Delivery of cancer chemotherapy is often limited by myelotoxicity, primarily neutropenia. As part of an effort to create a model to predict the risk of chemotherapy-induced neutropenia, we reviewed the reports of randomized clinical trials with more than 50 patients per arm in early-stage breast cancer (ESBC) and non-Hodgkin's lymphoma (NHL) published between 1990 and 2000. We observed that no hematologic toxicity data were reported in 39% and 34% of the ESBC and NHL trials, respectively. The remaining trials reported on hematologic toxicity in 16 different ways. When reported, rates of neutropenia, leukopenia, and hematotoxicity varied widely with the same and similar chemotherapy regimens. Dose-intensity data were not reported in 39% and 54% of ESBC and NHL trials, respectively. The majority of the remaining studies reported incomplete dose-intensity data such as percentages of patients completing all cycles or receiving a given percentage of planned dose intensity. Only 28% reported the mean or median relative dose intensity received by patients. Based on this review, we conclude that current practices for reporting chemotherapy treatments are inadequate for describing the risk of chemotherapy to patients or for quantitatively assessing the risk of treatment alternatives. We recommend that standard procedures for documenting and reporting hematologic toxicity and dose intensity in cancer chemotherapy trials be required for publication of chemotherapy trials.
If the inline PDF is not rendering correctly, you can download the PDF file here.
Bonadonna G, Valagussa P, Moliterni A. Adjuvant cyclophosphamide, methotrexate, and fluorouracil in node-positive breast cancer: The results of 20 years of follow-up. N Engl J Med 1995;332:901–906.
Wood WC, Budman DR, Korzun AH. Dose and dose intensity of adjuvant chemotherapy for stage II, node-positive breast carcinoma. N Engl J Med 1994;330:1253–1259.
Budman DR, Berry DA, Cirrincione CT. Dose and dose intensity as determinants of outcome in the adjuvant treatment of breast cancer. J Natl Cancer Inst 1998;90: 1205–1211.
Kwak LW, Halpern J, Olshen RA. Prognostic significance of actual dose intensity in diffuse large-cell lymphoma: Results of tree-structured survival analysis. J Clin Oncol 1990;8:963–977.
Epelbaum R, Faraggi D, Ben-Arie Y. Survival of diffuse large cell lymphoma: A multivariate analysis including dose intensity variables. Oncology 1990;66:1124–1129.
Lepage E, Gisselbrecht C, Haioun C. Prognostic significance of received relative dose intensity in non-Hodgkin's lymphoma patients: Application to LNH-87 protocol. Ann Oncol 1993;4:651–656.
Fisher B, Anderson S, Wickerham DL. Increased intensification and total dose of cyclophosphamide in a doxorubicin-cyclophosphamide regimen for the treatment of primary breast cancer: Findings from National Surgical Adjuvant Breast and Bowel Project B-22. J Clin Oncol 1997;15:1858–1869.
Piccart MJ, Biganzoli L, Di Leo A. The impact of chemotherapy dose density and dose intensity on breast cancer outcome: What have we learned? Eur J Cancer 2000;36(suppl 1):S4–S10.
Fisher RI. Diffuse large-cell lymphoma. Ann Oncol 2000;11(suppl 1):S29–S33.
Crawford J, Ozer H, Stoller R. Reduction by granulocyte colony-stimulating factor of fever and neutropenia induced by chemotherapy in patients with small-cell lung cancer. N Engl J Med 1991;325:164–170.
Trillet-Lenoir V, Green J, Manegold C. Recombinant granulocyte colony stimulating factor reduces the infectious complications of cytotoxic chemotherapy. Eur J Cancer 1993;29A:319–324.
Pettengell R, Gurney H, Radford JA. Granulocyte colony-stimulating factor to prevent dose-limiting neutropenia in non-Hodgkin's lymphoma: A randomized controlled trial. Blood 1992;80:1430–1436.
Uyl-de Groot CA, Vellenga E, Rutten FF. An economic model to assess the savings from a clinical application of haematopoietic growth factors. Eur J Cancer 1996;32A:57–62.
Silber JH, Fridman M, DiPaola RS. First-cycle blood counts and subsequent neutropenia, dose reduction, or delay in early-stage breast cancer therapy. J Clin Oncol 1998; 16:2392–2400.
Silber JH, Fridman M, Shpilsky A. Modeling the cost-effectiveness of granulocyte colony-stimulating factor use in early-stage breast cancer. J Clin Oncol 1998;16: 2435–2444.
Lyman GH, Kuderer N, Greene J. The economics of febrile neutropenia: implications for the use of colony-stimulating factors. Eur J Cancer 1998;34:1857–1864.
Blay JY, Chauvin F, Le Cesne A. Early lymphopenia after cytotoxic chemotherapy as a risk factor for febrile neutropenia. J Clin Oncol 1996;14:636–643.
Intragumtornchai T, Sutheesophon J, Sutcharitchan P. A predictive model for life-threatening neutropenia and febrile neutropenia after the first course of CHOP chemotherapy in patients with aggressive non-Hodgkin's lymphoma. Leuk Lymphoma 2000;37:351–360.
Lyman GH, Crawford J, Dale D. Clinical prediction models for febrile neutropenia and relative dose intensity in patients receiving adjuvant breast cancer chemotherapy (Abstr. #1571). Proc Am Soc Clin Oncol 2001;20:394a.
