Toxicity of dose-adjusted BEACOP regimen in the treatment of lymphoma
10.3760/cma.j.issn.1009-9921.2015.01.018
- VernacularTitle:剂量调整的BEACOP方案治疗淋巴瘤不良反应分析
- Author:
Yifan PANG
;
Fei DONG
;
Jing WANG
;
Ping YANG
;
Hongmei JING
;
Jijun WANG
;
Xiaoyan KE
- Publication Type:Journal Article
- Keywords:
Lymphoma;
Antineoplastic combined chemotherapy protocols;
Toxicity
- From:
Journal of Leukemia & Lymphoma
2015;24(1):61-64
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the toxicity of dose adjusted-BEACOP (DA-BEACOP,classic CHOP regimen plus etoposide and (or) bleomycin with or without rituximab) regimen for poor-prognosis lymphoma.Methods 89 patients with poor-prognosis lymphoma who had been treated in-patient at Peking University Third Hospital during August 2002 and February 2012 were retrospectively studied.All patients received at least 1 cycle of DA-BEACOP regimen.Results 3-4 grade adverse events were observed in 74 (83.1%) patients,most of which was myelosuppression (73 cases,82.0 %).There was not death related with the treatment.Compared to male patients,female patients suffered higher rates of grade 3-4 of toxicity (94.2 %,33/35 vs 75.9 %,41/54) (P =0.024).The rate of grade 3-4 of hematological toxicity in patients who were pretreated with ≥3 cycles of chemotherapy than that in patients receiving≤2 cycles of chemotherapy (95.9 %,47/49 vs 75.0 %,30/40) (P =0.004),while the rate of 3-4 hematological toxicity in pret-radiotherapy posed patients was higher than that in their counterparts who did not receive radiotherapy (95.9 %,47/49 vs 75.0 %,30/40) (P =0.022).Conclusion The DA-BEACOP regimen showed manageable toxicity in patients with poor-prognosis lymphoma.