The DDGP (cisplatin, dexamethasone, gemcitabine, and pegaspargase) regimen for treatment of extranodal natural killer (NK)/T-cell lymphoma, nasal type

Oncotarget. 2016 Sep 6;7(36):58396-58404. doi: 10.18632/oncotarget.11135.

Abstract

Extranodal natural killer/T cell lymphoma (ENKL) is a high invasive disease with poor prognosis. Since there is no consensus on standard chemotherapy, we developed an original chemotherapeutic DDGP (cisplatin, dexamethasone, gemcitabine, and pegaspargase) regimen. We retrospectively analyzed 80 patients who received DDGP chemotherapy. The primary end point was progression-free survival (PFS) and secondary end points were overall survival (OS), complete response rate (CRR), and overall response rate (ORR). The one-year PFS and OS rates were 86.0% and 88.6%, and the 2-year PFS and OS rates were 81.40% and 87.1%, respectively. The ORR and CRR of DDGP chemotherapy were 91.3% and 60.0%. The major adverse events were myelosuppression, digestive tract toxicities, and coagulation disorder. No treatment-related deaths were observed. Our results suggest that the DDGP regimen is a high effective and safe treatment for ENKL.

Keywords: DDGP regimen; chemotherapy; extranodal natural killer/T cell lymphoma; gemcitabine; pegaspargase.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Antineoplastic Agents
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Asparaginase / administration & dosage*
  • Cisplatin / administration & dosage*
  • Deoxycytidine / administration & dosage
  • Deoxycytidine / analogs & derivatives*
  • Dexamethasone / administration & dosage*
  • Disease-Free Survival
  • Female
  • Gemcitabine
  • Humans
  • Lymphoma, Extranodal NK-T-Cell / drug therapy*
  • Lymphoma, Extranodal NK-T-Cell / mortality
  • Lymphoma, Extranodal NK-T-Cell / pathology
  • Male
  • Middle Aged
  • Natural Killer T-Cells / pathology
  • Nose Neoplasms / drug therapy*
  • Nose Neoplasms / mortality
  • Nose Neoplasms / pathology
  • Polyethylene Glycols / administration & dosage*
  • Prognosis
  • Retrospective Studies
  • Treatment Outcome
  • Young Adult

Substances

  • Antineoplastic Agents
  • Deoxycytidine
  • Polyethylene Glycols
  • pegaspargase
  • Dexamethasone
  • Asparaginase
  • Cisplatin
  • Gemcitabine