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首页> 外文期刊>British Journal of Haematology >Continuous oral cyclophosphamide and prednisolone as a valuable treatment option for peripheral T cell lymphoma.
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Continuous oral cyclophosphamide and prednisolone as a valuable treatment option for peripheral T cell lymphoma.

机译:连续口服环磷酰胺和泼尼松龙作为外周T细胞淋巴瘤的重要治疗选择。

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摘要

Peripheral T cell lymphomas (PTCL) are rare and frequentlyassociated with a poor clinical outcome, with 5-year overallsurvival (OS) between 20% and 40%, regardless of thetherapeutic approach employed (Coiffier et al, 1990; Ascaniet al, 1997).Major improvements were expected from Alemtuzumab, ananti-CD52 monoclonal antibody targeting mature T lymphocytes.However, unlike Rituximab in diffuse large B celllymphoma, no clear advantage has been obtained so far. In aprospective multicentre phase II trial, 24 patients withnewly diagnosed PTCL received CHOP (cyclophosphamide,vincristine, doxorubicin, prednisolone) combined with Alemtuzumab.Despite the impressive complete remission (CR)rate (71%), the estimated 2-years OS and failure-free survivalrates did not appear better than in historical patients treatedwith CHOP (53% and 48% respectively) because of the highincidence of major infections (Gallamini et al, 2007).
机译:周围性T细胞淋巴瘤(PTCL)很少见,并经常与不良的临床结果相关,无论采用何种治疗方法,其5年总生存率(OS)在20%至40%之间(Coiffier等,1990; Ascaniet等,1997)。靶向成熟T淋巴细胞的抗CD52单克隆抗体Alemtuzumab有望取得重大进步,但是,与利妥昔单抗在弥漫性大B细胞淋巴瘤中不同,迄今为止尚未获得明显的优势。在一项前瞻性多中心II期临床试验中,有24例新诊断为PTCL的患者接受CHOP(环磷酰胺,长春新碱,阿霉素,泼尼松龙)联合Alemtuzumab治疗,尽管其完全缓解率(CR)令人印象深刻(71%),2年OS估计和失败-由于主要感染的高发生率,免费的存活率似乎没有比接受CHOP治疗的历史患者更好(分别为53%和48%)(Gallamini等,2007)。

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