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. 2008 Jan 23;2008(1):CD004024. doi: 10.1002/14651858.CD004024.pub2

Gianni.

Methods Randomised controlled trial 
 Number of centres: not stated 
 Location: Italy 
 Years: 1987 ‐ not stated 
 Final Analysis 
 Sponsorship: Sandoz and Schering‐Plough; Consiglio Nazionale delle Ricerche, Rome; Associazone Italiana per la Ricerca sul Cancro, Milan 
 Central pathology review: not stated 
 Definition of Complete Response: ECOG criteria
Participants Number of patients randomised: 101 (98 patients analysed) 
 Our analysis: 98 
 Patients untreated: yes 
 INCLUDED: 
 Histology: groups G and H (Working Formulation) 
 IPI: no restriction 
 Age: 17‐60 years 
 EXCLUDED: 
 stage I non‐bulky; lymphoma cell infiltration of bone marrow; T‐cell immunophenotype; follicular component in biopsy; abnormal cardiac, pulmonary, renal, and hepatic function; HIV, hepatitis B and C
Interventions Control group: MACOP‐B 12 weeks 
 Experimental group: High‐dose sequential therapy and PBSC or ABMT, 
 consolidation radiotherapy allowed, 
 cross‐over allowed if tumour reduction was 80% or less (patients received respectively MACOP‐B and high‐dose sequential therapy as salvage) 
 Randomisation upfront
Outcomes Freedom from disease progression 
 Overall survival 
 Event‐free survival 
 Freedom from relapse 
 Response rates
Notes source: paper 
 3 patients excluded from the analysis due to concomitant liver disease
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk B ‐ Unclear