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KMID : 0338420190340040885
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Korean Journal of Internal Medicine
2019 Volume.34 No. 4 p.885 ~ p.893
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Clinical significance of rituximab infusion-related reaction in diffuse large B-cell lymphoma patients receiving R-CHOP
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Cho Kyoung-Min
Keam Bhum-Suk
Ha Hye-Rim
Kim Mi-So
Jung Jae-Woo
Song Woo-Jung
Kim Tae-MIn
Jeon Yoon-Kyung
Kang Hye-Ryun
Kim Dong-Wan
Kim Chul-Woo
Heo Dae-Seog
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Abstract
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Background/Aims: This study was to evaluate the clinical significance of infusion-related reaction (IRR) of rituximab in diffuse large B-cell lymphoma (DLBCL) patients who received R-CHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisolone) as a first-line chemotherapy.
Methods: The medical records of 326 patients diagnosed with DLBCL were re trospectively analyzed. Both doctor’s progress records and nursing records were reviewed. IRR was graded according to the National Cancer Institute Common Terminology Criteria.
Results: IRR was not associated with overall survival (OS) or progression-free survival (PFS) of DLBCL patients as compared to those who did not have IRR (OS: median 78.0 months vs. 69.0 months, p = 0.700; PFS: median 65.4 months vs. 64.0 months, p = 0.901). IRR grade did not affect OS or PFS. B symptoms was independently associated with IRR (hazard ratio [HR], 1.850; 95% confidence interval [CI], 1.041 to 3.290; p = 0.036). Further, bone marrow involvement was independently associated with re-IRR (HR, 4.904; 95% CI, 0.767 to 3.118; p = 0.029).
Conclusions: Our study shows that IRR of rituximab is not associated with OS or PFS of DLBCL patients who received R-CHOP. Furthermore, our study suggests a need for more careful observation for IRR in patients with B symptoms or bone marrow involvement.
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KEYWORD
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Infusion-related reaction, Rituximab, Lymphoma, large B-cell, diffuse, Prognosis, Characteristics
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