Table 1.

Major phase 2 and 3 studies of autologous SCT in MCL

TrialPhaseNumber of patientsORR/CRPFS/OSReference
Consolidation by myeloablative radiochemotherapy followed by ASCT vs interferon maintenance 269  3.3 vs 1.5 years/7.5 vs 4.8 years 3  
R-CHOP/R-DHAP+ASCT vs R-CHOP+ASCT (MCL Younger) 497  8.4 years vs 3.9 years/NR vs 11.3 years 2  
R-maxi-CHOP/HIDAC (Nordic MCL2) followed by ASCT 160  8.5 years/12.7 years 4  
R-DHAP+ASCT followed by MR vs R-DHAP+ASCT followed by consolidation 299 89%/77% 4 year PFS 83% vs 64%/4-year OS 89% vs 80% 11  
R-CHOP/R-DHAP+ASCT vs R-CHOP-I/R-DHAP+ASCT followed by I maintenance vs R-CHOP-I/R-DHAP followed by I maintenance (TRIANGLE) 860 98% (A + I and I combined) vs 94% (A)/45% (A + I and I combined) vs 36% (A) 3-year FFS 72% vs 88% vs 86%/3-year OS 86% vs 91% vs 92% 14  
TrialPhaseNumber of patientsORR/CRPFS/OSReference
Consolidation by myeloablative radiochemotherapy followed by ASCT vs interferon maintenance 269  3.3 vs 1.5 years/7.5 vs 4.8 years 3  
R-CHOP/R-DHAP+ASCT vs R-CHOP+ASCT (MCL Younger) 497  8.4 years vs 3.9 years/NR vs 11.3 years 2  
R-maxi-CHOP/HIDAC (Nordic MCL2) followed by ASCT 160  8.5 years/12.7 years 4  
R-DHAP+ASCT followed by MR vs R-DHAP+ASCT followed by consolidation 299 89%/77% 4 year PFS 83% vs 64%/4-year OS 89% vs 80% 11  
R-CHOP/R-DHAP+ASCT vs R-CHOP-I/R-DHAP+ASCT followed by I maintenance vs R-CHOP-I/R-DHAP followed by I maintenance (TRIANGLE) 860 98% (A + I and I combined) vs 94% (A)/45% (A + I and I combined) vs 36% (A) 3-year FFS 72% vs 88% vs 86%/3-year OS 86% vs 91% vs 92% 14  

ASCT, autologous stem cell transplantation; CHOP, cyclophosphamid, doxorubicin, vincristine, prednisone; DHAP, dexamethasone, high-dose cytarabine, cisplatin; FFS, failure-free survival; HIDAC, high-dose cytarabine; I, ibrutinib; NR, not reported; OS, overall survival; PFS, progression free survival; R, rituximab.

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