Evidence map›Paper›PMID 40402307›Full record

ArticleJournal of cancer research and clinical oncology2025

Efficacy and safety of the R2-MTX regimen in primary central nervous system lymphoma (PCNSL): a single-center retrospective analysis.

Lijie Liang, Xue Meng, Li Xie, Na Li, You Feng, Ming Jiang

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Article in Journal of cancer research and clinical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Lijie LiangDepartment of Head & Neck Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu, 610041, P.R. China.
Xue MengDepartment of Oncology, Chengdu Shang Jin Nan Fu Hospital, Shang Jin Hospital of West China Hospital, Sichuan University, Chengdu, 610041, P.R. China.
Li XieDivision of Head & Neck Oncology, Department of Radiation Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu, 610041, P.R. China.
Na LiDepartment of Oncology, West China Fourth Hospital, West China School of Public Health, Chengdu, 610041, P.R. China.
You FengDepartment of Oncology, West China Fourth Hospital, West China School of Public Health, Chengdu, 610041, P.R. China.
Ming JiangDepartment of Head & Neck Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu, 610041, P.R. China. jiangming79@wchscu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePrimary central nervous system lymphoma (PCNSL) has a poor prognosis, mainly because of the significant challenges with the efficacy and tolerability of induction chemotherapy. This retrospective study aimed to evaluate the efficacy and safety of the R2-MTX regimen in PCNSL patients.

methodsWe conducted a retrospective analysis of 39 PCNSL patients treated with the R2-MTX regimen, focusing on treatment outcomes and adverse events (AEs).

resultsThe overall response rate (ORR) was 72.2%, with a complete response (CR) rate of 69.4% and a partial response (PR) rate of 2.8%. With a median follow-up of 37.2 months (interquartile range [IQR] 24.2-47.5), the estimated 2-year progression-free survival (PFS) and overall survival (OS) rates were 54.9% (95% CI, 37.2-69.5%) and 78.5% (95% CI, 59.8-89.2%), respectively. The most common grade 3 or 4 AEs included neutropenia (33.3%), leukopenia (13.9%), anemia (2.8%), and thrombocytopenia (2.8%). Consolidation or maintenance therapy was associated with prolonged survival in PCNSL patients (2-year OS rates 100% vs. 42.9%, P = 0.067). Survival analysis revealed that clinicopathological factors, such as double-expressor lymphoma (DEL), ECOG PS ≥ 2, and high-risk classification based on the Memorial Sloan Kettering Cancer Center model (MSKCC), predicted poor survival.

conclusionsOur results underscore the therapeutic potential of the R2-MTX regimen in managing newly diagnosed PCNSL patients. Further prospective studies with larger patient cohorts are imperative to solidify these preliminary findings.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCentral Nervous System NeoplasmsLymphomaMethotrexateAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesSurvival RateTreatment OutcomeMethotrexateClinicopathological factorsConsolidation therapyMaintenance therapyPrimary central nervous system lymphoma (PCNSL)R2-MTX regimen

Identifiers

PMID40402307
PMCPMC12098186

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.