Lininger L, Crawford J, Dale D. Predicting risk of neutropenic complications: A point-of-care assessment tool (Abstr. #1640). Proc Am Soc Clin Oncol 2001;20:411a.
National Cancer Institute, National Institutes of Health, Department of Health and Human Services, Common toxicity criteria, version 2.0. 1999. Available from: URL: http://ctep.info.nih.gov
Budd GT, Green S, O'Bryan RM. Short-course FACM versus 1-year of CMFVP in node-positive, hormone receptor-negative breast cancer: An intergroup study. J Clin Oncol 1995;13:831–839.
Crivellari D, Bonetti M, Castiglione-Gertsch M. Burdens and benefits of adjuvant cyclophosphamide, methotrexate, and fluorouracil and tamoxifen for elderly patients with breast cancer: The International Breast Cancer Study Group trial VII. J Clin Oncol 2000;18:1412–1422.
Effectiveness of adjuvant chemotherapy in combination with tamoxifen for node-positive postmenopausal breast cancer patients. International Breast Cancer Study Group. J Clin Oncol 1997;15:1385–1394.
Tormey DC, Gray R, Gilchrist K. Adjuvant chemo-hormonal therapy with cyclophosphamide, methotrexate, 5-fluorouracil, and prednisone (CMFP) or CMFP plus tamoxifen compared with CMF for premenopausal breast cancer patients: An Eastern Cooperative Oncology Group trial. Cancer 1990;65:200–206.
Falkson HC, Gray R, Wolberg WH. Adjuvant trial of 12 cycles of CMFPT followed by observation or continuous tamoxifen versus four cycles of CMFPT in postmenopausal women with breast cancer: An Eastern Cooperative Oncology Group phase III study. J Clin Oncol 1990;8: 599–607.
Clahsen PC, van de Velde CJH, Welvaart K. Ten-year results of a randomized trial evaluating prolonged low-dose adjuvant chemotherapy in node-positive breast cancer: A joint European Organization for Research and Treatment of Cancer–Dutch Breast Cancer Working Party Study. J Clin Oncol 1995;13:33–41.
Fountzilas G, Polichronis A, Katsohis K. Cyclophosphamide, mitoxantrone, fluorouracil versus conventional CMF as adjuvant treatment in node-positive breast cancer patients: A Hellenic Cooperative Oncology Group study. Oncology 1996;53:137–146.
Marini G, Murray S, Goldhirsch A. The effect of adjuvant prednisone combined with CMF on patterns of relapse and occurrence of second malignancies in patients with breast cancer: International (Ludwig) Breast Cancer Study Group. Ann Oncol 1996;7:245–250.
Fisher B, Dignam J, Mamounas EP. Sequential methotrexate and fluorouracil for the treatment of node-negative breast cancer patients with estrogen receptor–negative tumors: Eight-year results from National Surgical Adjuvant Breast and Bowel Project (NSABP) B-13 and first report of findings from NSABP B-19 comparing methotrexate and fluorouracil with conventional cyclophosphamide, methotrexate, and fluorouracil. J Clin Oncol 1996;14:1982–1992.
Bartelink H, Rubens RD, van der Schueren E. Hormonal therapy prolongs survival in irradiated locally advanced breast cancer: A European Organization for Research and Treatment of Cancer randomized phase III trial. J Clin Oncol 1997;15:207–215.
Fisher B, Brown AM, Dimitrov NV. Two months of doxorubicin-cyclophosphamide with and without interval reinduction therapy compared with 6 months of cyclophosphamide, methotrexate, and fluorouracil in positive-node breast cancer patients with tamoxifen-nonresponsive tumors: Results from the National Surgical Adjuvant Breast and Bowel Project B-15. J Clin Oncol 1990;8:1483–1496.
Coombes RC, Bliss JM, Wils J. Adjuvant cyclophosphamide, methotrexate, and fluorouracil versus fluorouracil, epirubicin, and cyclophosphamide chemotherapy in premenopausal women with axillary node-positive operable breast cancer: Results of a randomized trial. The International Collaborative Cancer Group. J Clin Oncol 1996;14:35–45.
Fisher B, Dignam J, Wolmark N. Tamoxifen and chemotherapy for lymph node-negative, estrogen receptor-positive breast cancer. J Natl Cancer Inst 1997;89: 1673–1682.
Senn HJ, Maibach R, Castiglione M. Adjuvant chemotherapy in operable breast cancer: Cyclophosphamide, methotrexate, and fluorouracil versus chlorambucil, methotrexate, and fluorouracil: Eleven-year results of Swiss Group for Clinical Cancer Research trial SAKK 27/82. J Clin Oncol 1997;15:2502–2509.
Pritchard KI, Paterson AHG, Fine S. Randomized trial of cyclophosphamide, methotrexate, and fluorouracil chemotherapy added to tamoxifen as adjuvant therapy in postmenopausal women with node-positive estrogen and/or progesterone receptor-positive breast cancer: A report of the National Cancer Institute of Canada Clinical Trials Group. Breast Cancer Site Group. J Clin Oncol 1997;15: 2302–2311.
