Asparaginase and MOPP treatment of dogs with lymphoma

J Vet Intern Med. 2009 May-Jun;23(3):578-84. doi: 10.1111/j.1939-1676.2009.0289.x.

Abstract

Background: Dogs with multicentric lymphoma are treated with various cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP)-based chemotherapy protocols with variable success.

Objectives: To describe the progression-free survival (PFS) time and overall survival time (OST) of dogs with T-cell lymphoma or hypercalcemic lymphoma treated with L-asparaginase and mechlorethamine, vincristine, prednisone, procarbazine (MOPP).

Animals: Fifty dogs with T-cell lymphoma, hypercalcemic lymphoma, or both treated at 3 referral veterinary hospitals.

Methods: Retrospective study. Case were selected based on histologic or cytologic diagnosis of lymphoma; presence of the T-cell phenotype, presence of hypercalcemia or both; and absence of previous chemotherapy. The T-cell phenotype was determined by flow cytometry, immunocytochemistry, immunohistochemistry, or polymerase chain reaction of antigen receptor rearrangement.

Results: The overall response rate was 98% (78% complete response, 20% partial response). The median PFS for the entire study population was 189 days with 25% PFS at 939 days. The median OST for the entire study population was 270 days with 25% surviving 939 days. Twenty percent of the dogs required hospitalization for treatment related complications.

Conclusions and clinical importance: L-Asp/MOPP chemotherapy might result in longer PFS and OST for dogs with multicentric T-cell lymphoma, dogs with hypercalcemic lymphoma or both, than achieved with CHOP.

MeSH terms

  • Animals
  • Antineoplastic Agents / therapeutic use*
  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Asparaginase / administration & dosage
  • Asparaginase / therapeutic use*
  • Dog Diseases / drug therapy*
  • Dogs
  • Female
  • Lymphoma / drug therapy
  • Lymphoma / veterinary*
  • Male
  • Mechlorethamine / administration & dosage
  • Mechlorethamine / therapeutic use
  • Prednisone / administration & dosage
  • Prednisone / therapeutic use
  • Procarbazine / administration & dosage
  • Procarbazine / therapeutic use
  • Retrospective Studies
  • Vincristine / administration & dosage
  • Vincristine / therapeutic use

Substances

  • Antineoplastic Agents
  • Procarbazine
  • Mechlorethamine
  • Vincristine
  • Asparaginase
  • Prednisone

Supplementary concepts

  • MOPP protocol