The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.
Continued Excellent Outcomes in Previously Untreated Patients With Follicular Lymphoma After Treatment With CHOP Plus Rituximab or CHOP Plus 131I-Tositumomab: Long-Term Follow-Up of Phase III Randomized Study SWOG-S0016
Open accessAbstract
Purpose SWOG S0016 was a phase III randomized study that compared the safety and efficacy of R-CHOP (rituximab plus cyclophosphamide, doxorubicin, vincristine, and prednisone) with CHOP-RIT (CHOP followed by consolidation with iodine-133-tositumomab radioimmunotherapy) for previously untreated patients with follicular lymphoma. Understanding the long-term outcome of patients provides a benchmark for novel treatment regimens for FL. Patients and Methods Between 2001 and 2008, 531 previously untreated patients with FL were randomly assigned to receive either six cycles of R-CHOP or six cycles of CHOP-RIT. Patients with advanced-stage disease (bulky stage II, III, or IV) of any pathologic grade (1, 2, or 3) were eligible. Results After a median follow-up of 10.3 years, 10-year estimates of progression-free and overall survival were 49% and 78% among all patients, respectively. Patients in the CHOP-RIT arm had significantly better 10-year progression-free survival compared with patients in the R-CHOP arm (56% v 42%; P = .01), but 10-year overall survival was not different between the two arms (75% v 81%; P = .13). There was no significant difference between the CHOP-RIT and R-CHOP arms in regard to incidence of second malignancies (15.1% v 16.1%; P = .81) or myelodysplastic syndrome or acute myeloid leukemia (4.9% v 1.8%; P = .058). The estimated 10-year cumulative incidences of death resulting from second malignancies were not different (7.1% v 3.2%; P = .16), but cumulative incidence of death resulting from myelodysplastic syndrome or acute myeloid leukemia was higher in the CHOP-RIT arm compared with the R-CHOP arm (4% v 0.9%; P = .02). Conclusion Given these outstanding outcomes, immunochemotherapy should remain the standard induction approach for patients with high-risk FL until long-term follow-up of alternative approaches demonstrates superiority.
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In SWOG S0016, the estimated 10-year cumulative incidences of death resulting from second malignancies were not different (7.1% vs 3.2%; P=0.16).
“The estimated 10-y cumulative incidences of death resulting from second malignancies were not different (7.1% vs. 3.2%; P 5 0.16), but cumulative incidence of death resulting from myelodysplastic syndrome or acute myeloid leukemia was higher in the CHOPRIT arm than in the R-CHOP arm (4% vs. 0.9%; P 5 0.02 ( 101 )).”
From Normal-Tissue Tolerance to Radiopharmaceutical Therapies, the Knowns and the Unknowns (2021) · cites this paper as [101]
In SWOG S0016, there was no significant difference between the CHOP-RIT and R-CHOP arms in incidence of second malignancies (15.1% vs 16.1%; P=0.81).
“There was no signi fi cant difference between the CHOP-RIT and R-CHOP arms in regard to incidence of second malignancies (15.1% vs. 16.1%; P 5 0.81) or myelodysplastic syndrome or acute myeloid leukemia (4.9% vs. 1.8%; P 5 0.058).”
From Normal-Tissue Tolerance to Radiopharmaceutical Therapies, the Knowns and the Unknowns (2021) · cites this paper as [101]
In SWOG S0016, the cumulative incidence of death resulting from myelodysplastic syndrome or acute myeloid leukemia was higher in the CHOP-RIT arm than in the R-CHOP arm (4% vs 0.9%; P=0.02).
“The estimated 10-y cumulative incidences of death resulting from second malignancies were not different (7.1% vs. 3.2%; P 5 0.16), but cumulative incidence of death resulting from myelodysplastic syndrome or acute myeloid leukemia was higher in the CHOPRIT arm than in the R-CHOP arm (4% vs. 0.9%; P 5 0.02 ( 101 )).”
From Normal-Tissue Tolerance to Radiopharmaceutical Therapies, the Knowns and the Unknowns (2021) · cites this paper as [101]
In SWOG S0016, patients in the CHOP-RIT arm had significantly better 10-year progression-free survival than patients in the R-CHOP arm (56% vs 42%; P=0.01).
