Efficacy and safety of frontline rituximab, cyclophosphamide, doxorubicin and prednisone plus bortezomib (VR-CAP) or vincristine (R-CHOP) in a subset of newly diagnosed mantle cell lymphoma patients medically eligible for transplantation in the randomized, phase 3 LYM-3002 study.
- Drach, Johannes
- Huang, Huiqiang
- Samoilova, Olga
- Belch, Andrew
- Farber, Charles
- Bosly, André
- Novak, Jan
- Zaucha, Jan
- Dascalescu, Angela
- Bunworasate, Udomsak
- Masliak, Zvenyslava
- Vilchevskaya, Kateryna
- Robak, Tadeusz
- Pei, Lixia
- Rooney, Brendan
- van de Velde, Helgi
- Cavalli, Franco
DOIAbstract
This post-hoc subanalysis of the LYM-3002 phase 3 study assessed the efficacy and safety of substituting vincristine in rituximab, cyclophosphamide, doxorubicin and prednisone (R-CHOP; n = 42) for bortezomib (VR-CAP; n = 38) in a subgroup of 80 mantle cell lymphoma (MCL) patients aged <60 years who did not receive stem cell transplantation (SCT) despite medical eligibility. Complete response (CR)/unconfirmed CR (CRu) rates were 67 vs. 39% (odds ratio 3.69 [95% CI(confidence interval): 1.31, 10.41]; p = .012). After 40 months median follow-up, median progression-free survival by independent radiology committee with VR-CAP vs. R-CHOP was 32.6 vs. 12.0 months (hazard ratio (HR) 0.59 [95% CI: 0.31, 1.13]; p = .108); median overall survival was ...
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