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High-Dose Chemotherapy and Autologous Bone Marrow Transplantation Compared with MACOP-B in Aggressive B-Cell Lymphoma
Ist Teil von
The New England journal of medicine, 1997-05, Vol.336 (18), p.1290-1298
Ort / Verlag
Boston, MA: Massachusetts Medical Society
Erscheinungsjahr
1997
Quelle
Free E-Journal (出版社公開部分のみ)
Beschreibungen/Notizen
High-dose chemotherapy for non-Hodgkin's lymphomas is feasible because of improvements in patient care, especially the use of hematopoietic growth factors and stem-cell support.
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In late 1987, we started a randomized study to compare MACOP-B (methotrexate, doxorubicin, cyclophosphamide, vincristine, prednisone, and bleomycin)
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with a regimen of high-dose sequential chemotherapy, followed by myeloablative therapy and hematopoietic stem-cell support, as initial treatment for high-risk, diffuse B-cell lymphomas.
The high-dose regimen we used entailed the administration of several non–cross-resistant drugs, each at the maximal tolerated dose, mainly as single agents, within the shortest possible interval. The purpose of this high-dose sequential regimen is . . .