Levine MN, Gent M, Hryniuk WM. A randomized trial comparing 12 weeks versus 36 weeks of adjuvant chemotherapy in stage II breast cancer. J Clin Oncol 1990;8:1217–1225.
Rivkin SE, Green S, Metch B. One versus 2 years of CMFVP adjuvant chemotherapy in axillary node–positive and estrogen receptor–negative patients: A Southwest Oncology Group study. J Clin Oncol 1993;11:1710–1716.
Perloff M, Norton L, Korzun AH. Postsurgical adjuvant chemotherapy of stage II breast carcinoma with or without crossover to a non–cross-resistant regimen: A Cancer and Leukemia Group B study. J Clin Oncol 1996;14:1589–1598.
Levine MN, Bramwell VH, Pritchard KI. Randomized trial of intensive cyclophosphamide, epirubicin, and fluorouracil chemotherapy compared with cyclophosphamide, methotrexate, and fluorouracil in premenopausal women with node-positive breast cancer. National Cancer Institute of Canada Clinical Trials Group. J Clin Oncol 1998;16:2651–2658.
De Placido S, Perrone F, Carlomagno C. CMF vs alternating CMF/EV in the adjuvant treatment of operable breast cancer: A single centre randomised clinical trial (Naples GUN-3 study). Br J Cancer 1995;71:1283–1287.
Moliterni A, Bonadonna G, Valagussa P. Cyclophosphamide, methotrexate, and fluorouracil with and without doxorubicin in the adjuvant treatment of resectable breast cancer with one to three positive axillary nodes. J Clin Oncol 1991;9:1124–1130.
Hupperets PSGJ, Wils J, Volovics L. Adjuvant chemohormonal therapy with cyclophosphamide, doxorubicin and 5-fluorouracil (CAF) with or without medroxyprogesterone acetate for node-positive breast cancer patients. Ann Oncol 1993;4:295–301.
Fetting JH, Gray R, Fairclough DL. Sixteen-week multidrug regimen versus cyclophosphamide, doxorubicin, and fluorouracil as adjuvant therapy for node-positive, receptor-negative breast cancer: An Intergroup study. J Clin Oncol 1998;16:2382–2391.
Scholl SM, Fourquet A, Asselain B. Neoadjuvant versus adjuvant chemotherapy in premenopausal patients with tumours considered too large for breast conserving surgery: Preliminary results of a randomised trial: S6. Eur J Cancer 1994;30A:645–652.
Jones SE, Schottstaedt MW, Duncan LA. Randomized double-blind prospective trial to evaluate the effects of sargramostim versus placebo in a moderate-dose fluorouracil, doxorubicin, and cyclophosphamide adjuvant chemotherapy program for stage II and III breast cancer. J Clin Oncol 1996;14:2976–2983.
Blomqvist C, Tiusanen K, Elomaa I. The combination of radiotherapy, adjuvant chemotherapy (cyclophosphamide-doxorubicin-ftorafur) and tamoxifen in stage II breast cancer: Long-term follow-up results of a randomised trial. Br J Cancer 1992;66:1171–1176.
Paradiso A, Mangia A, Barletta A. Randomised clinical trial of adjuvant chemotherapy in patients with node-negative, fast-proliferating breast cancer. Drugs 1993;45(suppl 2):S68–S74.
Fumoleau P, Devaux Y, Vo Van ML. Premenopausal patients with node-positive resectable breast cancer. Preliminary results of a randomised trial comparing 3 adjuvant regimens: FEC 50 × 6 cycles vs FEC 50 × 3 cycles vs FEC 75 × 3 cycles. The French Adjuvant Study Group. Drugs 1993;45(suppl 2):S38–S45.
Gérard JP, Héry M, Gedouin D. Postmenopausal patients with node-positive resectable breast cancer. Tamoxifen vs FEC 50 (6 cycles) vs FEC 50 (6 cycles) plus tamoxifen vs control—Preliminary results of a 4-arm randomised trial. The French Adjuvant Study Group. Drugs 1993;45(suppl 2):S60–S67.
Fisher B, Redmond C, Legault-Poisson S. Postoperative chemotherapy and tamoxifen compared with tamoxifen alone in the treatment of positive-node breast cancer patients aged 50 years and older with tumors responsive to tamoxifen: Results from the National Surgical Adjuvant Breast and Bowel Project B-16. J Clin Oncol 1990;8:1005–1018.
Fisher B, Anderson S, DeCillis A. Further evaluation of intensified and increased total dose of cyclophosphamide for the treatment of primary breast cancer: Findings from National Surgical Adjuvant Breast and Bowel Project B-25. J Clin Oncol 1999;17:3374–3388.
Fukutomi T, Akashi S, Nanasawa T. Adjuvant six cycles of high-dose adriamycin, cyclophosphamide, methotrexate, 5-fluorouracil (ACMF) vs. 12 cycles of low-dose ACMF with tamoxifen for premenopausal, node-positive breast cancer patients: Results of a prospective randomized study. J Surg Oncol 1995;60:242–246.
Tormey DC, Gray R, Abeloff MD. Adjuvant therapy with a doxorubicin regimen and long-term tamoxifen in premenopausal breast cancer patients: An Eastern Cooperative Oncology Group trial. J Clin Oncol 1992;10:1848–1856.
Abe R, Tsuchiya A, Koie H. A cooperative randomized controlled study of adjuvant chemoendocrine therapy for breast cancer in Japan. Am J Clin Oncol 1994;17: 103–108.
