Cited by 86Lymphoma Diagnosis and TreatmentChronic Lymphocytic Leukemia ResearchCutaneous lymphoproliferative disorders research

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

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Abstract

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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Crossref · 10.1200/jco.2017.74.5083

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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 )).”
  • 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).”
  • 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 )).”
  • 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).”
  • 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).”

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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)
Venue
Journal of Clinical Oncology
Published
2018-03-01
Volume
36
Issue
7
Pages
697-703
ISSN
  • 0732-183X (ISSN-L)
  • 1527-7755
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
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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