Table 1 Main clinical features and treatment variables of all DLBCL treated with intense chemo-immunotherapy program with final ASCT consolidation
All DLBCL patients | Naïve DLBCL | Relapsed DLBCL | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
All | Double exp | Not double exp | P-value | All naïve pts | Naïve double exp | Naïve not double exp | P-value | All relapsed pts (69) | Relapsed double exp | Relapsed not double exp | P-value | |
Male | 84/140 (60%) | 26/38 (68.4%) | 58/102 (57%) | NS | 39/71 (54.9%) | 13/20 (65%) | 26/51 (51%) | NS | 45/69 (65.2%) | 13/18 (72.2%) | 32/51 (62.7%) | NS |
Ann Arbor stage>2 | 110/138 (80%) | 26/37 (70%) | 84/101 (83%) | NS | 65/71 (91.5%) | 19/20 (95%) | 46/51 (90%) | NS | 45/67 (67.1%) | 7/17 (41.1%) | 38/50 (76%) | NS |
Age>60 | 48/140 (34%) | 10/38 (26%) | 38/102 (37%) | NS | 24/71 (33.8%) | 5/20 (25%) | 19/51 (37%) | NS | 24/69 (34.7%) | 5/18 (27.7%) | 19/51 (37.2%) | 0.01 |
ECOG⩾2 | 26/140 (18.5%) | 3/38 (8%) | 23/102 (23%) | 0.05 | 18/71 (25.3%) | 2/20 (10%) | 16/51 (31%) | NS | 8/69 (11.5%) | 1/18 (5.55%) | 7/51 (13.7%) | NS |
High LDH | 60/133 (45%) | 13/35 (37%) | 47/98 (48%) | NS | 41/70 (58.5%) | 12/20 (60%) | 29/49 (59%) | NS | 19/63 (30.1%) | 1/15 (6.66%) | 18/48 (37.5%) | 0.01 |
Bulky | 71/137 (52%) | 21/38 (55%) | 50/99 (51%) | NS | 38/68 (55.8%) | 12/20 (60%) | 26/48 (54%) | NS | 33/69 (47.8%) | 9/18 (50%) | 24/51 (47%) | NS |
Extranodal sites⩾2 | 43/140 (30%) | 10/38 (26%) | 33/102 (32%) | NS | 25/71 (35%) | 6/20 (30%) | 19/51 (37%) | NS | 18/69 (26%) | 4/18 (22.2%) | 14/51 (27.4%) | NS |
IPI⩾2 | 96/139 (70%) | 22/38 (59%) | 74/101 (73%) | NS | 59/70 (84%) | 15/20 (60%) | 44/50 (88%) | NS | 37/69 (53%) | 7/18 (40%) | 30/51 (59%) | NS |
ASCT performed | 82/140 (59%) | 20/38 (53%) | 62/102 (61%) | NS | 55/71 (77%) | 14/20 (70%) | 41/51 (80%) | NS | 27/69 (39%) | 6/18 (33.3%) | 21/51 (41%) | NS |
Conditioning | ||||||||||||
 CT | 63/82 (77%) | 17/20 (85%) | 46/62 (74%) | NS | 39/55 (70.9%) | 12/14 (85.7%) | 27/41 (66%) | NS | 23/27 (85%) | 5/6 (83%) | 18/21 (86%) | NS |
 HD-Zevalin | 19/82 (23%) | 3/20 (15%) | 16/62 (25%) | NS | 16/55 (29%) | 2/14 (14.2%) | 14/41 (34%) | NS | 4/27 (15%) | 1/6 (17%) | 3/21 (14%) | NS |
Status pre ASCT | ||||||||||||
 Complete remission | 68/82 (83%) | 16/20 (80%) | 52/62 (84%) | NS | 46/55 (84%) | 11/14 (78%) | 34/41 (83%) | NS | 22/27 (81%) | 5/6 (83%) | 17/21 (81%) | NS |
 Partial remission | 12/82 (15%) | 3/20 (15%) | 10/62 (16%) | NS | 8/55 (15%) | 2/14 (14%) | 7/41 (17%) | NS | 4/27 (15%) | 1/6 (17%) | 3/21 (14%) | NS |
 Stable disease | 2/82 (2%) | 1/20 (5%) | 0 | NS | 1/55 (2%) | 1/14 (7%) | 0 | NS | 1/27 (4%) | 0 | 1/21 (5%) | NS |
Reason for no ASCT | ||||||||||||
 Disease | 47/58 (81%) | 16/18 (80%) | 31/40 (77%) | NS | 12/16 (87.5%) | 6/6 (100%) | 6/10 (60%) | NS | 34/42 (81%) | 10/12 (83%) | 24/30 (80%) | NS |
 Poor mobilizer | 3/58 (5.5%) | 1/18 (11.1%) | 2/40 (5%) | NS | 0/16 (0%) | 0/0 (%) | 0 (0%) | NS | 3/42 (7%) | 1/12 (8.3%) | 2/30 (6%) | NS |
 Adverse event | 7/58 (12%) | 1/18 (13.3%) | 6/40 (15.5%) | NS | 4/16 (25%) | 0/6 (0%) | 4/10 (40%) | NS | 4/42 (9.5%) | 1/12 (8.3%) | 3/30 (10%) | NS |
 Other | 1/58 (1.5%) | 0 | 1/40 (2.5%) | NS | – | – | – | – | 1/42 (2.4%) | 0/0 (0%) | 1/30 (4%) | NS |
 MYC>40% | 65/140 (46%) | 38/38 (100%) | 27/102 (26%) | 0.003 | 31/71 (43.6%) | 20/20 (100%) | 11/51 (21%) | <0.0001 | 34/69 (49.2%) | 18/18 (100%) | 16/51 (31.3%) | <0.0001 |
 BCL2>70% | 78/140 (55%) | 38/38 (100%) | 40/102 (39%) | <0.0001 | 37/71 (52.1%) | 20/20 (100%) | 17/51 (33%) | <0.0001 | 41/69 (59.4%) | 18/18 (100%) | 23/51 (45%) | <0.0001 |
 MYC/BCL2 co-expression | 38/140 (27%) | 38/38 (100%) | 0/102 (0%) | <0.0001 | 20/71 (28.1%) | 20/20 (100%) | 0/51 (0%) | <0.0001 | 18/69 (26%) | 18/18 (100%) | 0/51 (0%) | <0.0001 |
 ABC-DLBCL | 71/116 (61%) | 22/29 (76%) | 59/87 (69%) | NS | 43/59 (73%) | 11/14 (78%) | 32/45 (71.1%) | NS | 34/61 (56%) | 13/18 (72%) | 21/43 (49%) | NS |
 Ki-67 High | 90/128 (70%) | 27/35 (77%) | 63/93 (87%) | NS | 40/57 (70%) | 14/17 (82%) | 26/40 (65%) | NS | 44/66 (66%) | 11/15 (73%) | 33/51 (65%) | NS |