比较 CHOP-19 和 CHOP-25 治疗犬外周结节性 B 细胞淋巴瘤的疗效:欧洲多中心回顾性队列研究。

IF 2.1 2区 农林科学 Q1 VETERINARY SCIENCES
Charles Hawkes, Joanna Morris, Spela Bavcar, Craig Wilkie, Surajit Ray, Charlotte Auquier, Sarah Benjamin, Juan Borrego Massó, Sébastien Bottin, Owen Davies, Isabelle Desmas-Bazelle, Anat Einhorn, Celia Figueroa-Gonzalez, Katerina Holenova, Elisavet Kritsotalaki, Kerry Peak, Katherine Smallwood, Elisabetta Treggiari, Paola Valenti, Miguel Garcia de la Virgen, Quentin Fournier
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引用次数: 0

摘要

背景:外周结节B细胞淋巴瘤(PNBCL)是狗淋巴瘤中最常见的一种。以多药 CHOP(C=环磷酰胺,H=羟基多柔比星[Doxorubicin],O=Oncovin,P=泼尼松龙)为基础的化疗方案已被广泛接受为一线治疗的金标准。CHOP-25和CHOP-19是最常用的化疗方案,但从未进行过直接比较:我们的主要目的是比较采用 CHOP-19 或 CHOP-25 方案一线治疗的 PNBCL 诊断犬的疗效。次要目标是确定方案相关变量对疗效的影响:动物:来自欧洲 16 家肿瘤转诊中心的 52 只狗。方法:回顾性多中心队列研究:方法:对 2014 年至 2021 年期间诊断为 PNBCL 的狗进行回顾性、多中心队列研究:CHOP-19的6个月、1年和中位无进展生存期(PFS)分别为56.5%(95%置信区间[CI],49.2-65.0)、14.1%(95% CI,9.4-21.0)和196天(95% CI,176-233);CHOP-25的6个月、1年和中位无进展生存期(PFS)分别为56.4%(95% CI,51.4-61.9)、17%(95% CI,13.4-21.6)和209天(95% CI,187-224)。CHOP-19的1年、2年和中位总生存期(OS)分别为36.9%(95% CI,29.7-46.0)、13.5%(95% CI,8.6-21.1)和302天(95% CI,249-338);CHOP-25的1年、2年和中位总生存期(OS)分别为42.8%(95% CI,37.7-48.7)、15.4%(95% CI,11.7-20.4)和321天(95% CI,293-357)。两种方案的 PFS 和 OS 无明显差异:我们的研究证实,一线CHOP-19或CHOP-25治疗PNBCL犬的疗效相似。因此,这两种方案在未来的试验中均可作为标准治疗方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Comparison of CHOP-19 and CHOP-25 for treatment of peripheral nodal B-cell lymphoma in dogs: A European multicenter retrospective cohort study

Comparison of CHOP-19 and CHOP-25 for treatment of peripheral nodal B-cell lymphoma in dogs: A European multicenter retrospective cohort study

Background

Peripheral nodal B-cell lymphomas (PNBCL) represent the most common presentation of lymphomas in dogs. Multiagent CHOP (C = cyclophosphamide, H = hydroxydaunorubicin [Doxorubicin], O = Oncovin, P = prednisolone)-based chemotherapy protocols have been widely accepted as gold standard 1st-line treatment. CHOP-25 and CHOP-19 are most commonly prescribed but have never been directly compared.

Objectives

Our primary aim was to compare outcomes of dogs diagnosed with PNBCL, treated using a 1st-line CHOP-19 or CHOP-25 protocol. A secondary objective was to determine the impact of protocol-related variables on outcomes.

Animals

Five hundred two dogs from 16 European oncology referral centers. One hundred fifty-five dogs were treated with CHOP-19 and 347 dogs with CHOP-25.

Methods

Retrospective, multicentric cohort study of dogs diagnosed with PNBCL between 2014 and 2021.

Results

The 6-month, 1-year, and median progression-free survival (PFS) were 56.5% (95% confidence interval [CI], 49.2-65.0), 14.1% (95% CI, 9.4-21.0), and 196 days (95% CI, 176-233) with CHOP-19; and 56.4% (95% CI, 51.4-61.9), 17% (95% CI, 13.4-21.6), and 209 days (95% CI, 187-224) with CHOP-25. The 1-year, 2-year and median overall survival (OS) were 36.9% (95% CI, 29.7-46.0), 13.5% (95% CI, 8.6-21.1), and 302 days (95% CI, 249-338) with CHOP-19; and 42.8% (95% CI, 37.7-48.7), 15.4% (95% CI, 11.7-20.4), and 321 days (95% CI, 293-357) with CHOP-25. No significant difference in PFS and OS was found between the 2 protocols.

Conclusions and Clinical Importance

Our study confirmed similar outcomes for dogs with PNBCL treated with 1st-line CHOP-19 or CHOP-25. Both protocols therefore could be used as a standard of care in future trials.

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来源期刊
CiteScore
4.50
自引率
11.50%
发文量
243
审稿时长
22 weeks
期刊介绍: The mission of the Journal of Veterinary Internal Medicine is to advance veterinary medical knowledge and improve the lives of animals by publication of authoritative scientific articles of animal diseases.
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