High-dose thiotepa, etoposide and carboplatin as conditioning regimen for autologous stem cell transplantation in patients with high-risk Hodgkin's lymphoma

Hematology. 2012 Jan;17(1):23-7. doi: 10.1179/102453312X13221316477534.

Abstract

Background: Autologous stem cell transplantation (ASCT) generally provides good results in Hodgkin's lymphoma (HL). We studied a high-dose chemotherapy regimen based on thiotepa, etoposide and carboplatin (TECA).

Methods: Fifty-eight patients with advanced HL were treated with thiotepa, etoposide and carboplatin for transplant induction.

Results: The overall response rate was 79·3% (39 CR: 67·2%; and 7 PR: 12·1%); 12 patients (20·1%) were non-responders. The 5-year overall survival rate was 77·6%; five initially responder patients relapsed within the first 5 years of follow-up and underwent salvage therapy.

Conclusion: The TECA conditioning regimen for ASCT in HL results in a good anti-HL effect, positive response to treatment and high 5-year overall survival rate. It was also well tolerated and did not induce excessive toxicity, suggesting that TECA may be a very useful conditioning regimen for HL.

Publication types

  • Clinical Trial
  • Clinical Trial, Phase II
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Bleomycin / administration & dosage
  • Carboplatin / administration & dosage
  • Dacarbazine / administration & dosage
  • Disease-Free Survival
  • Doxorubicin / administration & dosage
  • Etoposide / administration & dosage
  • Hematopoietic Stem Cell Transplantation / methods*
  • Hodgkin Disease / drug therapy*
  • Hodgkin Disease / surgery*
  • Humans
  • Kaplan-Meier Estimate
  • Middle Aged
  • Survival Rate
  • Thiotepa / administration & dosage
  • Transplantation Conditioning / methods*
  • Transplantation, Autologous
  • Treatment Outcome
  • Vinblastine / administration & dosage
  • Young Adult

Substances

  • Bleomycin
  • Vinblastine
  • Etoposide
  • Dacarbazine
  • Doxorubicin
  • Thiotepa
  • Carboplatin

Supplementary concepts

  • ABVD protocol