CHOP lymphoma(86)
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cytoxan......... 750 mg/sqm IV day 1.
adriamycin...... 50 mg/sqm IV day 1.
vincristine..... 1.4 mg/sqm IV day 1.
prednisone...... 100 mg/sqm/day orally from day 1 to day 5.
FREQUENCY....... Repeat cycle every 3 weeks.
reference...
McKelvey EM. Gottlieb JA. Wilson HE. Haut A. Talley RW.
Stephens R. Lane M. Gamble JF. Jones SE. Grozea PN.
Gutterman J. Coltman C. Moon TE. Hydroxyldaunomycin
(Adriamycin) combination chemotherapy in malignant lymphoma.
Cancer. 38(4):1484-93, 1976 Oct.
abstract...
Combination chemotherapy with CHOP (cyclophosphamide,
Adriamycin, vincristine, and prednisone) and HOP (Adrimycin,
vincristine, and prednisone, was used as treatment for
patients with pathologically staged, advanced non-Hodgkin's
lymphoma. Among 204 evaluable patients treated on CHOP there
were 71% complete remissions with 92% overall responses. Among
the 216 evaluable patients on HOP there were 61% complete
remissions and 88% responses. Complete remission rates among
patients with histiocytic lymphoma were comparable to those of
patients with lymphocytic disease. Patients with nodular
lymphoma had higher rates of complete remission than their
counterparts with diffuse lymphoma. This was noted with both
CHOP (78% vs. 67%) and HOP (67% vs. 60%) induction therapy.
Rapid responses were common, as more than 14% of complete
remissions and 66% of overall responses were achieved with the
first course of treatment. Patients in complete remission have
been maintained with either cyclophosphamide, vincristine, and
prednisone (COP) or arabinosyl cytosine, vincristine, and
prednisone (OAP). After 1 year, 86% of patients on COP and 80%
on OAP are projected to be free of disease.
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