Table 1.

Selected recent studies treating PMBCL

StudyTreatmentStudy typePatient characteristicsOutcome
ChemotherapyRT±
Savage et al26  CHOP/R-CHOP /MACOP- B/VACOP-B Variable Retrospective study, N = 153 All IPI groups At 5 y, PFS was 69%. Only MACOP-B/VACOP-B vs CHOP-like regimens were significantly different 
Rieger et al24  CHOP/R-CHOP Variable, RT intended in 87% Retrospective analysis, N = 87 Confined to AA-IPI of 0-1 At 3 y, EFS was 78% for R-CHOP and 52% for CHOP 
Soumerai et al25  R-CHOP Yes, 77% of responding patients Retrospective study, N = 63 All IPI groups At 5 y, PFS was 68% 
Dunleavy et al28  DA-EPOCH-R No Prospective study, N = 51 All IPI groups At 5 y, EFS was 93% 
Martelli et al31  R-MACOP-B, R-VACOP-B, R-CHOP Yes Prospective study, N = 125 All IPI Estimated 5 y PFS is 86% 
Gleeson et al27  R-CHOP-14 vs R- CHOP-21 Yes Retrospective analysis, N = 50 Confined to stage I and II 5 y PFS, 79.8% 
StudyTreatmentStudy typePatient characteristicsOutcome
ChemotherapyRT±
Savage et al26  CHOP/R-CHOP /MACOP- B/VACOP-B Variable Retrospective study, N = 153 All IPI groups At 5 y, PFS was 69%. Only MACOP-B/VACOP-B vs CHOP-like regimens were significantly different 
Rieger et al24  CHOP/R-CHOP Variable, RT intended in 87% Retrospective analysis, N = 87 Confined to AA-IPI of 0-1 At 3 y, EFS was 78% for R-CHOP and 52% for CHOP 
Soumerai et al25  R-CHOP Yes, 77% of responding patients Retrospective study, N = 63 All IPI groups At 5 y, PFS was 68% 
Dunleavy et al28  DA-EPOCH-R No Prospective study, N = 51 All IPI groups At 5 y, EFS was 93% 
Martelli et al31  R-MACOP-B, R-VACOP-B, R-CHOP Yes Prospective study, N = 125 All IPI Estimated 5 y PFS is 86% 
Gleeson et al27  R-CHOP-14 vs R- CHOP-21 Yes Retrospective analysis, N = 50 Confined to stage I and II 5 y PFS, 79.8% 

DA-EPOCH-R, dose-adjusted etoposide, prednisone, vincristine, cyclophosphamide, and doxorubicin, plus rituximab; EFS, event-free survival; IPI, international prognostic index; OS, overall survival; R-MACOP-B, rituximab and methotrexate with leucovorin rescue, doxorubicin, cyclophosphamide, vincristine, prednisone, and bleomycin; R-VACOP-B, rituximab with etoposide, doxorubicin, cyclophosphamide, vincristine, prednisone, and bleomycin.

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