Boccardo F, Rubagotti A, Bruzzi P. Chemotherapy versus tamoxifen versus chemotherapy plus tamoxifen in node-positive, estrogen receptor-positive breast cancer patients: Results of a multicentric Italian study. J Clin Oncol 1990;8:1310–1320.
Boccardo F, Rubagotti A, Amoroso D. Chemotherapy versus tamoxifen versus chemotherapy plus tamoxifen in node-positive, oestrogen receptor-positive breast cancer patients: An update at seven years of the 1st GROCTA (Breast Cancer Adjuvant Chemo-Hormone Therapy Cooperative Group) trial. Eur J Cancer 1992;28:673–680.
Boccardo F, Rubagotti A, Amoroso D. Lack of effectiveness of adjuvant alternating chemotherapy in node-positive, estrogen-receptor-negative premenopausal breast cancer patients: Results of a multicentric Italian study. Cancer Invest 1997;15:505–512.
Bonadonna G, Zambetti M, Valagussa P. Sequential or alternating doxorubicin and CMF regimens in breast cancer with more than three positive nodes: Ten-year results. JAMA 1995;273:542–547.
Bontenbal M, van Putten WL, Burghouts JT. Value of estrogenic recruitment before chemotherapy: First randomized trial in primary breast cancer. J Clin Oncol 2000;18: 734–742.
Buzdar AU, Hortobagyi GN, Kau SW. Adjuvant therapy with escalating doses of doxorubicin and cyclophosphamide with or without leukocyte alpha-interferon for stage II or III breast cancer. J Clin Oncol 1992;10:1540–1546.
Castiglione-Gertsch M, Johnsen C, Goldhirsch A. The International (Ludwig) Breast Cancer Study Group trials I-IV: Fifteen-year follow-up. Ann Oncol 1994;5:717–724.
Chacon R, Romero Acuña L, Blajman C. Less efficacy with alternating regimen as adjuvant chemotherapy in stage II node-positive breast cancer: Results at eight years (Pronacam 85). Br J Cancer 1997;76:545–550.
Crowe JP Jr, Gordon NH, Shenk RR. Short-term tamoxifen plus chemotherapy: Superior results in node-positive breast cancer. Surgery 1990;108:619–627.
Enomoto K, Fujiwara K, Ikeda T, Katoh S. Appraisal of adjuvant chemoendocrine therapy with tamoxifen plus tegafur in patients with breast cancer. Keio J Med 1991;40:123–128.
Fisher B, Redmond C. Systemic therapy in node-negative patients: Updated findings from NSABP clinical trials. National Surgical Adjuvant Breast and Bowel Project. J Natl Cancer Inst Monogr 1992;11:105–116.
Geller NL, Hakes TB, Petroni GR. Association of disease-free survival and percent of ideal dose in adjuvant breast chemotherapy. Cancer 1990;66:1678–1684.
Houston SJ, Richards MA, Bentley AE. The influence of adjuvant chemotherapy on outcome after relapse for patients with breast cancer. Eur J Cancer 1993;29A:1513–1518.
Late effects of adjuvant oophorectomy and chemotherapy upon premenopausal breast cancer patients. International Breast Cancer Study Group. Ann Oncol 1990;1:30–35.
Duration and reintroduction of adjuvant chemotherapy for node-positive premenopausal breast cancer patients. International Breast Cancer Study Group. J Clin Oncol 1996;14:1885–1894.
Jungi WF, Senn HJ. Swiss adjuvant trials in women with node-negative breast cancer. OSAKO. J Natl Cancer Inst Monogr 1992;11:71–76.
Kaufmann M, Jonat W, Abel U. Adjuvant randomized trials of doxorubicin/cyclophosphamide versus doxorubicin/cyclophosphamide/tamoxifen and CMF chemotherapy versus tamoxifen in women with node-positive breast cancer. J Clin Oncol 1993;11:454–460.
Klefstrom P, Nuortio L. Levamisole in the treatment of advanced breast cancer: A ten-year follow-up of a randomized study. Acta Oncol 1991;30:347–352.
Levine MN, Bramwell VH, Abu-Zahra H. The effect of systemic adjuvant chemotherapy on local breast recurrence in node positive breast cancer patients treated by lumpectomy without radiation. Br J Cancer 1992;65:130–132.
Mansour EG, Eudey L, Tormey DC. Chemotherapy versus observation in high-risk node-negative breast cancer patients. J Natl Cancer Inst Monogr 1992;11:97–104.
Mansour EG, Gray R, Shatila AH. Survival advantage of adjuvant chemotherapy in high-risk node-negative breast cancer patients. J Natl Cancer Inst Monogr 1998;16:3486–3492.
Mauriac L, Durand M, Chauvergne J. Randomized trial of adjuvant chemotherapy for operable breast cancer comparing iv CMF to an epirubicin-containing regimen. Ann Oncol 1992;3:439–443.
Misset JL, di Palma M, Delgado M. Adjuvant treatment of node-positive breast cancer with cyclophosphamide, doxorubicin, fluorouracil, and vincristine versus cyclophosphamide, methotrexate, and fluorouracil: Final report after a 16-year median follow-up duration. J Clin Oncol 1996;14:1136–1145.
