Table 1.
Total number of patients | 191 |
Median age at diagnosis, years (range) | 59 (33 – 76) |
Year of Diagnosis (Median 2006) | |
1992–2005 | 89 (47%) |
2006 and later | 102 (53%) |
Male gender, no. (%) | 142 (74%) |
Stage, at diagnosis | |
I/II | 3(2%) |
III | 20 (10%) |
IV | 168 (88%) |
B Symptoms, at diagnosis | 36 (19%) |
Bone marrow involvement, at diagnosis | 149 (78%) |
Extranodal involvement, at diagnosis | 67 (35%) |
Blastoid variant | 16 (8%) |
MIPI (n=131)a | |
Low risk | 63 (48%) |
Intermediate risk | 42 (32%) |
High risk | 26 (20%) |
High-dose cytarabine pre-ASCT, no. (%)b | 106 (56%) |
Rituximab pre-ASCT, no. (%) | 175 (92%) |
No. or regimens pre-ASCT, no. (%) | |
1 | 128 (67%) |
2 | 48 (25%) |
3 | 15 (8%) |
Median time from diagnosis to ASCT, months (range) | 8 (4 – 105) |
Year of Transplant (Median 2007) | |
1997–2006 | 88 (46%) |
2007 and later | 103 (54%) |
Disease status at ASCT, no. (%) | |
CR1 | 144 (75%) |
PR1 | 28 (15%) |
CR2/PR2/PR3 | 19 (10%) |
Conditioning, no. (%) | |
Chemotherapy only | 101 (53%) |
Radiation-based | 90 (47%) |
Conditioning, no. (%) | |
BEAM | 54 (28%) |
CBV | 47 (25%) |
TBI/VP/CY | 32 (17%) |
Z-BEAM | 49 (26%) |
High-Z | 9 (5%) |
Rituximab maintenance, no. (%) | |
375mg/m2 weekly × 4 every 6 mos. for 2 yrs. | 46 (24%) |
375mg/m2 every 2 mos. for 2 yrs. | 16 (8%) |
375mg/m2 every 3 mos. for 2 yrs. | 13 (7%) |
None | 116 (61%) |
Median follow-up post-ASCT, yrs. (range)c | 6.3 (2.1 – 17.8) |
Abbreviations: CR, complete remission; ASCT, high-dose therapy; MIPI, mantle cell lymphoma International prognostic index; PR, partial remission; BEAM, carmustine, etoposide, cytarabine, melphalan; CBV, cyclophosphamide, carmustine, etoposide; TBI/VP/CY, total body irradiation, etoposide, cyclophosphamide; Z-BEAM, ibritumomab tiuxetan, carmustine, etoposide, cytarabine, melphalan; High-Z, ibritumomab tiuxetan, cyclophosphamide, etoposide
Data not available for all patients.
Patients treated with high-dose cytarabine received Hyper-CVAD (n=93), MaxiCHOP (n=10), or both (n=3).
Surviving patients (n=119).