2016
Role of rituximab in treatment of patients with primary central nervous system lymphoma: a retrospective analysis of the Czech lymphoma study group registry
MOCIKOVA, Heidi; Robert PYTLIK; Alice SYKOROVA; Andrea JANÍKOVÁ; Vit PROCHAZKA et al.Základní údaje
Originální název
Role of rituximab in treatment of patients with primary central nervous system lymphoma: a retrospective analysis of the Czech lymphoma study group registry
Autoři
MOCIKOVA, Heidi; Robert PYTLIK; Alice SYKOROVA; Andrea JANÍKOVÁ; Vit PROCHAZKA; Samuel VOKURKA; Adela BERKOVA; David BELADA; Vit CAMPR; Lucie BURESOVA a Marek TRNENY
Vydání
Leukemia & Lymphoma, London, Informa Healthcare, 2016, 1042-8194
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30200 3.2 Clinical medicine
Stát vydavatele
Velká Británie a Severní Irsko
Utajení
není předmětem státního či obchodního tajemství
Impakt faktor
Impact factor: 2.755
Označené pro přenos do RIV
Ano
Kód RIV
RIV/00216224:14110/16:00093410
Organizační jednotka
Lékařská fakulta
UT WoS
EID Scopus
Klíčová slova anglicky
Chemotherapy; primary central nervous system lymphoma; rituximab
Štítky
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 7. 2. 2017 13:03, Ing. Mgr. Věra Pospíšilíková
Anotace
V originále
We have investigated whether the addition of rituximab to methotrexate, procarbazine, vincristine, radiotherapy and cytarabine was associated with improved outcome of primary central nervous system lymphomas (PCNSL). Of 164 patients, 49 received rituximab. Median age was 63 years, median Karnofsky performance score (KPS) was 60 and median follow-up of living patients was 59.5 months. 1- and 2-year PFS were 49.7 and 37.9%, 1- and 2-year OS were 57.0 and 453%. Median progression-free survival (PFS), but not overall survival (OS) was significantly better for patients treated with rituximab (22.9 vs. 10.9 months, p = 0.037). In multivariate analysis, age <= 70 years and KPS >= 90 were predictive for PFS and OS, rituximab was an independent prognostic factor for PFS only. In landmark analyses, rituximab was not found beneficial for long-term survivors and no group particularly benefited from rituximab. In conclusion, addition of rituximab was associated with improved PFS, but not OS in this unselected cohort of PCNSL patients.