Morrison JM, Kelly KA, Howell A. West Midlands Oncology Association trial of adjuvant chemotherapy in node-negative breast cancer. J Natl Cancer Inst Monogr 1992;11:85–88.
Mourali N, Tabbane F, Muenz LR. Ten-year results utilizing chemo-therapy as primary treatment in nonmetastatic, rapidly progressing breast cancer. Cancer Invest 1993;11: 363–370.
Neville AM, Bettelheim R, Gelber RD. Factors predicting treatment responsiveness and prognosis in node-negative breast cancer. The International (Ludwig) Breast Cancer Study Group. J Clin Oncol 1992;10:696–705.
Nomura Y. Response to second line chemo-endocrine treatment may prolong the overall survival of advanced breast cancer patients. Anticancer Res 1997;17:1425–1430.
Nomura Y, Shirouzu M, Takayama T. Direct comparisons of adjuvant endocrine therapy, chemotherapy, and chemoendocrine therapy for operable breast cancer patients stratified by estrogen receptor and menopausal status. Breast Cancer Res Treat 1998;49:51–60.
Pisansky TM, Ingle JN, Schaid DJ. Patterns of tumor relapse following mastectomy and adjuvant systemic therapy in patients with axillary lymph node-positive breast cancer. Cancer 1993;72:1247–1260.
Powles TJ, Hickish TF, Makris A. Randomized trial of chemoendocrine therapy started before or after surgery for treatment of primary breast cancer. J Clin Oncol 1995;13:547–552.
Ragaz J, Jackson SM, Le N. Adjuvant radiotherapy and chemotherapy in node-positive premenopausal women with breast cancer. N Engl J Med 1997;337:956–962.
Richards MA, O'Reilly SM, Howell A. Adjuvant cyclophosphamide, methotrexate, and fluorouracil in patients with axillary node-positive breast cancer: An update of the Guy's/Manchester trial. J Clin Oncol 1990;8:2032–2039.
Sauerbrei W, Bastert G, Bojar H. Randomized 2 × 2 trial evaluating hormonal treatment and the duration of chemotherapy in node-positive breast cancer patients: An update based on a ten-year follow-up. German Breast Cancer Study Group. J Clin Oncol 2000;18:94–101.
Schmoor C, Bastert G, Dunst J. Randomized trial on the effect of radiotherapy in addition to 6 cycles CMF in node-positive breast-cancer patients. German Breast Cancer Study Group. Int J Cancer 2000;86:408–415.
Shapiro CL, Gelman RS, Hayes DF. Comparison of adjuvant chemotherapy with methotrexate and fluorouracil with and without cyclophosphamide in breast cancer patients with one to three positive axillary lymph nodes. J Natl Cancer Inst 1993;85:812–817.
Sugimachi K, Maehara Y, Akazawa K. Postoperative chemo-endocrine treatment with mitomycin C, tamoxifen, and UFT is effective for patients with premenopausal estrogen receptor-positive stage II breast cancer. Breast Cancer Res Treat 1999;56:113–124.
Toi M, Hattori T, Akagi M. Randomized adjuvant trial to evaluate the addition of tamoxifen and PSK to chemotherapy in patients with primary breast cancer: Five-year results from the Nishi-Nippon Group of the Adjuvant Chemoendocrine Therapy for Breast Cancer Organization. Cancer 1992;70:2475–2483.
Velez-Garcia E, Carpenter JT Jr, Moore M. Postsurgical adjuvant chemotherapy with or without radiotherapy in women with breast cancer and positive axillary nodes: A South-Eastern Cancer Study Group (SEG) trial. Eur J Cancer 1992;28A:1833–1837.
Wils J, Coombes RC, Marty M. Design and rationale of a randomised comparison of cyclophosphamide, methotrexate and fluorouracil vs fluorouracil, epirubicin and cyclophosphamide in node-positive premenopausal women with operable breast cancer: A trial of the International Collaborative Cancer Group (ICCG). Drugs 1993;45(suppl 2):46–50.
Zambetti M, Valagussa P, Bonadonna G. Adjuvant cyclophosphamide, methotrexate and fluorouracil in node-negative and estrogen receptor-negative breast cancer: Updated results. Ann Oncol 1996;7:481–485.
McKelvey EM, Gottlieb JA, Wilson HE. Hydroxyl-daunomycin (Adriamycin) combination chemotherapy in malignant lymphoma. Cancer 1976;38:1484–1493.
Coltman CA, Dahlberg S, Jones SE. CHOP is curative in 30% of patients with large cell lymphoma: a 12-year Southwest Oncology Group follow-up, In: Skarin A, ed. Advances in Cancer Chemotherapy: Update on Treatment for Diffuse Large Cell Lymphoma. New York: Park Row, 1986:71.
Cooper IA, Wolf MM, Robertson TI. Randomized comparison of MACOP-B with CHOP in patients with intermediate-grade non-Hodgkin's lymphoma. The Australian and New Zealand Lymphoma Group. J Clin Oncol 1994;12:769–778.
Gordon LI, Harrington D, Andersen J. Comparison of a second-generation combination chemotherapeutic regimen (m-BACOD) with a standard regimen (CHOP) for advanced diffuse non-Hodgkin's lymphoma. N Engl J Med 1992;327:1342–1349.
