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Article Open Access

BR vs. R‑miniCHOP in unfit patients with B‑cell non‑Hodgkin lymphoma: A randomized, two‑center, cohort study

  • Authors:
    • Dongdong Zhang
    • Yong Lin
    • Youhong Dong
    • Liling Zhang
  • View Affiliations / Copyright

    Affiliations: Department of Oncology, Xiangyang No. 1 People's Hospital, Hubei University of Medicine, Xiangyang, Hubei 441000, P.R. China, Department of Gastroenterology, Xiangyang No. 1 People's Hospital, Hubei University of Medicine, Xiangyang, Hubei 441000, P.R. China, Cancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430071, P.R. China
    Copyright: © Zhang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 440
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    Published online on: August 23, 2023
       https://doi.org/10.3892/ol.2023.14027
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Abstract

The aim of the present study was to compare the efficacy and safety between the bendamustine plus rituximab (BR) regimen and rituximab combined with low‑dose doxorubicin, cyclophosphamide, vincristine and prednisone (R‑miniCHOP) in the treatment of ‘unfit’ patients with diffuse large B‑cell lymphoma (DLBCL) and follicular lymphoma grade 3B (FL3B). Patients, >70 years of age with DLBCL or FL3B, defined as unfit according to Comprehensive Geriatric Assessment, were included in the present study. All patients received 4‑6 cycles of a BR or R‑miniCHOP regimen at a three‑week interval. The objective remission rate (ORR) and adverse reactions were evaluated between the two groups. A total of 35 patients, recruited between January 2020 and December 2021, were included in this prospective study. The median age was 74 years (range, 70‑82 years). The ORR in the BR group was similar to that in the R‑miniCHOP group (73.3 vs. 75.0%; P=0.606). However, the BR group exhibited a lower incidence of leukopenia than the R‑miniCHOP group (20.0 vs. 60.0%; P=0.037). The univariate analysis revealed that the ORR was influenced by the serum β2 microglobulin level. The BR regimen showed equivalent efficacy but more improved safety compared with R‑miniCHOP in unfit patients with DLBCL and FL3B. The BR regimen may be considered as an alternative treatment in these subgroups of patients.
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Copy and paste a formatted citation
Spandidos Publications style
Zhang D, Lin Y, Dong Y and Zhang L: BR vs. R‑miniCHOP in unfit patients with B‑cell non‑Hodgkin lymphoma: A randomized, two‑center, cohort study. Oncol Lett 26: 440, 2023.
APA
Zhang, D., Lin, Y., Dong, Y., & Zhang, L. (2023). BR vs. R‑miniCHOP in unfit patients with B‑cell non‑Hodgkin lymphoma: A randomized, two‑center, cohort study. Oncology Letters, 26, 440. https://doi.org/10.3892/ol.2023.14027
MLA
Zhang, D., Lin, Y., Dong, Y., Zhang, L."BR vs. R‑miniCHOP in unfit patients with B‑cell non‑Hodgkin lymphoma: A randomized, two‑center, cohort study". Oncology Letters 26.4 (2023): 440.
Chicago
Zhang, D., Lin, Y., Dong, Y., Zhang, L."BR vs. R‑miniCHOP in unfit patients with B‑cell non‑Hodgkin lymphoma: A randomized, two‑center, cohort study". Oncology Letters 26, no. 4 (2023): 440. https://doi.org/10.3892/ol.2023.14027
Copy and paste a formatted citation
x
Spandidos Publications style
Zhang D, Lin Y, Dong Y and Zhang L: BR vs. R‑miniCHOP in unfit patients with B‑cell non‑Hodgkin lymphoma: A randomized, two‑center, cohort study. Oncol Lett 26: 440, 2023.
APA
Zhang, D., Lin, Y., Dong, Y., & Zhang, L. (2023). BR vs. R‑miniCHOP in unfit patients with B‑cell non‑Hodgkin lymphoma: A randomized, two‑center, cohort study. Oncology Letters, 26, 440. https://doi.org/10.3892/ol.2023.14027
MLA
Zhang, D., Lin, Y., Dong, Y., Zhang, L."BR vs. R‑miniCHOP in unfit patients with B‑cell non‑Hodgkin lymphoma: A randomized, two‑center, cohort study". Oncology Letters 26.4 (2023): 440.
Chicago
Zhang, D., Lin, Y., Dong, Y., Zhang, L."BR vs. R‑miniCHOP in unfit patients with B‑cell non‑Hodgkin lymphoma: A randomized, two‑center, cohort study". Oncology Letters 26, no. 4 (2023): 440. https://doi.org/10.3892/ol.2023.14027
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