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Change of RCHOP in DLBCL

Study

Pt no

iPET timing

Intervention

End point

Pradal

(GELTAMO)

2015

71

>3 cycles

MegaCHOP

-ve: 3 MegaRCHOP

+ve: 2 RICE +

BEAM ASCT

(no info on RT)

3y PFS: -ve: 81%, +ve: 57%

OS: -ve: 95%, +ve 33%

Swinnen

(ECOG) 2014

74

> 3 RCHOP

-ve: 3 RCHOP

+ve: 4

RICE

(no RT)

2y PFS -ve: 76%, +ve: 42%

OS -ve: 93%, +ve 69%

Duehrsen

(PETAL)

2014

853

(926)

> 2 RCHOP

-ve: randomise to 4 RCHOP or

4 RCHOP + 2R

+ve: randomise to 4 RCHOP or

intensification

2 R: no difference

(HR 1.2, 95%CI 0.8-2.1)

Intensification: no difference

(HR 1.6, 95%CI 0.9-2.7)

Sehn (BCCA)

2014

155

> 4 RCHOP

-ve: 2 RCHOP

+ve: 4

RICE

+ RT for EOT PET

+ve

4y PFS -ve: 91%, +ve: 59%

OS -ve: 96%, +ve 73%

Kasamon

2009

59

> 2-3

RCHOP

-ve: continue RCHOP

+ve: 2

ESHAP

or

ICE

+ ASCT

RT permissible

2y EFS -ve: 89%, +ve: 67%