Fisher RI, Gaynor ER, Dahlberg S. Comparison of a standard regimen (CHOP) with three intensive chemotherapy regimens for advanced non-Hodgkin's lymphoma. N Engl J Med 1993;328:1002–1006.
Bezwoda W, Rastogi RB, Erazo Valla A. Long-term results of a multicentre randomised, comparative phase III trial of CHOP versus CNOP regimens in patients with intermediate- and high-grade non-Hodgkin's lymphomas. Novantrone International Study Group. Eur J Cancer 1995;31A:903–911.
Tirelli U, Errante D, Van Glabbeke M. CHOP is the standard regimen in patients ≥ 70 years of age with intermediate-grade and high-grade non-Hodgkin's lymphoma: Results of a randomized study of the European Organization for Research and Treatment of Cancer Lymphoma Cooperative Study Group. J Clin Oncol 1998;16:27–34.
Linch DC, Vaughan Hudson B, Hancock BW. A randomised comparison of a third-generation regimen (PACE-BOM) with a standard regimen (CHOP) in patients with histologically aggressive non-Hodgkin's lymphoma: A British National Lymphoma Investigation report. Br J Cancer 1996;74:318–322.
Miller TP, Dahlberg S, Cassady JR. Chemotherapy alone compared with chemotherapy plus radiotherapy for localized intermediate- and high-grade non-Hodgkin's lymphoma. N Engl J Med 1998;339:21–26.
Gottlieb AJ, Anderson JR, Ginsberg SJ. A randomized comparison of methotrexate dose and the addition of bleomycin to CHOP therapy for diffuse large cell lymphoma and other non-Hodgkin's lymphomas. Cancer and Leukemia Group B study 7851. Cancer 1990;66:1888–1896.
Unterhalt M, Herrmann R, Tiemann M. Prednimustine, mitoxantrone (PmM) vs cyclophosphamide, vincristine, prednisone (COP) for the treatment of advanced low-grade non-Hodgkin's lymphoma. German Low-Grade Lymphoma Study Group. Leukemia 1996;10:836–843.
Hagenbeek A, Carde P, Meerwaldt JH. Maintenance of remission with human recombinant interferon alfa-2a in patients with stages III and IV low-grade malignant non-Hodgkin's lymphoma. European Organization for Research and Treatment of Cancer Lymphoma Cooperative Group. J Clin Oncol 1998;16:41–47.
Solal-Céligny P, Lepage E, Brousse N. Doxorubicin-containing regimen with or without interferon alfa-2b for advanced follicular lymphomas: final analysis of survival and toxicity in the Groupe d'Etude des Lymphomes Folliculaires 86 Trial. J Clin Oncol 1998;16:2332–2338.
Bastion Y, Blay JY, Divine M. Elderly patients with aggressive non-Hodgkin's lymphoma: Disease presentation, response to treatment, and survival: A Groupe d'Etude des Lymphomes de l'Adulte study on 453 patients older than 69 years. J Clin Oncol 1997;15:2945–2953.
Sertoli MR, Santini G, Chisesi T. MACOP-B versus ProMACE-MOPP in the treatment of advanced diffuse non-Hodgkin's lymphoma: Results of a prospective randomized trial by the Non-Hodgkin's Lymphoma Cooperative Study Group. J Clin Oncol 1994;12:1366–1374.
Köppler H, Pflüger K-H, Eschenbach I. Randomised comparison of CHOEP versus alternating hCHOP/IVEP for high-grade non-Hodgkin's lymphomas: Treatment results and prognostic factor analysis in a multi-centre trial. Ann Oncol 1994;5:49–55.
Bailey NP, Stuart NSA, Bessell EM. Five-year follow-up of a prospective randomised multi-centre trial of weekly chemotherapy (CAPOMEt) versus cyclical chemotherapy (CHOP-Mtx) in the treatment of aggressive non-Hodgkin's lymphoma. Central Lymphoma Group. Ann Oncol 1998;9:633–638.
Meyer RM, Quirt IC, Skillings JR. Escalated as compared with standard doses of doxorubicin in BACOP therapy for patients with non-Hodgkin's lymphoma. N Engl J Med 1993;329:1770–1776.
Avilés A, Delgado S, Ruiz H. Treatment of non-Hodgkin's lymphoma of Waldeyer's ring: radiotherapy versus chemotherapy versus combined therapy. Eur J Cancer B Oral Oncol 1996;32B:19–23.
Somers R, Carde P, Thomas J. EORTC study of non-Hodgkin's lymphoma: Phase III study comparing CHVmPVB and ProMACE-MOPP in patients with stage II, III, and IV intermediate- and high-grade lymphoma. Ann Oncol 1994;5(suppl 2):S85–S89 [published erratum appears in Ann Oncol 1994;5:475].
Gisselbrecht C, Haioun C, Lepage E. Placebo-controlled phase III study of lenograstim (glycosylated recombinant human granulocyte colony-stimulating factor) in aggressive non-Hodgkin's lymphoma: Factors influencing chemotherapy administration. Groupe d'Etude des Lymphomes de l'Adulte. Leuk Lymphoma 1997;25: 289–300.
Mazza P, Zinzani PL, Martelli M. MACOP-B vs F-MA-CHOP regimen in the treatment of high-grade non-Hodgkin's lymphomas. Leuk Lymphoma 1995;16:457–463.
