Salvage Chemotherapy with R-DHAP in Patients with Relapsed or Refractory Non-Hodgkin Lymphoma

Cancer Invest. 2016 Sep 13;34(8):361-72. doi: 10.1080/07357907.2016.1212062. Epub 2016 Sep 16.

Abstract

This analysis reports on 72 patients with relapsed or refractory non-Hodgkin lymphoma who were treated with R-DHAP salvage chemotherapy regimen followed by high-dose chemotherapy and stem cell transplantation. The overall remission rate was 58.3%. Median time of follow-up was 28.7 months. Median progression-free survival was 29 months, estimated median overall survival was 37 months. Within a matched pair analysis these results were compared to a group that received DHAP salvage therapy without rituximab showing similar overall response rates and better estimated five-year overall survival of 59.2% versus 43.5%. R-DHAP therapy was shown to be effective and feasible with acceptable toxicity.

Keywords: Lymphomas; therapy; treatment; tumor immunology.

MeSH terms

  • Adult
  • Aged
  • Antineoplastic Combined Chemotherapy Protocols / adverse effects
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Cisplatin / adverse effects
  • Cisplatin / therapeutic use
  • Cytarabine / adverse effects
  • Cytarabine / therapeutic use
  • Dexamethasone / adverse effects
  • Dexamethasone / therapeutic use
  • Drug Resistance, Neoplasm*
  • Female
  • Humans
  • Kaplan-Meier Estimate
  • Lymphoma, Non-Hodgkin / diagnosis
  • Lymphoma, Non-Hodgkin / drug therapy*
  • Lymphoma, Non-Hodgkin / mortality
  • Lymphoma, Non-Hodgkin / pathology*
  • Male
  • Middle Aged
  • Neoplasm Staging
  • Retreatment
  • Rituximab / administration & dosage
  • Salvage Therapy
  • Treatment Outcome

Substances

  • Cytarabine
  • Rituximab
  • Dexamethasone
  • Cisplatin

Supplementary concepts

  • DHAP protocol