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Peer-reviewed veterinary case report

How vincristine, cyclophosphamide, and doxorubicin reduce lymphoma

By Sato, M et al.·Published in Journal of veterinary internal medicine·2011·Department of Veterinary Internal Medicine, Japan·View original on PubMed

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Original publication title: Evaluation of cytoreductive efficacy of vincristine, cyclophosphamide, and Doxorubicin in dogs with lymphoma by measuring the number of neoplastic lymphoid cells with real-time polymerase chain reaction.

Species:
dog

Plain-English summary

A group of 29 dogs with high-grade B-cell lymphoma received a modified chemotherapy treatment over six months to see how well different drugs worked. The dogs were given vincristine, cyclophosphamide, and doxorubicin, and results showed that vincristine and doxorubicin were much more effective at reducing cancer cells compared to cyclophosphamide. While all dogs showed some response to vincristine and doxorubicin, cyclophosphamide was less effective, especially in heavier dogs who had shorter remission periods. Overall, vincristine and doxorubicin proved to be better options for treating this type of lymphoma in dogs.

People also search for: dog lymphoma treatment · vincristine for dogs · chemotherapy side effects in dogs

Abstract

BACKGROUND: The cytoreductive efficacy of the individual components of multidrug chemotherapy for canine lymphoma is difficult to evaluate after complete remission. OBJECTIVES: To compare the cytoreductive efficacy of vincristine (VCR), cyclophosphamide (CPA), and doxorubicin (DXR) in dogs that received a 6-month modified version of the University of Wisconsin-Madison chemotherapy protocol (UW-25). ANIMALS: Twenty-nine dogs with high-grade B-cell multicentric lymphoma. METHODS: Rearranged immunoglobulin heavy chain gene fragments from lymphoma cells were amplified by polymerase chain reaction (PCR) and sequenced to prepare clone-specific primers and probes for real-time PCR. The number of lymphoma cells in peripheral blood was measured from diagnosis to week 11 of UW-25. RESULTS: The number of lymphoma cells after the 1st administration of VCR, CPA, and DXR in weeks 1-4 was decreased in 29/29 (100%), 15/29 (51.7%), and 26/27 (96.3%) dogs, respectively. The cytoreductive efficacy of CPA was less than that of VCR and DXR. VCR, CPA, and DXR administered in weeks 6-9 were effective in 5/26 (19.2%), 5/20 (25.0%), and 14/19 (73.7%) dogs, respectively, indicating the sustained cytoreductive efficacy of DXR. CPA nonresponders were heavier and exhibited a shorter 1st remission than CPA responders. CONCLUSION AND CLINICAL IMPORTANCE: When using UW-25 for treatment of canine lymphoma, CPA was found to have less cytoreductive efficacy than VCR and DXR. Real-time PCR-based quantification of tumor cells is an objective marker of the efficacy of chemotherapeutic agents.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/21314729/