Nair R, Ramakrishnan G, Nair NN. A randomized comparison of the efficacy and toxicity of epirubicin and doxorubicin in the treatment of patients with non-Hodgkin's lymphoma. Cancer 1998;82:2282–2288.
Bertini M, Freilone R, Botto B. Idarubicin in patients with diffuse large cell lymphomas: A randomized trial comparing VACOP-B (A = doxorubicin) vs VICOP-B (I = idarubicin). Haematologica 1997;82:309–313.
Zinzani PL, Pavone E, Storti S. Randomized trial with or without granulocyte colony-stimulating factor as adjunct to induction VNCOP-B treatment of elderly high-grade non-Hodgkin's lymphoma. Blood 1997;89:3974–3979.
Gerhartz HH, Engelhard M, Meusers P. Randomized, double-blind, placebo-controlled, phase III study of recombinant human granulocyte-macrophage colony-stimulating factor as adjunct to induction treatment of high-grade malignant non-Hodgkin's lymphomas. Blood 1993;82: 2329–2339.
Lorusso V, Palmieri G, Bianco AR. CEOP-B/VIMB vs. promace-CytaBOM in the treatment of intermediate or high grade non-Hodgkin's lymphoma: A randomised multicenter study of Southern Italy Cooperative Group. Int J Oncol 2000;16:149–154.
Arranz R, García-Alfonso P, Sobrino P. Role of interferon alfa-2b in the induction and maintenance treatment of low-grade non-Hodgkin's lymphoma: Results from a prospective, multicenter trial with double randomization. J Clin Oncol 1998;16:1538–1546.
Jerkeman M, Anderson H, Cavallin-Stahl E. CHOP versus MACOP-B in aggressive lymphoma: A Nordic Lymphoma Group randomised trial. Ann Oncol 1999; 10:1079–1086.
Sonneveld P, de Ridder M, Van der Lelie H. Comparison of doxorubicin and mitoxantrone in the treatment of elderly patients with advanced diffuse non-Hodgkin's lymphoma using CHOP versus CNOP chemotherapy. J Clin Oncol 1995;13:2530–2539.
Zinzani PL, Martelli M, Storti S. Phase III comparative trial using CHOP vs CIOP in the treatment of advanced intermediate-grade non-Hodgkin's lymphoma. Leuk Lymphoma 1995;19:329–335.
Longo DL, DeVita VT Jr, Duffey PL. Superiority of ProMACE-CytaBOM over ProMACE-MOPP in the treatment of advanced diffuse aggressive lymphoma: Results of a prospective randomized trial. J Clin Oncol 1991;9:25–38 [published erratum appears in J Clin Oncol 1991;9:710].
Silingardi V, Federico M, Cavanna L. ProMECE-CytaBOM vs MACOP-B in advanced aggressive non-Hodgkin's lymphoma: Long term results of a multicenter study of the Italian Lymphoma Study Group (GISL). Leuk Lymphoma 1995;17:313–320.
Federico M, Moretti G, Gobbi PG. ProMACE-cytaBOM versus MACOP-B in intermediate and high grade NHL: Preliminary results of a prospective randomized trial. Leukemia 1991;5(suppl 1):95–101.
Federico M, Gobbi PG, Moretti G. Effects of thymostimulin with combination chemotherapy in patients with aggressive non-Hodgkin's lymphoma: A report from the Italian Lymphoma Study Group (GISL). Am J Clin Oncol 1995;18:8–14.
Federico M, Clo V, Brugiatelli M. Efficacy of two different ProMACE-CytaBOM derived regimens in advanced aggressive non-Hodgkin's lymphoma: Final report of a multicenter trial conducted by GISL. Haematologica 1998;83:800–811.
Amylon MD, Shuster J, Pullen J. Intensive high-dose asparaginase consolidation improves survival for pediatric patients with T cell acute lymphoblastic leukemia and advanced stage lymphoblastic lymphoma: A Pediatric Oncology Group study. Leukemia 1999;13:335–342.
Anderson JR, Jenkin RD, Wilson JF. Long-term follow-up of patients treated with COMP or LSA2L2 therapy for childhood non-Hodgkin's lymphoma: A report of CCG-551 from the Childrens Cancer Group. J Clin Oncol 1993;11:1024–1032.
Avilés A, Diaz-Maqueo JC, Sanchez E. Long-term results in patients with low-grade nodular non-Hodgkin's lymphoma: A randomized trial comparing chemotherapy plus radiotherapy with chemotherapy alone. Acta Oncol 1991;30:329–333.
Avilés A, Nambo MJ, Talavera A. Epirubicin (CEOP-Bleo) versus idarubicin (CIOP-Bleo) in the treatment of elderly patients with aggressive non-Hodgkin's lymphoma: Dose escalation studies. Anticancer Drugs 1997;8:937–942.
Brice P, Bastion Y, Lepage E. Comparison in low-tumor-burden follicular lymphomas between an initial no-treatment policy, prednimustine, or interferon alfa: A randomized study from the Groupe d'Etude des Lymphomes Folliculaires. Groupe d'Etude des Lymphomes de l'Adulte. J Clin Oncol 1997;15:1110–1117.
