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DA-EPOCH-R Appears More Toxic Than Standard R-CHOP in DLBCL

Key clinical point: Dose-adjusted etoposide, prednisone, vincristine, cyclophosphamide, doxorubicin, and rituximab (DA-EPOCH-R) was found to be more toxic than R-CHOP in patients with diffuse large B-cell lymphoma (DLBCL).

Major finding: After a median follow-up of 5.2 years, no significant difference in progression-free survival was seen between the study arms (DA-EPOCH-R hazard ratio, 0.93; 95% confidence interval, 0.68-1.27; P = .65).

Study details: A phase 3 trial of 491 patients with DLBCL.

Disclosures: The study was supported by the National Cancer Institute. The authors reported financial relationships with Bristol-Myers Squibb, Celgene, Janssen, Jazz Pharmaceuticals, Morphosys, and others companies.

Citation:

Bartlett NL et al. J Clin Oncol. 2019 Apr 2. doi: 10.1200/JCO.18.01994.