Chemotherapy regimens for PCNSL.
Ref . | Type . | N . | Regimen . | RT . | Result . | Other . |
---|---|---|---|---|---|---|
Abbreviations: PCNSL, primary central nervous system lymphoma; DHAP, dexamethasone, high-dose cytarabine, and cisplatin; PCV, procarbazine, CCNU, and vincristine; MTX, methotrexate; BBBD, blood-brain-barrier disruption; MTV, methotrexate, thiotepa, and vincristine; IT, intrathecal; Ara-C, cytarabine; BOMES, BCNU, vincristine, methotrexate, etoposide, and methylprednisolone; MPV, methotrexate, procarbazine, and vincristine; RT, whole-brain radiotherapy; mo, months; PFS, progression-free survival; pt, patient. | ||||||
Adapted with permission from Abrey LE, Primary central nervous system lymphoma. The Neurologist. 2000;6:245-254. | ||||||
35 | Series | 10 | DHAP | +/– | 70% response 40% prolonged remission | 4 newly diagnosed, 6 recurrent Several did not receive RT |
36 | Series | 10 | PCV | + | 100% response 30-mo median survival | PCV given post-RT 1 pt received carmustine |
11 | Series | 13 | MTX 3.5 g/m2 | + | 92% response 9+- mo median survival | Survival up to 54+ mos |
10 | Series | 25 | MTX 3.5 g/m2 | + | 88% response 33-mo median survival | 59% relapse rate |
37 | Series | 74 | MTX BBBD | – | 65% complete response 40.7-mo median survival | |
38 | Series | 31 | MTX 1 g/m2 | + | 64% response 41-mo median survival | |
23 | Phase II | 14 | MTV IT Ara-C | – | 100% response 16.5-mo median PFS | 68.8% alive at 54 mos 2 pts with severe leukoencephalopathy |
39 | Prospective | 19 | BOMES | + | 84% response rate 6-mo median PFS | 5 pts with concurrent systemic lymphoma |
40 | Series | 19 | MTX-based 3.5-8 g/m2 | – | 94% response rate | |
41 | Phase II | 102 | MPV Ara-C | + | 94% response rate 30+-mo median survival | |
14 | Prospective | 52 | MPV Ara-C | +/– | 60-mo median survival | 22 older pts did not receive RT |
Ref . | Type . | N . | Regimen . | RT . | Result . | Other . |
---|---|---|---|---|---|---|
Abbreviations: PCNSL, primary central nervous system lymphoma; DHAP, dexamethasone, high-dose cytarabine, and cisplatin; PCV, procarbazine, CCNU, and vincristine; MTX, methotrexate; BBBD, blood-brain-barrier disruption; MTV, methotrexate, thiotepa, and vincristine; IT, intrathecal; Ara-C, cytarabine; BOMES, BCNU, vincristine, methotrexate, etoposide, and methylprednisolone; MPV, methotrexate, procarbazine, and vincristine; RT, whole-brain radiotherapy; mo, months; PFS, progression-free survival; pt, patient. | ||||||
Adapted with permission from Abrey LE, Primary central nervous system lymphoma. The Neurologist. 2000;6:245-254. | ||||||
35 | Series | 10 | DHAP | +/– | 70% response 40% prolonged remission | 4 newly diagnosed, 6 recurrent Several did not receive RT |
36 | Series | 10 | PCV | + | 100% response 30-mo median survival | PCV given post-RT 1 pt received carmustine |
11 | Series | 13 | MTX 3.5 g/m2 | + | 92% response 9+- mo median survival | Survival up to 54+ mos |
10 | Series | 25 | MTX 3.5 g/m2 | + | 88% response 33-mo median survival | 59% relapse rate |
37 | Series | 74 | MTX BBBD | – | 65% complete response 40.7-mo median survival | |
38 | Series | 31 | MTX 1 g/m2 | + | 64% response 41-mo median survival | |
23 | Phase II | 14 | MTV IT Ara-C | – | 100% response 16.5-mo median PFS | 68.8% alive at 54 mos 2 pts with severe leukoencephalopathy |
39 | Prospective | 19 | BOMES | + | 84% response rate 6-mo median PFS | 5 pts with concurrent systemic lymphoma |
40 | Series | 19 | MTX-based 3.5-8 g/m2 | – | 94% response rate | |
41 | Phase II | 102 | MPV Ara-C | + | 94% response rate 30+-mo median survival | |
14 | Prospective | 52 | MPV Ara-C | +/– | 60-mo median survival | 22 older pts did not receive RT |