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Response to second-line therapy defines the potential for cure in patients with recurrent diffuse large B-cell lymphoma: implications for the development of novel therapeutic strategies
- Source :
- Clinical lymphoma, myelomaleukemia. 10(3)
- Publication Year :
- 2010
-
Abstract
- Background Patients with diffuse large B-cell lymphoma (DLBCL) who are not cured by initial therapy sometimes experience disease-free survival after autologous stem cell transplantation. Chemotherapy responsiveness before transplantation is a major predictor of outcome. Patients not responding to second-line regimens may receive third-line therapy in the hopes of achieving response, but outcome data are limited. Patients and Methods We identified patients with relapsed or refractory DLBCL at Weill Cornell Medical Center for whom data on responses to second-line chemotherapy were available. Results A total of 74 patients with relapsed or refractory DLBCL who underwent second-line chemotherapy between 1996 and 2007 were identified. Of these patients, 27 (36%) did not respond. The median overall survival of nonresponding patients was 4 months, and only 1 patient (4%) survived for 1 year. The choice of third-line aggressive chemotherapy instead of less intensive approaches did not confer a survival benefit. Conclusion Our data demonstrate that patients with recurrent DLBCL not responding to second-line chemotherapy demonstrate dismal outcomes. Trials of novel regimens should be prioritized as management strategies for these patients. Our data provide an important benchmark in the evaluation of the potential clinical value of such approaches.
- Subjects :
- Oncology
Adult
Male
Cancer Research
medicine.medical_specialty
medicine.medical_treatment
Kaplan-Meier Estimate
Disease-Free Survival
Young Adult
Autologous stem-cell transplantation
Refractory
Internal medicine
Antineoplastic Combined Chemotherapy Protocols
medicine
Humans
In patient
Young adult
Aged
Salvage Therapy
Chemotherapy
business.industry
Hematology
Middle Aged
medicine.disease
Prognosis
Lymphoma
Surgery
Recurrent Diffuse Large B-Cell Lymphoma
Transplantation
Treatment Outcome
Female
Lymphoma, Large B-Cell, Diffuse
Neoplasm Recurrence, Local
business
Stem Cell Transplantation
Subjects
Details
- ISSN :
- 21522669
- Volume :
- 10
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Clinical lymphoma, myelomaleukemia
- Accession number :
- edsair.doi.dedup.....749f311a4efb5c590dd994c4e4b3aa8f