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January 1, 2006Leukemia & lymphoma/Leukemia and lymphoma

Rituximab, Bevacizumab and CHOP (RA-CHOP) in untreated diffuse large B-cell lymphoma: Safety, biomarker and pharmacokinetic analysis

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Key result

Treatment with RA-CHOP in newly-diagnosed DLBCL was well tolerated and safe, yielding an overall response rate of 85% and a 12-month progression-free survival of 77%.

Why the study?

Is the combination of bevacizumab, rituximab, and CHOP (RA-CHOP) safe and effective in patients with newly-diagnosed diffuse large B-cell lymphoma?

Population

13 patients with newly-diagnosed diffuse large B-cell lymphoma (DLBCL)

Design

Case_series

Follow-up

median 16.9 months

Authors

KGKristen N. GanjooStanford MedicineCACaroline AnUniversity of PennsylvaniaMRMichael J. RobertsonIndiana University Health

Discussion

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Implication

Does not support practice change in DLBCL; leaves open efficacy of bevacizumab addition versus R-CHOP alone.

Structured PICO

Is the combination of bevacizumab, rituximab, and CHOP (RA-CHOP) safe and effective in patients with newly-diagnosed diffuse large B-cell lymphoma?

P
Population
13 patients with newly-diagnosed diffuse large B-cell lymphoma (DLBCL)
I
Intervention
Bevacizumab 15 mg/kg IV on day 1 followed by rituximab and CHOP on day 2 for cycle 1 and day 1 for cycles 2-8 (total 2-8 cycles, median 7)
O
Outcome
Safety, pharmacokinetics, and response rate (overall response and complete response)safety

The addition of bevacizumab to R-CHOP (RA-CHOP) is safe and well-tolerated in newly-diagnosed DLBCL, showing promising response rates.

Cite This Study

Ganjoo et al. (2006) studied Untreated diffuse large B-cell lymphoma (DLBCL) (n=13). Rituximab, Bevacizumab and CHOP (RA-CHOP) was evaluated on Overall response rate. Treatment with RA-CHOP in newly-diagnosed DLBCL was well tolerated and safe, yielding an overall response rate of 85% and a 12-month progression-free survival of 77%.

synapsesocial.com/papers/6a11dbfbc031bb6829a572cehttps://doi.org/10.1080/10428190600563821
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Simultaneous elevation in the serum concentrations of the angiogenic growth factors VEGF and bFGF is an independent predictor of poor prognosis in non-Hodgkin lymphoma: a single-institution study of 200 patients2000 · 225 citations
  2. 2Magnetic Resonance Imaging Detects Suppression of Tumor Vascular Permeability After Administration of Antibody to Vascular Endothelial Growth Factor1998 · 208 citations
  3. 3Rituximab-CHOP Versus CHOP with or without Maintenance Rituximab in Patients 60 Years of Age or Older with Diffuse Large B-Cell Lymphoma (DLBCL): An Update.2004 · 52 citations
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