Mechlorethamine, vincristine, melphalan and prednisone (MOMP) for the treatment of relapsed lymphoma in dogs

Vet Comp Oncol. 2015 Dec;13(4):398-408. doi: 10.1111/vco.12055. Epub 2013 Aug 5.

Abstract

Eighty-eight dogs with relapsed lymphoma were treated with the MOMP (mechlorethamine, vincristine, melphalan and prednisone) protocol on a 28-day treatment cycle. The overall response rate (ORR) to the MOMP protocol was 51.1% for a median of 56 days (range 7-858 days). Twelve percent of dogs experienced a complete response for a median of 81 days (range 42-274 days) and 38.6% experienced a partial response for a median of 49 days (range 7-858 days). Dogs with T-cell lymphoma had an ORR of 55% for a median of 60 days (range 49-858 days) while those with B-cell lymphoma had an ORR of 57% for a median of 81 days (range 7-274 days) (P = 0.783). The overall survival time for all dogs was 183 days (range 17-974 days). Fifty-four percent of dogs experienced toxicity with the majority classified as grade I. The MOMP protocol seems well-tolerated and is an option for dogs with relapsed lymphoma.

Keywords: canine; chemotherapy; lymphoma; melphalan; rescue.

MeSH terms

  • Animals
  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Dog Diseases / drug therapy*
  • Dog Diseases / mortality
  • Dogs
  • Female
  • Lymphoma / drug therapy
  • Lymphoma / mortality
  • Lymphoma / veterinary*
  • Lymphoma, B-Cell / drug therapy
  • Lymphoma, B-Cell / mortality
  • Lymphoma, B-Cell / veterinary
  • Lymphoma, T-Cell / drug therapy
  • Lymphoma, T-Cell / mortality
  • Lymphoma, T-Cell / veterinary
  • Male
  • Mechlorethamine / administration & dosage*
  • Mechlorethamine / therapeutic use
  • Melphalan / administration & dosage*
  • Melphalan / therapeutic use
  • Prednisone / administration & dosage*
  • Prednisone / therapeutic use
  • Recurrence
  • Survival Analysis
  • Vincristine / administration & dosage*
  • Vincristine / therapeutic use

Substances

  • Mechlorethamine
  • Vincristine
  • Melphalan
  • Prednisone