BACOP lymphoma(84)
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bleomycin....... 4 U/sqm IV on days 1, 5, 8, 12, 15, and 19.
adriamycin...... 45 mg/sqm IV day 1.
cytoxan......... 600 mg/sqm IV day 1.
vincristine..... 1.2 mg/sqm IV on days 1, 8, and 15.
prednisone...... 40 mg/sqm/day orally over days 1 to 21, then
taper.
FREQUENCY....... Repeat cycle every 21 days.
reference...
Skarin AT. Rosenthal DS. Moloney WC. Frei E 3d. Combination
chemotherapy of advanced non-Hodgkin lymphoma with bleomycin,
adriamycin, cyclophosphamide, vincristine, and prednisone
(BACOP). Blood. 49(5):759-70, 1977 May.
abstract...
Seventy-three patients with advanced non-Hodgkin lymphoma were
treated with bleomycin, Adriamycin, cyclophosphamide,
vincristine (Oncovin) and prednisone (BACOP), administered
intensively during a 7-wk induction course followed by
intermittent cycles every 3 wk for a total of 28 wk. The
objective response in 44 evaluable nonleukemic patients with
diffuse histology was 86%, with 66% achieving a complete
remission (CR), varying from 80% for diffuse poorly
differentiated lymphocytic (DPDL) to 56% for diffuse
histiocytic (DH) lymphoma. In patients with nodular histology
89% (8/9) achieved a CR with a projected 75% of patiients in
CR at 14 mo. Median follow-up from time of CR for nodular
histology was 17 mo. The projected median duration of CR in
diffuse histology was 14 mo. with median survival 14 mo.
Patients with a partial response survived a median of 7 mo,
compared to 3 mo for nonresponders. Of 29 patients with
diffuse histology, 17 (59%) have remained disease free for
5-34 mo with a median follow-up of 12 mo. Survival beyond 20
mo has been projected for 42% of patients with diffuse
histology (58% with DPDL and 32% with DH). The central nervous
system (CNS) was involved in a total of 11/44 (25%) patients
with diffuse histology, including 5 with primary CNS relapse.
BACOP resulted in a higher CR rate and longer survival than a
previous three-drug program (COP), especially in patients with
diffuse histology.
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