Sequential low-dose rate half-body irradiation and chemotherapy for the treatment of canine multicentric lymphoma

J Vet Intern Med. 2009 Sep-Oct;23(5):1064-70. doi: 10.1111/j.1939-1676.2009.0353.x. Epub 2009 Jul 14.

Abstract

Background: Sequential half-body irradiation (HBI) combined with chemotherapy is feasible in treating canine lymphoma, but prolonged interradiation intervals may affect efficacy. A 2-week interradiation interval is possible in most dogs receiving low-dose rate irradiation (LDRI) protocols at 6 Gy dose levels.

Hypothesis: LDRI incorporated into a cyclophosphamide, doxorubicin, vincritine, and prednisone (CHOP)-based chemotherapy protocol is effective for the treatment of lymphoma in dogs.

Animals: Thirty-eight client-owned animals diagnosed with multicentric lymphoma.

Methods: Retrospective study evaluating the efficacy and prognostic factors for the treatment of canine lymphoma with sequential HBI and chemotherapy.

Results: The median 1st remission was 410 days (95% confidence interval [CI] 241-803 days). The 1-, 2-, and 3-year 1st remission rates were 54, 42, and 31%. The median overall survival was 684 days (95% CI 334-1,223 days). The 1-, 2-, and 3-year survival rates were 66, 47, and 44%.

Conclusions and clinical relevance: Results of this study suggest that treatment intensification by a 2-week interradiation treatment interval coupled with interradiation chemotherapy is an effective treatment for dogs with lymphoma.

MeSH terms

  • Animals
  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage
  • Antineoplastic Combined Chemotherapy Protocols / adverse effects
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Combined Modality Therapy
  • Cyclophosphamide / administration & dosage
  • Cyclophosphamide / adverse effects
  • Dog Diseases / drug therapy*
  • Dog Diseases / pathology
  • Dog Diseases / radiotherapy*
  • Dogs
  • Dose-Response Relationship, Radiation
  • Doxorubicin / administration & dosage
  • Doxorubicin / adverse effects
  • Female
  • Hematocrit / veterinary
  • Hemibody Irradiation / methods
  • Hemibody Irradiation / veterinary
  • Immunophenotyping / veterinary
  • Kaplan-Meier Estimate
  • Lymphoma / drug therapy
  • Lymphoma / pathology
  • Lymphoma / radiotherapy
  • Lymphoma / veterinary*
  • Male
  • Prednisone / administration & dosage
  • Prednisone / adverse effects
  • Retrospective Studies
  • Vincristine / administration & dosage
  • Vincristine / adverse effects

Substances

  • Vincristine
  • Doxorubicin
  • Cyclophosphamide
  • Prednisone

Supplementary concepts

  • CHOP protocol