY Q3 ONCOLOGY
最新[2023]版:
Q3 ONCOLOGY Q3 HEMATOLOGY

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第一作者机构: [a]Copernicus Memorial Hospital, Medical University of Lodz, Lodz, Poland [*1]Medical University of Lodz, Department of Hematology, Ciołkowskiego 2 93-510 Lodz, Poland 
通讯作者:
通讯机构: [a]Copernicus Memorial Hospital, Medical University of Lodz, Lodz, Poland [*1]Medical University of Lodz, Department of Hematology, Ciołkowskiego 2 93-510 Lodz, Poland 
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