
Doxorubicin for dogs with lymphoma is a common chemotherapy treatment.
Doxorubicin is typically administered intravenously every two to three weeks.
This treatment can be given alone or in combination with other medications.
The goal of doxorubicin treatment is to induce remission and improve quality of life.
Dogs with lymphoma may experience side effects such as vomiting, diarrhea, and fatigue.
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Patient Population
Thirty-two dogs with multicentric lymphoma were included in the study, which was conducted at the Animal Cancer Center at Colorado State University or the University of Wisconsin-Madison School of Veterinary Medicine between September 2007 and October 2008.
The study design was prospective, and dogs were eligible if they were stage II–V, substage a or b, and their owners elected to treat with single-agent doxorubicin.
All dogs were naïve to chemotherapy, including corticosteroids, and a complete blood count (CBC), serum chemistry, and urinalysis were required for entry into the study.
Thoracic radiographs, abdominal ultrasound, and bone marrow aspirate were documented when performed for staging.
Thirty-three dogs with high-grade B-cell lymphoma treated with at least one dose of DOX between January 2008 and December 2015 were included in the study.
Mixed breed dogs and golden retrievers were the most common breeds in this study, making up 27% and 12% of the population, respectively.
Thirty-one (94%) dogs had peripheral node involvement, while one dog had thoracic and abdominal lymphadenopathy with no peripheral lymphadenopathy, and one had a colonic mass as the only site of disease.
Eleven (33%) dogs were thrombocytopenic and 7 (21%) were anemic prior to first chemotherapy treatment.
Sixteen (48%) dogs had thoracic radiographs, 15 (45%) dogs had an abdominal ultrasound, and 2 (6%) had a bone marrow aspirate as part of staging.
Ten (30%) dogs were substage b, and the remaining 23 were considered substage a.
High-grade lymphoma was diagnosed with cytology in 28 dogs (85%) and histopathology in 5 dogs (15%).
Treatment Overview
Doxorubicin is a powerful chemotherapy drug used to treat a wide variety of cancers in dogs.
Doxorubicin can be used to treat lymphoma, a common type of cancer in dogs.
This potent drug can be used alone or with other medications, such as cyclophosphamide, to make a potent combination.
In fact, doxorubicin and cyclophosphamide are part of a multi-drug protocol called CHOP, commonly used to treat lymphoma in dogs.
The CHOP protocol includes four drugs: cyclophosphamide, vincristine, doxorubicin, and prednisone.
Using multiple treatments at once can greatly increase survival times in many cases.
Here are some of the most common types of cancer treated with doxorubicin in dogs:
- Lymphoma
- Hemangiosarcoma
- Mammary gland carcinoma
- Melanoma
- Osteosarcoma
Other types of cancers that doxorubicin may be used to treat include urinary bladder cancer, lung cancer, stomach cancer, ovarian cancer, acute lymphoblastic and acute myeloid leukemia, thyroid cancer, brain cancer, and kidney cancer.
Safety and Efficacy
Doxorubicin is a chemotherapy medication that has been shown to be effective in treating lymphoma in dogs. It works by targeting and killing cancer cells, reducing the size of tumors and alleviating symptoms.
The safety and efficacy of doxorubicin have been extensively studied in canine lymphoma patients. A study published in the Journal of Veterinary Internal Medicine found that dogs treated with doxorubicin had a significant improvement in survival rates compared to those who did not receive the medication.
Dogs receiving doxorubicin may experience side effects such as vomiting, diarrhea, and hair loss. However, these side effects are typically mild and temporary.
The recommended dosage of doxorubicin for dogs with lymphoma is 30-60 mg/m2, administered intravenously every 2-3 weeks. This dosage has been shown to be effective in achieving complete remission in a significant number of patients.
Regular monitoring of the dog's liver and kidney function is essential while on doxorubicin treatment. This can help prevent potential liver and kidney damage.
With proper administration and monitoring, doxorubicin can be a highly effective treatment option for dogs with lymphoma.
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Administration
Administration is a crucial step in giving your dog doxorubicin. Doxorubicin is handled very carefully and has a lot of safety protocols associated with it, both to protect your dog and the staff at the hospital.
Doxorubicin is given in a veterinary clinic by a qualified veterinary technician or veterinarian. You will not be present while your dog gets chemotherapy.
The staff takes the utmost care with this drug because doxorubicin is very irritating, and if it leaks from microscopic holes in the vein, it can cause severe irritation and tissue necrosis.
Cost
The cost of Doxorubicin treatment is lower than other protocols.
This is because it requires fewer treatments, with only five sessions spread out over several weeks.
The reduced treatment schedule saves patients money compared to longer and more comprehensive treatment plans.
This is a significant advantage for those undergoing Doxorubicin treatment.
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How to Give Your Dog
Doxorubicin is handled very carefully to protect your dog and the staff at the hospital.
You won't be present while your dog gets chemotherapy, but rest assured that the staff takes the utmost care with this drug.
Doxorubicin is very irritating and can cause severe irritation, tissue necrosis, and potentially create wounds that cannot heal and require amputation if it leaks from microscopic holes in the vein.
Only a qualified veterinary technician or veterinarian can give doxorubicin in a veterinary clinic.
Labs Support
Lab tests are a crucial part of doxorubicin treatment for dogs with lymphoma.
Before every round of doxorubicin, your dog will need to have baseline lab tests done, which typically include a CBC, blood chemistry, and urinalysis.
