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吉西他滨联合长春瑞滨方案在 ASCT 前用于复发或难治性霍奇金淋巴瘤的挽救和动员治疗是有效的。

Gemcitabine and vinorelbine combination is effective in both as a salvage and mobilization regimen in relapsed or refractory Hodgkin lymphoma prior to ASCT.

机构信息

Department of Hematology Ankara, Gazi University Faculty of Medicine, Beşevler, 06500, Ankara, Turkey.

出版信息

Ann Hematol. 2011 Jun;90(6):685-91. doi: 10.1007/s00277-010-1113-z. Epub 2010 Nov 12.

Abstract

We investigated the efficacy of gemcitabine and vinorelbine (Gem/Vin) combination chemotherapy as a salvage and mobilization regimen in relapsed or refractory Hodgkin lymphoma (HL) patients prior to autologous hematopoietic stem cell transplantation. We retrospectively reviewed the data of our relapsed or primary refractory HL patients treated with Gem/Vin regimen which consisted of gemcitabine 1,000 mg/m(2)/day and vinorelbine 30 mg/m(2)/day on days 1, 8, and 15 every 28 days. The overall response rate was 72.4%. Ten (34.5%) patients achieved complete remission, 11 (37.9%) partial remission, and eight (27.6%) patients had no response. Mobilization with Gem/Vin regimen was successful in 20/23 (87%) patients while mobilization failure was seen in three (13%) patients. Gemcitabine and vinorelbine is an effective salvage regimen with acceptable toxicity and high mobilization potential in relapsed or refractory HL patients.

摘要

我们研究了吉西他滨和长春瑞滨(Gem/Vin)联合化疗作为挽救和动员方案在自体造血干细胞移植前治疗复发或难治性霍奇金淋巴瘤(HL)患者的疗效。我们回顾性分析了我们接受 Gem/Vin 方案治疗的复发或原发性难治性 HL 患者的数据,该方案包括吉西他滨 1000mg/m(2)/天和长春瑞滨 30mg/m(2)/天,每 28 天为一个周期,第 1、8 和 15 天给药。总体缓解率为 72.4%。10 名(34.5%)患者达到完全缓解,11 名(37.9%)部分缓解,8 名(27.6%)患者无反应。20/23(87%)名患者通过 Gem/Vin 方案成功动员,3 名(13%)患者动员失败。吉西他滨和长春瑞滨是一种有效的挽救方案,具有可接受的毒性和高动员潜力,适用于复发或难治性 HL 患者。

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