Title |
Pharmacotherapy for Primary CNS Lymphoma
|
---|---|
Published in |
CNS Drugs, August 2012
|
DOI | 10.2165/11589030-000000000-00000 |
Pubmed ID | |
Authors |
Jerome J. Graber, Antonio Omuro |
Abstract |
Studies conducted in the 1990s have established that high-dose methotrexate-based chemotherapy added to whole-brain radiotherapy improves survival in primary CNS lymphoma (PCNSL). However, radiotherapy-related delayed neurotoxicity has emerged as a serious complication of chemo-radiotherapy, particularly in the elderly. Unfortunately, omitting radiotherapy results in decreased progression-free survival, and therefore establishing more effective chemotherapy regimens is necessary in order to improve the number of long-term remissions. Recent studies have suggested that a combination of drugs is superior to single-agent methotrexate, but the optimal chemotherapy combination and the role of alternative consolidation treatments such as reduced-dose radiotherapy and high-dose chemotherapy with stem cell rescue remain to be defined. In this article, we review the multiple chemotherapy options reported in newly diagnosed and in progressive/refractory PCNSL, including recently reported and ongoing clinical trials, as well as future perspectives. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 1 | 6% |
Unknown | 17 | 94% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 4 | 22% |
Student > Doctoral Student | 3 | 17% |
Other | 3 | 17% |
Student > Ph. D. Student | 2 | 11% |
Student > Postgraduate | 2 | 11% |
Other | 3 | 17% |
Unknown | 1 | 6% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 12 | 67% |
Nursing and Health Professions | 1 | 6% |
Biochemistry, Genetics and Molecular Biology | 1 | 6% |
Neuroscience | 1 | 6% |
Chemistry | 1 | 6% |
Other | 0 | 0% |
Unknown | 2 | 11% |