Brugiatelli M, Federico M, Gobbi PG. Epidoxorubicin vs idarubicin containing regimens in intermediate and high grade non-Hodgkin's lymphoma: Preliminary results of a multicentric randomized trial. Haematologica 1993;78:306–312.
Cameron DA, White JM, Proctor SJ. CHOP-based chemotherapy is as effective as alternating PEEC/CHOP chemotherapy in a randomised trial in high-grade non-Hodgkin's lymphoma. Eur J Cancer 1997;33:1195–1201.
Carde P, Meerwaldt JH, van Glabbeke M. Superiority of second over first generation chemotherapy in a randomized trial for stage III-IV intermediate and high-grade non-Hodgkin's lymphoma (NHL): The 1980–1985 EORTC trial. The EORTC Lymphoma Group. Ann Oncol 1991;2:431–435.
Coiffier B, Neidhardt-Berard EM, Tilly H. Fludarabine alone compared to CHVP plus interferon in elderly patients with follicular lymphoma and adverse prognostic parameters: A GELA study. Groupe d'Etudes des Lymphomes de l'Adulte. Ann Oncol 1999;10:1191–1197.
Engelhard M, Gerhartz H, Brittinger G. Cytokine efficiency in the treatment of high-grade malignant non-Hodgkin's lymphomas: Results of a randomized double-blind placebo-controlled study with intensified COP-BLAM ± rhGM-CSF. Ann Oncol 1994;5(suppl 2):123–125.
Engelhard M, Meusers P, Brittinger G. Prospective multicenter trial for the response-adapted treatment of high-grade malignant non-Hodgkin's lymphomas: Updated results of the COP-BLAM/IMVP-16 protocol with randomized adjuvant radiotherapy. Ann Oncol 1991;2(suppl 2):177–180.
Fisher RI, Longo DL, De Vita VT Jr. Long-term follow-up of ProMACE-CytaBOM in non-Hodgkin's lymphomas. Ann Oncol 1991;1(suppl 2):33–35.
Fisher RI, Dana BW, LeBlanc M. Interferon alfa consolidation after intensive chemotherapy does not prolong the progression-free survival of patients with low-grade non-Hodgkin's lymphoma: Results of the Southwest Oncology Group randomized phase III study 8809. J Clin Oncol 2000;18:2010–2016.
Gianni AM, Bregni M, Siena S. High-dose chemotherapy and autologous bone marrow transplantation compared with MACOP-B in aggressive B-cell lymphoma. N Engl J Med 1997;336:1290–1297.
Kelsey SM, Newland AC, Hudson GV, Jelliffe AM. A British National Lymphoma Investigation randomised trial of single agent chlorambucil plus radiotherapy versus radiotherapy alone in low grade, localised non-Hodgkins lymphoma. Med Oncol 1994;11:19–25.
Kimby E, Bjorkholm M, Gahrton G. Chlorambucil/prednisone vs CHOP in symptomatic low-grade non-Hodgkin's lymphomas: A randomized trial from the Lymphoma Group of Central Sweden. Ann Oncol 1994;5(suppl 2):67–71.
Lepage E, Sebban C, Gisselbrecht C. Treatment of low-grade non-Hodgkin's lymphomas: Assessment of doxorubicin in a controlled trial. Hematol Oncol 1990;8:31–39.
Link MP, Shuster JJ, Donaldson SS. Treatment of children and young adults with early-stage non-Hodgkin's lymphoma. N Engl J Med 1997;337:1259–1266.
Meerwaldt JH, Carde P, Somers R. Persistent improved results after adding vincristine and bleomycin to a cyclophosphamide/hydroxorubicin/Vm-26/prednisone combination (CHVmP) in stage III-IV intermediate- and high-grade non-Hodgkin's lymphoma. The EORTC Lymphoma Cooperative Group. Ann Oncol 1997;8(suppl 1):67–70.
Patte C, Philip T, Rodary C. High survival rate in advanced-stage B-cell lymphomas and leukemias without CNS involvement with a short intensive polychemotherapy: Results from the French Pediatric Oncology Society of a randomized trial of 216 children. J Clin Oncol 1991;9: 123–132.
Price CG, Rohatiner AZ, Steward W. Interferon alfa-2b in addition to chlorambucil in the treatment of follicular lymphoma: preliminary results of a randomized trial in progress. Eur J Cancer 1991;27(suppl 4):S34–S36.
Tubergen DG, Krailo MD, Meadows AT. Comparison of treatment regimens for pediatric lymphoblastic non-Hodgkin's lymphoma: A Children's Cancer Group study. J Clin Oncol 1995;13:1368–1376.
Velasquez WS, McLaughlin P, Tucker S. ESHAP—an effective chemotherapy regimen in refractory and relapsing lymphoma: A four-year follow-up study. J Clin Oncol 1994;12:1169–1176.
Zinzani PL, Magagnoli M, Moretti L. Randomized trial of fludarabine versus fludarabine and idarubicin as frontline treatment in patients with indolent or mantle-cell lymphoma. J Clin Oncol 2000;18:773–779.
All Time | Past Year | Past 30 Days | |
---|---|---|---|
Abstract Views | 0 | 0 | 0 |
Full Text Views | 421 | 162 | 10 |
PDF Downloads | 239 | 136 | 7 |
EPUB Downloads | 0 | 0 | 0 |