Comparison of 4 consecutive DFCI Consortium Protocols (1981-1995)
. | Protocols . | |||
---|---|---|---|---|
81-01 . | 85-01 . | 87-01 . | 91-01 . | |
Years conducted | 1981-1985 | 1985-1987 | 1987-1991 | 1991-1995 |
Patients, no. | 289 | 220 | 369 | 377 |
HR, % | 62 | 63 | 62 | 64 |
Treatment differences | ||||
Induction | ||||
Methotrexate | high vs low | low | high vs low | high |
Asparaginase | none | 1 dose | 1 dose | none |
Weeks of therapy during intensification | 20 | 20 | 20 | 30 |
CNS therapy | ||||
SR, cGy | 1800 | 1800 | no XRT | no XRT (female), 1800 (male) |
HR, cGy | 2800 | 2400 | 1800 | 1800 |
Post-remission steroid | prednisone | prednisone | prednisone | dexamethasone |
Remission death rate, % | 3.5 | 3.6 | 2.0 | 3.2 |
5-y ± SE, % | ||||
EFS | 74 ± 3 | 78 ± 3 | 78 ± 2 | 83 ± 25-150 |
LFS | 79 ± 3 | 82 ± 3 | 80 ± 2 | 87 ± 25-151 |
. | Protocols . | |||
---|---|---|---|---|
81-01 . | 85-01 . | 87-01 . | 91-01 . | |
Years conducted | 1981-1985 | 1985-1987 | 1987-1991 | 1991-1995 |
Patients, no. | 289 | 220 | 369 | 377 |
HR, % | 62 | 63 | 62 | 64 |
Treatment differences | ||||
Induction | ||||
Methotrexate | high vs low | low | high vs low | high |
Asparaginase | none | 1 dose | 1 dose | none |
Weeks of therapy during intensification | 20 | 20 | 20 | 30 |
CNS therapy | ||||
SR, cGy | 1800 | 1800 | no XRT | no XRT (female), 1800 (male) |
HR, cGy | 2800 | 2400 | 1800 | 1800 |
Post-remission steroid | prednisone | prednisone | prednisone | dexamethasone |
Remission death rate, % | 3.5 | 3.6 | 2.0 | 3.2 |
5-y ± SE, % | ||||
EFS | 74 ± 3 | 78 ± 3 | 78 ± 2 | 83 ± 25-150 |
LFS | 79 ± 3 | 82 ± 3 | 80 ± 2 | 87 ± 25-151 |