PHASE-II STUDY OF MITOGUAZONE, CYCLOPHOSPHAMIDE, DOXORUBICIN, VINCRISTINE AND PREDNISONE FOR PATIENTS WITH DIFFUSE HISTOLOGIC SUBTYPES OF NON-HODGKINS-LYMPHOMA - AN EASTERN-COOPERATIVE-ONCOLOGY-GROUP STUDY (PE481)
Ph. Wiernik et al., PHASE-II STUDY OF MITOGUAZONE, CYCLOPHOSPHAMIDE, DOXORUBICIN, VINCRISTINE AND PREDNISONE FOR PATIENTS WITH DIFFUSE HISTOLOGIC SUBTYPES OF NON-HODGKINS-LYMPHOMA - AN EASTERN-COOPERATIVE-ONCOLOGY-GROUP STUDY (PE481), Leukemia & lymphoma, 30(5-6), 1998, pp. 601-607
Mitoguazone, an investigational agent with significant activity in adv
anced lymphoma, was added to a modified CHOP regimen (COPA) in an effo
rt to improve the activity of standard therapy in 66 previously untrea
ted patients with stages II-IV lymphoma and diffuse histology of inter
mediate or high grade other than lymphoblastic in this phase II pilot
study. The regimen was well tolerated and the complete response rate i
n diffuse large cell lymphoma was 55%. Sixty-five percent of all compl
ete responders were in complete response for at least one year. Despit
e these excellent results, it is unlikely that the addition of mitogua
zone improved results compared with those obtained with standard thera
py alone, since similar results have been frequently reported with the
latter.