“Patients in the CHOP-RIT arm had signi fi cantly better 10-y progression-free survival than patients in the R-CHOP arm (56% vs. 42%; P 5 0.01), but 10-y overall survival was not different between the 2 arms (75% vs. 81%; P 5 0.13).”
From Normal-Tissue Tolerance to Radiopharmaceutical Therapies, the Knowns and the Unknowns (2021) · cites this paper as [101]
In SWOG S0016, there was no significant difference between the CHOP-RIT and R-CHOP arms in incidence of myelodysplastic syndrome or acute myeloid leukemia (4.9% vs 1.8%; P=0.058).
“There was no signi fi cant difference between the CHOP-RIT and R-CHOP arms in regard to incidence of second malignancies (15.1% vs. 16.1%; P 5 0.81) or myelodysplastic syndrome or acute myeloid leukemia (4.9% vs. 1.8%; P 5 0.058).”
From Normal-Tissue Tolerance to Radiopharmaceutical Therapies, the Knowns and the Unknowns (2021) · cites this paper as [101]
In SWOG S0016, 10-year overall survival was not different between the CHOP-RIT and R-CHOP arms (75% vs 81%; P=0.13).
“Patients in the CHOP-RIT arm had signi fi cantly better 10-y progression-free survival than patients in the R-CHOP arm (56% vs. 42%; P 5 0.01), but 10-y overall survival was not different between the 2 arms (75% vs. 81%; P 5 0.13).”
From Normal-Tissue Tolerance to Radiopharmaceutical Therapies, the Knowns and the Unknowns (2021) · cites this paper as [101]
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Normal-Tissue Tolerance to Radiopharmaceutical Therapies, the Knowns and the Unknowns
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Metadata
- Authors
- Shadman, M., Li, H., Rimsza, L., Leonard, J. P., Kaminski, M. S., Braziel, R. M., Spier, C. M., Gopal, A. K., Maloney, D. G., Cheson, B. D., Dakhil, S., LeBlanc, M., Smith, S. M., Fisher, R. I., Friedberg, J. W., & Press, O. W.
- Affiliations
- University of Arizona (US)
- ORCID
- Venue
- Journal of Clinical Oncology
- Published
- 2018-03-01
- Volume
- 36
- Issue
- 7
- Pages
- 697-703
- ISSN
- 0732-183X (ISSN-L)
- 1527-7755
- PMC
- PMC6553811
- OpenAlex
- W2784962174
- Cited by
- 86
- References
- 27
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 7 · 2023: 9 · 2022: 11 · 2021: 12 · 2020: 10 · 2019: 9 · 2018: 13
- FWCI
- 8.37
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Clinical Oncology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- UA Campus Repository (The University of Arizona) (acceptedVersion)
- Funders
- Gilead Sciences (CA180821, CA180888)
- Celgene
- TG Therapeutics
- Genentech
- Pharmacyclics
- National Cancer Institute (UG1CA189822, UG1CA189953, UG1CA189808, UG1CA189952, U10CA180828, UG1CA189957, U10CA180846, UG1CA189853, U10CA180835, UG1CA189848, U10CA180888, U10CA180819, UG1CA189804, U10CA180801, UG1CA189860, U10CA180818, UG1CA189997, UG1CA189858, UG1CA189809, UG1CA189972, U10CA180821, UG1CA189872)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Lymphoma Diagnosis and Treatment
- Health Sciences › Medicine › Hematology › Chronic Lymphocytic Leukemia Research
- Health Sciences › Medicine › Dermatology › Cutaneous lymphoproliferative disorders research
- Keywords
- follicular lymphoma, R-CHOP, iodine-131 tositumomab, radioimmunotherapy, treatment-naive patients, progression-free survival, overall survival, secondary malignancies, myelodysplastic syndrome, acute myeloid leukemia, long-term follow-up, chemoimmunotherapy
- MeSH terms
- Rituximab, Antineoplastic Combined Chemotherapy Protocols, Cause of Death, Cyclophosphamide, Doxorubicin, Female, Follow-Up Studies, Humans, Lymphoma, Follicular, Male, Middle Aged, Prednisone, Prognosis, Vincristine, Radioimmunotherapy, Neoplasms, Second Primary, Antibodies, Monoclonal, Murine-Derived
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