LOPP chemotherapy as a first-line treatment for dogs with T-cell lymphoma

Vet Comp Oncol. 2018 Mar;16(1):108-113. doi: 10.1111/vco.12318. Epub 2017 May 16.

Abstract

Background: The aim of this study was to describe the use of a lomustine (CCNU), vincristine, procarbazine and prednisolone (LOPP) protocol used for treatment of chemotherapy naive T-cell lymphoma patients and to describe the response rate, toxicity and disease-free interval compared historically to CHOP chemotherapy.

Materials and methods: Retrospective case study of 31 dogs with naïve T-cell lymphoma treated with a lomustine (CCNU), vincristine, procarbazine and prednisolone (LOPP) protocol.

Results: Thirty-one dogs with T cell lymphoma were treated. The overall response rate was 97%. Of the 30 dogs that had a response to LOPP chemotherapy, the median disease free interval was 176 days (range 0-1745 days). The median overall survival time for this study group was 323 days (range 51-1758 days). All deaths in this study were attributable to lymphoma.

Conclusion: LOPP chemotherapy for T cell lymphoma is well tolerated with a low toxicity profile and an excellent overall response rate. This protocol showed minimal toxicity and comparable disease free interval and survival times for canine high grade T cell lymphoma treated with CHOP.

Keywords: LOPP; T-cell; canine; chemotherapy; lymphoma.

MeSH terms

  • Animals
  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Dog Diseases / drug therapy*
  • Dog Diseases / mortality
  • Dogs
  • Female
  • Lomustine / administration & dosage
  • Lomustine / therapeutic use
  • Lymphoma, T-Cell / drug therapy
  • Lymphoma, T-Cell / mortality
  • Lymphoma, T-Cell / veterinary*
  • Male
  • Prednisone / administration & dosage
  • Prednisone / therapeutic use
  • Procarbazine / administration & dosage
  • Procarbazine / therapeutic use
  • Retrospective Studies
  • Survival Analysis
  • Treatment Outcome
  • Vincristine / administration & dosage
  • Vincristine / therapeutic use

Substances

  • Procarbazine
  • Vincristine
  • Lomustine
  • Prednisone

Supplementary concepts

  • LOPP protocol 2