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Cited by 493

The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index.

VCAP-AMP-VECP Compared With Biweekly CHOP for Adult T-Cell Leukemia-Lymphoma: Japan Clinical Oncology Group Study JCOG9801

Tsukasaki, Kunihiro, Utsunomiya, Atae, Fukuda, Haruhiko, Shibata, Taro, Fukushima, Takuya, Takatsuka, Yoshifusa, Ikeda, Shuichi, Masuda, Masato, Nagoshi, Haruhisa, Ueda, Ryuzo, Tamura, Kazuo, Sano, Masayuki, Momita, Saburo, Yamaguchi, Kazunari, Kawano, Fumio, Hanada, Shuichi, Tobinai, Kensei, Shimoyama, Masanori, Hotta, Tomomitsu, Tomonaga, Masao·2007·Journal of Clinical Oncology

Abstract

Purpose: Our previous phase II trial for treating human T-lymphotropic virus type I–associated adult T-cell leukemia-lymphoma (ATLL) with vincristine, cyclophosphamide, doxorubicin, and prednisone (VCAP), doxorubicin, ranimustine, and prednisone (AMP), and vindesine, etoposide, carboplatin, and prednisone (VECP) showed promising results. To test the superiority of VCAP-AMP-VECP over biweekly cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP), we conducted a randomized controlled trial exclusively for ATLL. Patients and Methods: Previously untreated patients with aggressive ATLL were assigned to receive either six courses of VCAP-AMP-VECP every 4 weeks or eight courses of biweekly CHOP. Both treatments were supported with granulocyte colony-stimulating factor and intrathecal prophylaxis. Results: A total of 118 patients were enrolled. The complete response (CR) rate was higher in the VCAP-AMP-VECP arm than in biweekly CHOP arm (40% v 25%, respectively; P = .020). Progression-free survival rate at 1 year was 28% in the VCAP-AMP-VECP arm compared with 16% in the CHOP arm (P = .100, two-sided P = .200). Overall survival (OS) at 3 years was 24% in the VCAP-AMP-VECP arm and 13% in the CHOP arm (P = .085, two-sided P = .169). For VCAP-AMP-VECP versus biweekly CHOP, grade 4 neutropenia, grade 4 thrombocytopenia, and grade 3 or 4 infection rates were 98% v 83%, 74% v 17%, and 32% v 15%, respectively. There were three toxic deaths in the VCAP-AMP-VECP arm. Conclusion: The longer OS at 3 years and higher CR rate with VCAP-AMP-VECP compared with biweekly CHOP suggest that VCAP-AMP-VECP might be a more effective regimen at the expense of higher toxicities, providing the basis for future investigations in the treatment of ATLL.

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Metadata

Authors
Tsukasaki, K., Utsunomiya, A., Fukuda, H., Shibata, T., Fukushima, T., Takatsuka, Y., Ikeda, S., Masuda, M., Nagoshi, H., Ueda, R., Tamura, K., Sano, M., Momita, S., Yamaguchi, K., Kawano, F., Hanada, S., Tobinai, K., Shimoyama, M., Hotta, T., & Tomonaga, M.
Venue
Journal of Clinical Oncology
Published
2007-12-01
Volume
25
Issue
34
Pages
5458-5464
ISSN
  • 0732-183X (ISSN-L)
  • 1527-7755
OpenAlex
W2099464793
Cited by
493
References
21
FWCI
4.50
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: VCAP-AMP-VECP Compared With Biweekly CHOP for Adult T-Cell Leukemia-Lymphoma: Japan Clinical Oncology Group Study JCOG9801. https://app.cochat.ai/papers/10.1200/jco.2007.11.9958
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Tsukasaki, K., Utsunomiya, A., Fukuda, H., Shibata, T., Fukushima, T., Takatsuka, Y., Ikeda, S., Masuda, M., Nagoshi, H., Ueda, R., Tamura, K., Sano, M., Momita, S., Yamaguchi, K., Kawano, F., Hanada, S., Tobinai, K., Shimoyama, M., Hotta, T., & Tomonaga, M. (2007). VCAP-AMP-VECP Compared With Biweekly CHOP for Adult T-Cell Leukemia-Lymphoma: Japan Clinical Oncology Group Study JCOG9801. Journal of Clinical Oncology. https://doi.org/10.1200/jco.2007.11.9958

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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