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Peer-reviewed veterinary case report

Retrospective analysis for treatment of naïve canine multicentric lymphoma with a 15‐week, maintenance‐freeCHOPprotocol

Journal:
Veterinary and Comparative Oncology
Year:
2015
Authors:
Curran, K. & Thamm, D. H.
Affiliation:
Flint Animal Cancer Center Colorado State University Fort Collins CO USA · United States
Species:
dog

Plain-English summary

In this study, researchers looked at a group of 134 dogs with multicentric lymphoma, a type of cancer that affects the lymph nodes. These dogs were treated with a 15-week chemotherapy plan that included a combination of four drugs, but without the need for ongoing maintenance treatments afterward. The results were very promising, with 98% of the dogs responding to the treatment and 104 of them achieving complete remission, meaning their cancer was no longer detectable. On average, the dogs lived for about 311 days after starting treatment, which is a good outcome for this condition. Overall, this shorter treatment plan could be a good option for pet owners who are concerned about the time and resources needed for longer chemotherapy protocols.

Abstract

AbstractStandard of care treatment of dogs with multicentric lymphoma includes combination chemotherapy with cyclophosphamide, doxorubicin, vincristine and prednisone (CHOP); however, owners may be hesitant to commit the resources necessary to complete a lengthy, multi‐drug protocol. One hundred thirty‐four client‐owned dogs with multicentric lymphoma were treated with a 15‐weekCHOPchemotherapy protocol. The overall response rate was 98% with 104 dogs experiencing a complete response (CR). The median progression‐free survival (PFS) time for all dogs was 176 days, and the median disease‐specific overall survival time was 311 days. Prognostic factors identified on multivariate analysis as significant forPFSincluded substage, immunophenotype, hospitalization for adverse events, need for dose reduction, presence of neutrophilia at diagnosis, presence of anemia and experiencing aCRas best response to therapy. In conclusion, this protocol may be a viable alternative toCHOPprotocols using a larger number of treatments.

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Original publication: https://doi.org/10.1111/vco.12163