Table 2.
Whole series (n=75) | CNS disease (n=75) | Systemic disease (n=60) | CNS disease at presentation (n=32) | Relapse; isolated CNS disease (n=15) | Relapse; CNS–systemic disease (n=28) | |
---|---|---|---|---|---|---|
After second MATRix* | ||||||
Complete response | 20 (27%) | 26 (35%) | 26 (43%) | 11 (34%) | 4 (27%) | 5 (18%) |
Partial response | 36 (48%) | 31 (41%) | 19 (32%) | 17 (53%) | 6 (40%) | 13 (46%) |
Objective response | 56 (75%) | 57 (76%) | 45 (75%) | 28 (88%) | 10 (67%) | 18 (64%) |
Stable disease | 3 (4%) | 6 (8%) | 3 (5%) | 1 (3%) | 1 (7%) | 1 (4%) |
Progressive disease | 12 (16%) | 8 (11%) | 10 (17%) | 3 (9%) | 2 (13%) | 7 (25%) |
After MATRix–RICE | ||||||
Complete response | 29 (39%) | 37 (49%) | 33 (55%) | 17 (53%) | 6 (40%) | 6 (21%) |
Partial response | 20 (27%) | 14 (19%) | 12 (20%) | 10 (31%) | 3 (20%) | 7 (25%) |
Objective response | 49 (65%) | 51 (68%) | 45 (75%) | 27 (84%) | 9 (60%) | 13 (46%) |
Stable disease | 0 | 0 | 0 | 0 | 0 | 0 |
Progressive disease | 22 (29%) | 20 (27%) | 13 (22%) | 5 (16%) | 4 (27%) | 13 (46%) |
Whole treatment | ||||||
Complete response | 41 (55%) | 44 (59%) | 40 (67%) | 24 (75%) | 7 (47%) | 9 (32%) |
Partial response | 5 (7%) | 2 (3%) | 4 (7%) | 2 (6%) | 0 | 3 (11%) |
Objective response | 46 (61%) | 46 (61%) | 44 (73%) | 26 (81%) | 7 (47%) | 12 (43%) |
Stable disease | 0 | 0 | 0 | 0 | 0 | 0 |
Progressive disease | 25 (33%) | 25 (33%) | 14 (23%) | 6 (19%) | 6 (40%) | 14 (50%) |
Data are n (%). Whole series column shows all responses in all patients, CNS disease column shows responses related only to CNS disease (all patients); and systemic disease column shows responses only related to extra-CNS disease in patients who had extra-CNS disease. MATRix=methotrexate, cytarabine, thiotepa, and rituximab. RICE=rituximab, ifosfamide, carboplatin, and etoposide.
Four patients died of toxicity during MATRix; two of them had concomitant systemic disease.