Efficacy and toxicity of bendamustine in patients with relapsed low-grade non-Hodgkin's lymphomas.

作者: Andrea Heider , Norbert Niederle

DOI: 10.1097/00001813-200110000-00003

关键词: Hodgkin sIn patientBendamustineInternal medicineLymphomaSurvival analysisGastroenterologyIndolent Non-Hodgkin LymphomaMedicineClinical trialToxicity

摘要: Low-grade non-Hodgkin's lymphomas (NHL) are very sensitive to a broad range of chemotherapeutic and biological agents. Relapses, however, occur even after aggressive cytostatic combinations in first-line therapy. Therefore, effective well-tolerated salvage therapies important. In this single-institution trial, the efficacy toxicity bendamustine treatment relapsed low-grade NHL was investigated. Fifty-eight patients with pretreated different regimens were included. All received at 120 mg/m(2) as 1-h infusion on 2 consecutive days. The repeated every 3 weeks until complete remission (CR), partial (PR) or stable disease (SD) confirmed two cycles. Efficacy evaluated 52 patients: CR induced 11%, PR 62% SD another 10% patients. No response seen 17%. median duration 16 months survival time 36 months. Side effects generally mild, restricted myelosuppression, gastrointestinal allergic reactions. Bendamustine proved be well tolerated primary resistant NHL.

参考文章(29)
V. Diehl, A. Lister, J.A. Radford, D. Ma, P. Johnson, A. Engert, F. Reyes, C. Haioun, H. Tilly, R. Capdeville, B. Coiffier, N. Ketterer, M. Feuring Buske, Rituximab (Anti-CD20 Monoclonal Antibody) for the Treatment of Patients With Relapsing or Refractory Aggressive Lymphoma: A Multicenter Phase II Study Blood. ,vol. 92, pp. 1927- 1932 ,(1998) , 10.1182/BLOOD.V92.6.1927
David G. Maloney, Antonio J. Grillo-López, Christine A. White, David Bodkin, Russell J. Schilder, James A. Neidhart, Nalini Janakiraman, Kenneth A. Foon, Tina-Marie Liles, Brian K. Dallaire, Ken Wey, Ivor Royston, Thomas Davis, Ronald Levy, IDEC-C2B8 (Rituximab) Anti-CD20 Monoclonal Antibody Therapy in Patients With Relapsed Low-Grade Non-Hodgkin's Lymphoma Blood. ,vol. 90, pp. 2188- 2195 ,(1997) , 10.1182/BLOOD.V90.6.2188
Philip J. Bierman, James O. Armitage, Non-Hodgkin's lymphoma. Current Opinion in Hematology. ,vol. 3, pp. 266- 272 ,(1996) , 10.1097/00062752-199603040-00004
Bruce D. Cheson, Sandra J. Horning, Bertr Coiffier, Margaret A. Shipp, Richard I. Fisher, Joseph M. Connors, T. Andrew Lister, Julie Vose, Antonio Grillo-López, Anton Hagenbeek, Fernando Cabanillas, Donald Klippensten, Wolfgang Hiddemann, Ronald Castellino, Nancy L. Harris, James O. Armitage, William Carter, Richard Hoppe, George P. Canellos, Report of an International Workshop to Standardize Response Criteria for Non-Hodgkin's Lymphomas Journal of Clinical Oncology. ,vol. 17, pp. 1244- 1244 ,(1999) , 10.1200/JCO.1999.17.4.1244
Julie M Vose, Richard L Wahl, Mansoor Saleh, Ama Z Rohatiner, Susan J Knox, John A Radford, Andrew D Zelenetz, George F Tidmarsh, Robert J Stagg, Mark S Kaminski, None, Multicenter phase II study of iodine-131 tositumomab for chemotherapy- relapsed/refractory low-grade and transformed low-grade B-cell non-Hodgkin's lymphomas Journal of Clinical Oncology. ,vol. 18, pp. 1316- 1323 ,(2000) , 10.1200/JCO.2000.18.6.1316
A. Heider, W. Köster, J. Grote-Kiehn, K. Bremer, H. Wilke, N. Niederle, Bendamustin in untreated small cell lung cancer (SCLC): Efficacy and toxicity European Journal of Cancer. ,vol. 35, ,(1999) , 10.1016/S0959-8049(99)81429-4
CH Weaver, L Schwartzberg, S Rhinehart, J West, B Zhen, WH West, CD Buckner, High-dose chemotherapy with BUCY or BEAC and unpurged peripheral blood stem cell infusion in patients with low-grade non-Hodgkin's lymphoma Bone Marrow Transplantation. ,vol. 21, pp. 383- 389 ,(1998) , 10.1038/SJ.BMT.1701101
E. L. Kaplan, Paul Meier, Nonparametric Estimation from Incomplete Observations Springer Series in Statistics. ,vol. 53, pp. 319- 337 ,(1992) , 10.1007/978-1-4612-4380-9_25
Anil Tulpule, Gary Schiller, Laura A. Harvey-Buchanan, Myung Lee, Byron M. Espina, Aziz U. Khan, William Boswell, Bharat Nathwani, Alexandra M. Levine, Cladribine in the treatment of advanced relapsed or refractory low and intermediate grade non-Hodgkin's lymphoma. Cancer. ,vol. 83, pp. 2370- 2376 ,(1998) , 10.1002/(SICI)1097-0142(19981201)83:11<2370::AID-CNCR17>3.0.CO;2-M
Donna E. Salzman, Adrienne D. Briggs, William P. Vaughan, Bone Marrow Transplantation for Non-Hodgkin's Lymphoma:A Review The American Journal of the Medical Sciences. ,vol. 313, pp. 228- 235 ,(1997) , 10.1097/00000441-199704000-00006