THE C5R PROTOCOL - A REGIMEN OF HIGH-DOSE CHEMOTHERAPY AND RADIOTHERAPY IN PRIMARY CEREBRAL NON-HODGKINS-LYMPHOMA OF PATIENTS WITH NO KNOWNCAUSE OF IMMUNOSUPPRESSION

In most reported series, less than 20% of patients with primary cerebr al non-Hodgkin's lymphoma (PCL) and no known cause of immunodepression are alive and disease-free 5 years after the initial diagnosis. Wheth er chemotherapy improves the outcome of these patients remains unclear . We report a pilot study of a protocol (C5R) with 5 courses of chemot herapy followed by cranial radiotherapy in 25 adult patients with PCL and no known cause of immunodepression. The median age was 51 years (r ange, 16 to 70 years) and the median performance status was 2 (range, 1 to 4) in this series. Fourteen patients (56%) achieved a complete re sponse and 4 (16%) achieved a partial response 1 month after the compl etion of the treatment. Four patients died in the first month of treat ment because of progression (n = 1) or toxicity (n = 3). In 3 patients , the treatment could not be performed because of patient refusal (n = 1) or severe infections (n = 2). Myelosuppression was the most freque nt side effect; febrile neutropenia occurred in 96%, 89%, 69%, and 74% of the patients after the second, third, fourth, and fifth courses of chemotherapy, respectively. Grade 4 thrombocytopenia occurred in 20% of the patients. With a median follow-up of 24 months, the projected s urvival of the group at 2 and 5 years is 70% and 56%, respectively. Th e 4 early deaths occurred in the subgroup of 6 patients greater than 6 0 years of age with an international prognostic index (IPI) greater th an 3, in the 19 remaining patients (76% of this series) less than 61 y ears of age or with an IPI less than 4, the projected overall survival at 2 and 5 years is 88% and 70%, respectively. The C5R protocol is a highly efficient regimen in nonimmunosuppressed patients with PCL less than 61 years of age or with an IPI less than 4. (C) 1995 by The Amer ican Society of Hematology.