Table 4.

Patients’ outcome according to ΔSUVmax reduction after 2 and 4 cycles of chemotherapy and the actual consolidation treatment

Metabolic response according to ΔSUVmax >66%N%4-year PFS (95% CI)P4-year OS (95% CI)P
 All 153 84 80* (73-86) .0005* 87** (80-92) .0034** 
 R-chemotherapy 46 30 76 (61-86) .37 91 (78-97) .57 
 High dose therapy + ASCT 36 23 89 (73-96) 92 (76-97) 
 Salvage therapy 67 44 80 (69-88) 83 (68-92) 
  Salvage therapy followed by ASCT 36 54 92 (76-97)  91 (51-99)  
  Salvaged not followed by ASCT 31 46 68 (48-81)  74 (55-86)  
ΔSUVmax PET0-2 ≤66%       
 All 30 16 56* (37-72)  69** (49-83)  
 R-chemotherapy 13 100 .23 100 42 
 High dose therapy + ASCT 10 67 (5.4-94.5) 50 (1-91) 
 Salvage therapy 23 77 48 (27-66) 65 (42-81) 
  Salvage therapy followed by ASCT 26 67 (19-90)  100  
  Salvaged not followed by ASCT 17 74 41 (19-63)  53 (28-73)  
ΔSUVmax PET0-4 >70%       
 All 157 87 84 (77-89) <.0001 91 (84-95) <.0001†† 
 R-chemotherapy 48 31 79 (65-88) .62 96 (84-99) .42 
 High dose therapy + ASCT 39 25 87 (71-94) 89 (75-96) 
 Salvage therapy 70 45 86 (75-92) 87 (72-94) 
  Salvage therapy followed by ASCT 38 54 92 (77-97)  92 (51-99)  
  Salvaged not followed by ASCT 32 46 78 (59-89)  81 (63-91)  
ΔSUVmax PET0-2 >66%/ΔSUVmax PET0-4 >70%       
 All 141 91 85 (78-90) .36 91‡‡ (83-95) .37‡‡ 
 R-chemotherapy 44 31 79 (64-89) .5 95 (83-99) .55 
 High dose therapy + ASCT 36 25 89 (73-96) 92 (76-97) 
 Salvage therapy 61 43 87 (75-93) 86 (68-95) 
  Salvage therapy followed by ASCT 35 57 94 (79-98)  90 (47-98)  
  Salvaged not followed by ASCT 26 43 77 (56-89)  81 (60-91)  
ΔSUVmax PET0-2 ≤66%/ΔSUVmax PET0-4 >70%       
 All 14 77 (47-93)  85‡‡ (51-96)  
 R-chemotherapy 14 100 .73 100 .39 
 High dose therapy + ASCT 21 67 (5-94) 50 (1-91) 
 Salvage therapy 64 78 (36-94) 89 (43-98) 
  Salvage therapy followed by ASCT 33 (5-94)  100  
  Salvaged not followed by ASCT 67 83 (27-97)  83 (27-97)  
ΔSUVmax PET0-4 ≤70%       
 All 23 13 35 (17-54)  57†† (34-74)  
 R-chemotherapy 17 75 (13-96) .1 75 (13-96) .38 
 High dose therapy + ASCT   
 Salvage therapy 19 83 26 (10-47) 53 (29-72) 
  Salvage therapy followed by ASCT 21 50 (6-84)  100  
  Salvaged not followed by ASCT 15 79 20 (5-42)  40 (16-63)  
Metabolic response according to ΔSUVmax >66%N%4-year PFS (95% CI)P4-year OS (95% CI)P
 All 153 84 80* (73-86) .0005* 87** (80-92) .0034** 
 R-chemotherapy 46 30 76 (61-86) .37 91 (78-97) .57 
 High dose therapy + ASCT 36 23 89 (73-96) 92 (76-97) 
 Salvage therapy 67 44 80 (69-88) 83 (68-92) 
  Salvage therapy followed by ASCT 36 54 92 (76-97)  91 (51-99)  
  Salvaged not followed by ASCT 31 46 68 (48-81)  74 (55-86)  
ΔSUVmax PET0-2 ≤66%       
 All 30 16 56* (37-72)  69** (49-83)  
 R-chemotherapy 13 100 .23 100 42 
 High dose therapy + ASCT 10 67 (5.4-94.5) 50 (1-91) 
 Salvage therapy 23 77 48 (27-66) 65 (42-81) 
  Salvage therapy followed by ASCT 26 67 (19-90)  100  
  Salvaged not followed by ASCT 17 74 41 (19-63)  53 (28-73)  
ΔSUVmax PET0-4 >70%       
 All 157 87 84 (77-89) <.0001 91 (84-95) <.0001†† 
 R-chemotherapy 48 31 79 (65-88) .62 96 (84-99) .42 
 High dose therapy + ASCT 39 25 87 (71-94) 89 (75-96) 
 Salvage therapy 70 45 86 (75-92) 87 (72-94) 
  Salvage therapy followed by ASCT 38 54 92 (77-97)  92 (51-99)  
  Salvaged not followed by ASCT 32 46 78 (59-89)  81 (63-91)  
ΔSUVmax PET0-2 >66%/ΔSUVmax PET0-4 >70%       
 All 141 91 85 (78-90) .36 91‡‡ (83-95) .37‡‡ 
 R-chemotherapy 44 31 79 (64-89) .5 95 (83-99) .55 
 High dose therapy + ASCT 36 25 89 (73-96) 92 (76-97) 
 Salvage therapy 61 43 87 (75-93) 86 (68-95) 
  Salvage therapy followed by ASCT 35 57 94 (79-98)  90 (47-98)  
  Salvaged not followed by ASCT 26 43 77 (56-89)  81 (60-91)  
ΔSUVmax PET0-2 ≤66%/ΔSUVmax PET0-4 >70%       
 All 14 77 (47-93)  85‡‡ (51-96)  
 R-chemotherapy 14 100 .73 100 .39 
 High dose therapy + ASCT 21 67 (5-94) 50 (1-91) 
 Salvage therapy 64 78 (36-94) 89 (43-98) 
  Salvage therapy followed by ASCT 33 (5-94)  100  
  Salvaged not followed by ASCT 67 83 (27-97)  83 (27-97)  
ΔSUVmax PET0-4 ≤70%       
 All 23 13 35 (17-54)  57†† (34-74)  
 R-chemotherapy 17 75 (13-96) .1 75 (13-96) .38 
 High dose therapy + ASCT   
 Salvage therapy 19 83 26 (10-47) 53 (29-72) 
  Salvage therapy followed by ASCT 21 50 (6-84)  100  
  Salvaged not followed by ASCT 15 79 20 (5-42)  40 (16-63)  
*

,**indicate comparison of 4-year PFS and 4-year OS between patients with either ΔSUVmax PET0-2 66% or >66%, respectively.

,††indicate comparison of 4-year PFS and 4-year OS between patients with either ΔSUVmax PET0-4 ≤70% or >70%, respectively.

,‡‡indicate comparison of 4-year PFS and 4-year OS between patients with either ΔSUVmax PET0-2 ≤66%/ΔSUVmax PET0-4 >70% or ΔSUVmax PET0-2 >66%/ΔSUVmax PET0-4 >70%, respectively.

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