Efficacy and safety of prophylactic high-dose MTX in high-risk DLBCL: a treatment intent-based analysis
DC Field | Value | Language |
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dc.contributor.author | Jeong, Hyehyun | - |
dc.contributor.author | Cho, Hyungwoo | - |
dc.contributor.author | Kim, Hyeyeong | - |
dc.contributor.author | Chae, Heejung | - |
dc.contributor.author | Lee, Jung-Bok | - |
dc.contributor.author | Lee, Kyoungmin | - |
dc.contributor.author | Kim, Shin | - |
dc.contributor.author | Lee, Sang-wook | - |
dc.contributor.author | Ryu, Jin-Sook | - |
dc.contributor.author | Kim, Kyung Won | - |
dc.contributor.author | Chae, Eun Jin | - |
dc.contributor.author | Huh, Jooryung | - |
dc.contributor.author | Park, Chan-Sik | - |
dc.contributor.author | Yoon, Dok Hyun | - |
dc.contributor.author | Suh, Cheolwon | - |
dc.date.accessioned | 2021-06-21T08:40:27Z | - |
dc.date.available | 2021-06-21T08:40:27Z | - |
dc.date.issued | 2021-04 | - |
dc.identifier.issn | 2473-9529 | - |
dc.identifier.issn | 2473-9537 | - |
dc.identifier.uri | https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/53084 | - |
dc.description.abstract | Despite central nervous system (CNS) relapse occurring in >10% of high-risk diffuse large B-cell lymphoma (DLBCL) patients, the role of CNS-directed prophylaxis is controversial in the absence of randomized controlled trials. In this retrospective study, we aimed to evaluate the safety and efficacy of prophylactic high-dose methotrexate (HD-MTX) on CNS relapse and survival outcomes in 258 newly diagnosed R-CHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone)-treated high-risk DLBCL patients, based on the initial treatment intent (ITT) of the physician on the use of prophylactic HD-MTX. Patients were classified into an ITT HD-MTX group (n = 128) and a non-ITT HD-MTX group (n = 130). The CNS relapse rate was not significantly different between these groups, with 2-year CNS relapse rates of 12.4% and 13.9%, respectively (P = 0.96). Three-year progression-free survival and overall survival rates in the ITT HD-MTX and non-ITT HD-MTX groups were 62.4% vs 64.5% (P = 0.94) and 71.7% vs 71.4% (P = 0.7), respectively. Also, propensity score-matched analyses showed no significant differences in the time-to-CNS-relapse, progression-free survival, or overall survival. The ITT HD-MTX group showed a higher incidence of grade >= 3 oral mucositis and elevated alanine aminotransferase. Prophylactic HD-MTX does not improve CNS relapse rate or survival outcomes in high-risk DLBCL patients, and it is accompanied by increased toxicities. | - |
dc.format.extent | 11 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | AMER SOC HEMATOLOGY | - |
dc.title | Efficacy and safety of prophylactic high-dose MTX in high-risk DLBCL: a treatment intent-based analysis | - |
dc.type | Article | - |
dc.publisher.location | 네델란드 | - |
dc.identifier.doi | 10.1182/bloodadvances.2020003947 | - |
dc.identifier.scopusid | 2-s2.0-85106261583 | - |
dc.identifier.wosid | 000644766100012 | - |
dc.identifier.bibliographicCitation | Blood Advances, v.5, no.8, pp 2142 - 2152 | - |
dc.citation.title | Blood Advances | - |
dc.citation.volume | 5 | - |
dc.citation.number | 8 | - |
dc.citation.startPage | 2142 | - |
dc.citation.endPage | 2152 | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Hematology | - |
dc.relation.journalWebOfScienceCategory | Hematology | - |
dc.subject.keywordPlus | B-CELL LYMPHOMA | - |
dc.subject.keywordPlus | NON-HODGKIN-LYMPHOMA | - |
dc.subject.keywordPlus | NERVOUS-SYSTEM PROPHYLAXIS | - |
dc.subject.keywordPlus | DOUBLE-HIT LYMPHOMA | - |
dc.subject.keywordPlus | CNS PROPHYLAXIS | - |
dc.subject.keywordPlus | ELDERLY-PATIENTS | - |
dc.subject.keywordPlus | PLUS RITUXIMAB | - |
dc.subject.keywordPlus | MULTICENTER | - |
dc.subject.keywordPlus | CHEMOTHERAPY | - |
dc.subject.keywordPlus | METHOTREXATE | - |
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