Absolute lymphocyte count predicts response to rituximab-containing salvage treatment for relapsed/refractory B-cell non-Hodgkin's lymphoma with prior rituximab exposure.

نویسندگان

  • Man-Hsin Hung
  • Yuan-Bin Yu
  • Liang-Tsai Hsiao
  • Ying-Chung Hong
  • Jin-Hwang Liu
  • Jyh-Pyng Gau
  • Tzeon-Jye Chiou
  • Po-Min Chen
  • Cheng-Hwai Tzeng
  • Chun-Yu Liu
چکیده

BACKGROUND Rituximab-containing salvage chemotherapy has shown promising efficacy in patients with relapsed/refractory B-cell non-Hodgkin's lymphoma (NHL). The aim of this study was to examine the efficacy of rituximab-containing treatment in patients with B-cell NHL who developed relapsed or refractory disease after prior rituximab use and to explore the predictive factors of response using this approach. METHODS Patients with relapsed/refractory B-cell NHL who received rituximab-containing salvage treatment after failing first-line rituximab-combining chemotherapy were enrolled in this retrospective study. The characteristics of the patients were collected and analyzed. Logistic regression analysis was used for determining predictive factors of response to rituximab-containing salvage treatment. RESULTS A total of 68 patients were enrolled in this study and the overall response rate to rituximab-containing salvage treatment was 61.7%. The median event-free survival and overall survival with rituximab-containing salvage treatment was 11.3 and 21.73 months, respectively. Results of a multivariate analysis showed high absolute lymphocyte count at the time of rituximab-containing salvage treatment [(ALC-R), ALC-R ≥ 1000/UL, p = 0.003)], which was the only independent factor predicting response to rituximab-containing salvage treatment. CONCLUSION Our study results show that for patients with relapsed/refractory B-cell NHL, rituximab-containing salvage treatment is feasible and generally tolerable. A high ALC-R value was significantly associated with a better response to this treatment.

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عنوان ژورنال:
  • Journal of the Chinese Medical Association : JCMA

دوره 76 4  شماره 

صفحات  -

تاریخ انتشار 2013