Table 2.

Selected historical chemotherapy studies for newly diagnosed older HL patients in advanced stages

ReferenceNTherapyOutcomesSelected toxicities ≥ grade 3TRM (%)
Weekes et al 31 ChlVPP 5-y EFS, 24% NR 13% 
5-y OS, 30% 
 25 ChlVPP/ABV 5-y EFS, 52%  16% 
5-y OS, 67% 
Levis et al23 ,* 57 VEPEMB 5-y RFS, 66% Anemia (18%), infection (14%) 3% 
5-y OS, 32% 
Ballova et al30,* 26 COPP/ABVD 5-y HD-FFTF, 55% Anemia (24%), thrombocytopenia (16%), infection (12%) 8% 
5-y OS, 50% 
 42 BEACOPP baseline 5-y OS, 50% Thrombocytopenia (49%), anemia (41%), infection (23%), cardiac (15%) 21% 
Halbsguth et al45,* 60 BACOPP 2-y PFS, 71% Infection (23%), thrombocytopenia (22%) 12% 
2-y OS, 76% 
Böll et al44,* 59 PVAG 3-y PFS, 58% Infection (22.8%), anemia (17.5%), thrombocytopenia (15.8%) 2% 
3-y OS, 66% 
Proctor et al13,* 72 VEPEMB CR, 61% Neutropenic sepsis (15%), neutropenia (12%), myocardial infarction (2%) 4% 
3-y PFS, 52% 
3-y OS, 62% 
Evens et al10,* 45 ABVD and Stanford V 5-y PFS, 48% BLT (24%, primarily ABVD), gastrointestinal hemorrhage (5%, Stanford V only) 9% 
5-y OS, 58% 
ReferenceNTherapyOutcomesSelected toxicities ≥ grade 3TRM (%)
Weekes et al 31 ChlVPP 5-y EFS, 24% NR 13% 
5-y OS, 30% 
 25 ChlVPP/ABV 5-y EFS, 52%  16% 
5-y OS, 67% 
Levis et al23 ,* 57 VEPEMB 5-y RFS, 66% Anemia (18%), infection (14%) 3% 
5-y OS, 32% 
Ballova et al30,* 26 COPP/ABVD 5-y HD-FFTF, 55% Anemia (24%), thrombocytopenia (16%), infection (12%) 8% 
5-y OS, 50% 
 42 BEACOPP baseline 5-y OS, 50% Thrombocytopenia (49%), anemia (41%), infection (23%), cardiac (15%) 21% 
Halbsguth et al45,* 60 BACOPP 2-y PFS, 71% Infection (23%), thrombocytopenia (22%) 12% 
2-y OS, 76% 
Böll et al44,* 59 PVAG 3-y PFS, 58% Infection (22.8%), anemia (17.5%), thrombocytopenia (15.8%) 2% 
3-y OS, 66% 
Proctor et al13,* 72 VEPEMB CR, 61% Neutropenic sepsis (15%), neutropenia (12%), myocardial infarction (2%) 4% 
3-y PFS, 52% 
3-y OS, 62% 
Evens et al10,* 45 ABVD and Stanford V 5-y PFS, 48% BLT (24%, primarily ABVD), gastrointestinal hemorrhage (5%, Stanford V only) 9% 
5-y OS, 58% 

The studies included a minimum of 25 patients.

ABV, adriamycin, bleomycin, vinblastine; BACOPP, bleomycin, doxorubicin, cyclophosphamide, vincristine, procarbazine, and prednisone; BEACOPP, bleomycin, etoposide, doxorubicin, cyclophosphamide, vincristine, procarbazine, prednisone; BLT, bleomycin lung toxicity; ChlVPP, chlorambucil, vinblastine, procarbazine, and prednisone; COPP, cyclophosphamide, vincristine, procarbazine, and prednisone; CR, complete remission; EFS, event-free survival; FFTF, freedom from treatment failure; HD, Hodgkin disease; NR, not reported; OS, overall survival; PFS, progression-free survival; PVAG, prednisone, vinblastine, doxorubicin, and gemcitabine; RFS, relapse-free survival; TRM, treatment-related mortality; VEPEMB, vinblastine, cyclophosphamide, procarbazine, etoposide, mitoxantrone, and bleomycin.

*

Prospective clinical study.

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