Table 4.

Select treatment outcomes in HSTCL (>2 patients)

ReferenceNTreatmentTransplantResponseOutcomes
Foss et al 31 Nonanthracycline 40% auto (1) 40% CR Median survival 13 mo 
Anthracycline 60% allo (7: 4 in CR1, 3 in salvage) 3-y OS 40% 
3-y PFS 40% 
Yabe et al12  27 HyperCVAD (15) autoSCT (7) CR (4) Median OS of 28.3 mo 
CHOP-like (9) alloSCT (5) SCT receipt associated with longer EFS but not OS 
Other (19) All patients eventually DOD 
Pentostatin (6) 
Alemtuzumab (6) 
Belhadj et al21  21 CHOP/CHOP-like (19) autoSCT (6) CR (11) All patients DOD except 2 treated with platinum agents (and autoSCT) 
Platinum/Ara-C (2) alloSCT (2) PR (2) 
PD (6) 
PR (2) 
Falchook et al20  15 CHOP/CHOP-like (6) autoSCT (5) 50% CR (7 of 14 receiving chemotherapy) Median duration of CR of 8 mo 
HyperCVIDDMTX/Ara-C (4) alloSCT (2) All patients who received SCT are alive and in CR 
Other (4) 
Voss et al46  14 CHOP (4) autoSCT (4) 1 CR, 2 PR, 1 PD 7 remain alive (median f/u 65.6 mo) 
ICE/IVAC (8) alloSCT (8) 4 CR, 2 PR, 2 PD 6 of 7 alive had non-CHOP and SCT 
Pentostatin/2-CDA (2) 2 PD 
Macon et al16  14 None (5) autoSCT (2) N/A Median OS 6 mo 
CHOP (2) 11 DOD, 8 within a year of diagnosis 
HDT + auto-SCT (2) 2 long-term remission: 1 after autoSCT, 1 after intensive regimen 
Other intensive chemotherapy (2) 
Yabe et al CHOP-like (4) auto (1) N/A 4 alive (f/u 1-86 mo) 
HyperCVAD-like (3) allo (2) 3 of 4 alive had SCT 
Hassan et al68  CHOP (1) None PD (1) All DOD 
Saito et al69  LSG9 (1) None CR (1) All DOD <9 mo 
CHOP + ESHAP (1) PD (1) 
CHOP (1) CR (1) 
Rashidi and Cashen57  44 alloSCT, TBI-based conditioning 71% allo (44) Pre-alloSCT response  42% 3-y RFS 
41% CR  56% 3-y OS 
43% PR 
16% PD 
ReferenceNTreatmentTransplantResponseOutcomes
Foss et al 31 Nonanthracycline 40% auto (1) 40% CR Median survival 13 mo 
Anthracycline 60% allo (7: 4 in CR1, 3 in salvage) 3-y OS 40% 
3-y PFS 40% 
Yabe et al12  27 HyperCVAD (15) autoSCT (7) CR (4) Median OS of 28.3 mo 
CHOP-like (9) alloSCT (5) SCT receipt associated with longer EFS but not OS 
Other (19) All patients eventually DOD 
Pentostatin (6) 
Alemtuzumab (6) 
Belhadj et al21  21 CHOP/CHOP-like (19) autoSCT (6) CR (11) All patients DOD except 2 treated with platinum agents (and autoSCT) 
Platinum/Ara-C (2) alloSCT (2) PR (2) 
PD (6) 
PR (2) 
Falchook et al20  15 CHOP/CHOP-like (6) autoSCT (5) 50% CR (7 of 14 receiving chemotherapy) Median duration of CR of 8 mo 
HyperCVIDDMTX/Ara-C (4) alloSCT (2) All patients who received SCT are alive and in CR 
Other (4) 
Voss et al46  14 CHOP (4) autoSCT (4) 1 CR, 2 PR, 1 PD 7 remain alive (median f/u 65.6 mo) 
ICE/IVAC (8) alloSCT (8) 4 CR, 2 PR, 2 PD 6 of 7 alive had non-CHOP and SCT 
Pentostatin/2-CDA (2) 2 PD 
Macon et al16  14 None (5) autoSCT (2) N/A Median OS 6 mo 
CHOP (2) 11 DOD, 8 within a year of diagnosis 
HDT + auto-SCT (2) 2 long-term remission: 1 after autoSCT, 1 after intensive regimen 
Other intensive chemotherapy (2) 
Yabe et al CHOP-like (4) auto (1) N/A 4 alive (f/u 1-86 mo) 
HyperCVAD-like (3) allo (2) 3 of 4 alive had SCT 
Hassan et al68  CHOP (1) None PD (1) All DOD 
Saito et al69  LSG9 (1) None CR (1) All DOD <9 mo 
CHOP + ESHAP (1) PD (1) 
CHOP (1) CR (1) 
Rashidi and Cashen57  44 alloSCT, TBI-based conditioning 71% allo (44) Pre-alloSCT response  42% 3-y RFS 
41% CR  56% 3-y OS 
43% PR 
16% PD 

2-CDA, cladribine; allo, allogeneic; auto, autologous; CR1, first complete response; DOD, died of disease; ESHAP, etoposide, methylprednisolone, high-dose cytarabine, cisplatin; f/u, follow-up; HyperCVAD cyclophosphamide, vincristine, doxorubicin, and dexamethasone; HyperCVIDDMTX/Ara-C, fractionated cyclophosphamide, liposomal doxorubicin, dexamethasone, vincristine, methotrexate, cytarabine; ICE, ifosfamide, carboplatin, etoposide; IVAC, ifosfamide, etoposide, cytarabine; LSG9, VEPA-B/FEPP-AB/M-FEPA; N/A, not applicable; PD, progressive disease; PFS, progression-free survival; PR, partial response; RFS, relapse-free survival; TBI total-body irradiation.

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