Table 1.

EPOCH starting dose level (level 1)

DrugDoseRouteTreatment days
Infused agents*    
 Etoposide 50 mg/m2/day CIV 1, 2, 3, 4 (96 hours) 
 Doxorubicin 10 mg/m2/day CIV 1, 2, 3, 4 (96 hours)  
 Vincristine 0.4 mg/m2/day CIV 1, 2, 3, 4 (96 hours)  
Bolus agents    
 Cyclophosphamide 750 mg/m2/day IV 5  
 Prednisone 60 mg/m2/bid Oral 1, 2, 3, 4, 5  
G-CSF 5 μg/kg/day SC 6 to ANC > 5 × 109/L past nadir 
Next cycle   Day 21 
DrugDoseRouteTreatment days
Infused agents*    
 Etoposide 50 mg/m2/day CIV 1, 2, 3, 4 (96 hours) 
 Doxorubicin 10 mg/m2/day CIV 1, 2, 3, 4 (96 hours)  
 Vincristine 0.4 mg/m2/day CIV 1, 2, 3, 4 (96 hours)  
Bolus agents    
 Cyclophosphamide 750 mg/m2/day IV 5  
 Prednisone 60 mg/m2/bid Oral 1, 2, 3, 4, 5  
G-CSF 5 μg/kg/day SC 6 to ANC > 5 × 109/L past nadir 
Next cycle   Day 21 
*

Etoposide, doxorubicin, and vincristine could be mixed in the same solution.

The vincristine dose was never routinely capped.

Began on day 21 if the ANC was at least 1 × 109/L and the platelet count was at least 100 × 109/L.

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