NOA-03 trial of high-dose methotrexate in primary central nervous system lymphoma: final report.

The NOA-03 trial explored high-dose methotrexate alone in 37 patients with primary central nervous system lymphoma. The overall median survival was 25 months. After 4 years, the rate of leukoencephalopathy in patients surviving more than 12 months was 58% with and 10% without whole-brain radiotherap...

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Main Authors: Herrlinger, U, Küker, W, Uhl, M, Blaicher, H, Karnath, H, Kanz, L, Bamberg, M, Weller, M
Format: Journal article
Language:English
Published: 2005
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author Herrlinger, U
Küker, W
Uhl, M
Blaicher, H
Karnath, H
Kanz, L
Bamberg, M
Weller, M
author_facet Herrlinger, U
Küker, W
Uhl, M
Blaicher, H
Karnath, H
Kanz, L
Bamberg, M
Weller, M
author_sort Herrlinger, U
collection OXFORD
description The NOA-03 trial explored high-dose methotrexate alone in 37 patients with primary central nervous system lymphoma. The overall median survival was 25 months. After 4 years, the rate of leukoencephalopathy in patients surviving more than 12 months was 58% with and 10% without whole-brain radiotherapy given at relapse (p = 0.11). Attention deficits were found in all six tested patients, and memory deficits in four patients. Two patients had normal, three had moderately restricted, and one had markedly restricted quality of life. Thus, high-dose methotrexate with deferred radiotherapy had only moderate efficacy and was associated with significant neurotoxicity in long-term surviving patients.
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spelling oxford-uuid:86bd76d7-fffa-4a62-86cd-19bbc8fee0822022-03-26T22:06:02ZNOA-03 trial of high-dose methotrexate in primary central nervous system lymphoma: final report.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:86bd76d7-fffa-4a62-86cd-19bbc8fee082EnglishSymplectic Elements at Oxford2005Herrlinger, UKüker, WUhl, MBlaicher, HKarnath, HKanz, LBamberg, MWeller, MThe NOA-03 trial explored high-dose methotrexate alone in 37 patients with primary central nervous system lymphoma. The overall median survival was 25 months. After 4 years, the rate of leukoencephalopathy in patients surviving more than 12 months was 58% with and 10% without whole-brain radiotherapy given at relapse (p = 0.11). Attention deficits were found in all six tested patients, and memory deficits in four patients. Two patients had normal, three had moderately restricted, and one had markedly restricted quality of life. Thus, high-dose methotrexate with deferred radiotherapy had only moderate efficacy and was associated with significant neurotoxicity in long-term surviving patients.
spellingShingle Herrlinger, U
Küker, W
Uhl, M
Blaicher, H
Karnath, H
Kanz, L
Bamberg, M
Weller, M
NOA-03 trial of high-dose methotrexate in primary central nervous system lymphoma: final report.
title NOA-03 trial of high-dose methotrexate in primary central nervous system lymphoma: final report.
title_full NOA-03 trial of high-dose methotrexate in primary central nervous system lymphoma: final report.
title_fullStr NOA-03 trial of high-dose methotrexate in primary central nervous system lymphoma: final report.
title_full_unstemmed NOA-03 trial of high-dose methotrexate in primary central nervous system lymphoma: final report.
title_short NOA-03 trial of high-dose methotrexate in primary central nervous system lymphoma: final report.
title_sort noa 03 trial of high dose methotrexate in primary central nervous system lymphoma final report
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