HIV-Associated Burkitt Lymphoma : Good Efficacy and Tolerance of Intensive Chemotherapy Including CODOX-MIVAC with or without Rituximab in the HAART Era
Joint Authors
Boro, J.
Ezzat, H.
Rodrigo, J. A.
Song, Kevin
Harris, Marianne
Cheung, Matthew C.
Montaner, Julio S. G.
Hicks, L. K.
Leger, Chantal S.
Leitch, Heather A.
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-11-14
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Background.
The outcome of HIV-associated non-Hodgkin lymphoma (NHL) has improved substantially in the highly active antiretroviral therapy (HAART) era.
However, HIV-Burkitt lymphoma (BL), which accounts for up to 20% of HIV-NHL, has poor outcome with standard chemotherapy.
Patients and Methods.
We retrospectively reviewed HIV-BL treated in the HAART era with the Magrath regimen (CODOX-M/IVAC±R) at four Canadian centres.
Results.
Fourteen patients with HIV-BL received at least one CODOX-M/IVAC±R treatment.
Median age at BL diagnosis was 45.5 years, CD4 count 375 cells/mL and HIV viral load (VL) <50 copies/mL.
Patients received PCP prophylaxis and G-CSF, 13 received HAART with chemotherapy and 10 rituximab.
There were 63 episodes of toxicity, none fatal, including: bacterial infection, n=20; grade 3-4 hematologic toxicity, n=14; febrile neutropenia, n=7; oral thrush; and ifosfamide neurological toxicity, n=1 each.
At a median followup of 11.7 months, 12 (86%) patients are alive and in remission.
All 10 patients who received HAART, chemotherapy, and rituximab are alive.
CD4 counts and HIV VL 6 months following BL therapy completion (n=5 patients) were >250 cells/mL and undetectable, respectively, in 4.
Conclusion.
Intensive chemotherapy with CODOX-M/IVAC±R yielded acceptable toxicity and good survival rates in patients with HIV-associated Burkitt lymphoma receiving HAART.
American Psychological Association (APA)
Rodrigo, J. A.& Hicks, L. K.& Cheung, Matthew C.& Song, Kevin& Ezzat, H.& Leger, Chantal S.…[et al.]. 2011. HIV-Associated Burkitt Lymphoma : Good Efficacy and Tolerance of Intensive Chemotherapy Including CODOX-MIVAC with or without Rituximab in the HAART Era. Advances in Hematology،Vol. 2012, no. 2012, pp.1-9.
https://search.emarefa.net/detail/BIM-494493
Modern Language Association (MLA)
Rodrigo, J. A.…[et al.]. HIV-Associated Burkitt Lymphoma : Good Efficacy and Tolerance of Intensive Chemotherapy Including CODOX-MIVAC with or without Rituximab in the HAART Era. Advances in Hematology No. 2012 (2012), pp.1-9.
https://search.emarefa.net/detail/BIM-494493
American Medical Association (AMA)
Rodrigo, J. A.& Hicks, L. K.& Cheung, Matthew C.& Song, Kevin& Ezzat, H.& Leger, Chantal S.…[et al.]. HIV-Associated Burkitt Lymphoma : Good Efficacy and Tolerance of Intensive Chemotherapy Including CODOX-MIVAC with or without Rituximab in the HAART Era. Advances in Hematology. 2011. Vol. 2012, no. 2012, pp.1-9.
https://search.emarefa.net/detail/BIM-494493
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-494493