MOCIKOVA, Heidi, Robert PYTLIK, Alice SYKOROVA, Andrea JANÍKOVÁ, Vit PROCHAZKA, Samuel VOKURKA, Adela BERKOVA, David BELADA, Vit CAMPR, Lucie BURESOVA and Marek TRNENY. Role of rituximab in treatment of patients with primary central nervous system lymphoma: a retrospective analysis of the Czech lymphoma study group registry. Leukemia & Lymphoma. London: Informa Healthcare, 2016, vol. 57, No 12, p. 2777-2783. ISSN 1042-8194. Available from: https://dx.doi.org/10.3109/10428194.2016.1167203.
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Basic information
Original name Role of rituximab in treatment of patients with primary central nervous system lymphoma: a retrospective analysis of the Czech lymphoma study group registry
Authors MOCIKOVA, Heidi (203 Czech Republic), Robert PYTLIK (203 Czech Republic), Alice SYKOROVA (203 Czech Republic), Andrea JANÍKOVÁ (203 Czech Republic, guarantor, belonging to the institution), Vit PROCHAZKA (203 Czech Republic), Samuel VOKURKA (203 Czech Republic), Adela BERKOVA (203 Czech Republic), David BELADA (203 Czech Republic), Vit CAMPR (203 Czech Republic), Lucie BURESOVA (203 Czech Republic) and Marek TRNENY (203 Czech Republic).
Edition Leukemia & Lymphoma, London, Informa Healthcare, 2016, 1042-8194.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30200 3.2 Clinical medicine
Country of publisher United Kingdom of Great Britain and Northern Ireland
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 2.755
RIV identification code RIV/00216224:14110/16:00093410
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.3109/10428194.2016.1167203
UT WoS 000385471000007
Keywords in English Chemotherapy; primary central nervous system lymphoma; rituximab
Tags EL OK
Tags International impact, Reviewed
Changed by Changed by: Ing. Mgr. Věra Pospíšilíková, učo 9005. Changed: 7/2/2017 13:03.
Abstract
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.
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