Review Article

The Role of Autologous Stem Cell Transplantation in the Treatment of Diffuse Large B-Cell Lymphoma

Table 3

Studies of HDT/ASCT in unfavorable DLBCL patients.

AuthorYear Pathological phenotypeDLCL (%)Immunological phenotype (%)aaIPI ≥ 2 (%)TherapyShorten induction yes/noPFS/EFS (%)OS (%)

Tarella [27]2007112REAL79B. 100100Modified R-HDS # 1No4y: 734y: 76

Vitolo [28]200997REAL86B. 100100R-mega CEOP14 × 4 + R-MAD2 × 2 + BEAM/ASCTNo4y: 734y: 80

Dilhuydy [29]201042REALN.R.B. 100100R × 4 + CEEP × 2 + R-MTX/R-MC + BEAM/ASCTYes5y: 555y: 74

Fitoussi [30]2011209WHON.R.B. 100100R-ACVBP × 4 + BEAM/ASCTYes4y: 764y: 78

1Plus radiotherapy at bulky disease.
2Plus radiotherapy at bulky disease and intrathecal prophylaxis in very high-risk patients.
#See [26].
REAL: revised European-American lymphoma classification; WHO: World Health Organization classification of NHL; R: rituximab; (mega) CEOP: cyclophosphamide, epirubicin, vincristine, and prednisone; MAD: mitoxantrone, cytarabine, and dexamethasone; BEAM: carmustine, etoposide, cytarabine, and melphalan; CEEP: cyclophosphamide, epirubicin, vindesine, and prednisone; MTX: methotrexate; MC: methotrexate and cytarabine; ACBVP: doxorubicin, cyclophosphamide, vindesine, bleomycin, and prednisone; N.R.: not reported.