These tests will help your veterinarian monitor your dog's health and adjust the treatment plan if necessary.
Doxorubicin should be given on a fixed schedule, so make sure to keep all appointments and follow the recommended lab test schedule set by your veterinarian.
If your dog needs to miss a dose or you notice any negative side effects at home, notify your veterinarian as soon as possible.
Prognosis for Dogs
Dogs treated with doxorubicin alone have a lower chance of going into remission compared to those receiving the Madison Protocol, with an estimated 70% of dogs going into remission on average.
The effectiveness of doxorubicin treatment can diminish significantly for dogs diagnosed with T-Cell Lymphoma, Stage 4 or Stage 5, or those showing unhealthy symptoms of sickness.
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For dogs who do achieve remission, the expected average length of remission is about 6 to 8 months, which is shorter compared to those receiving the full Madison Wisconsin Protocol.
Dogs who fall out of remission may still be able to achieve a second remission using doxorubicin or another treatment protocol, but the percentage of dogs who achieve remission a second time will generally be substantially less than the first time.
A maximum of 6 doses of doxorubicin is typically given due to the increased risk of heart disease caused by this drug.
The overall response rate for 31 dogs treated with doxorubicin was 84%, with 71% experiencing a complete response and 13% experiencing a partial response.
The median progression-free survival for all dogs was 147 days, and the median overall survival was 182 days.
Dogs that completed the protocol had improved progression-free survival, while protocol completion and the addition of rescue chemotherapy beyond prednisone alone were associated with improved overall survival.
There was no difference in response between dogs that received a standard or reduced dose of doxorubicin at initiation.
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Study and Results
In this study, 33 dogs were included, with 31 evaluable for response, resulting in an overall response rate of 84%. The median progression-free survival was 147 days.
The median overall survival was 182 days. One-year survival fraction was a relatively low 23%.
The researchers found that protocol completion was the only significant variable for either progression-free survival or overall survival.
Background and Details
Doxorubicin treatment for dogs with lymphoma is a viable option, especially for those who prefer a shorter treatment duration. The treatment protocol consists of only 5 doses given every 2 to 3 weeks, making it easier and less expensive than other protocols.
However, the response rate for this treatment is less successful compared to multi-drug combination protocols, resulting in a shorter remission duration. This is due to canine lymphoma's resistance to certain treatments and adaptation over time.
The CHOP protocol, a doxorubicin-based chemotherapy, is the most effective treatment for canine high-grade B-cell lymphoma, but it comes with a high cost and time commitment.
Methods
The researchers conducted a retrospective analysis of doxorubicin and prednisone as first-line therapy for canine B-cell lymphoma.
This study used data from a previous treatment protocol, examining the outcomes of dogs treated with this combination of medications.
Al-Nadaf et al. analyzed the effectiveness of doxorubicin and prednisone as a treatment for canine B-cell lymphoma.
The study's findings provide valuable insights into the treatment of this disease in dogs.
The researchers used a combination of doxorubicin and prednisone as the treatment protocol in this study.
This treatment regimen is a common approach for treating canine B-cell lymphoma.
The study's results suggest that doxorubicin and prednisone may be an effective first-line treatment for this disease.
Doxorubicin is a chemotherapy medication that has been shown to be effective in treating various types of cancer in dogs.
Prednisone is a corticosteroid medication that is often used in conjunction with chemotherapy to reduce inflammation and improve treatment outcomes.
The researchers' use of a retrospective analysis allowed them to examine the outcomes of a large number of dogs treated with this protocol.
This type of analysis provides valuable information about the effectiveness of a treatment protocol in a real-world setting.
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Details

The treatment protocol for Doxorubicin alone is relatively straightforward and easy to manage. It consists of just 5 doses given every 2 to 3 weeks.
Unlike other treatment protocols that can last for a year or more, this one is a significant time-saver for pet owners.
The treatment schedule is quite flexible, allowing you to go to the vet every couple of weeks for these treatments.
After 5 doses, you're done with the treatment, which is a major advantage over other multi-drug combination protocols.
The Doxorubicin treatment protocol has a less successful response rate compared to other treatment options.
Patient Characteristics
Thirty-three dogs with high-grade B-cell lymphoma were included in the study, treated with doxorubicin between January 2008 and December 2015.
Mixed breed dogs and golden retrievers were the most common breeds in this study, making up 27% and 12% of the participants, respectively.
The dogs' weight, stage, and substage were recorded, with 94% having peripheral node involvement.
Eleven dogs were thrombocytopenic and 7 were anemic prior to first chemotherapy treatment.
Sixteen dogs had thoracic radiographs, 15 had an abdominal ultrasound, and 2 had a bone marrow aspirate as part of staging.
High-grade lymphoma was diagnosed with cytology in 28 dogs and histopathology in 5 dogs.
The B-cell phenotype was confirmed using CD79a for immunocytochemistry in 21 dogs and immunohistochemistry in 5 dogs.
Ten dogs were substage b and the remaining 23 were considered substage a.
Seven dogs had lymph node aspirates submitted for flow cytometric analysis to determine B-cell phenotype.
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Conclusions
Doxorubicin for dogs with lymphoma is a viable treatment option, but it's essential to consider the potential side effects.
The most common side effects of doxorubicin in dogs with lymphoma include gastrointestinal issues and bone marrow suppression.
While some dogs may experience severe side effects, many can tolerate the treatment with proper management.
Dogs with lymphoma that receive doxorubicin treatment have a median survival time of around 250 days, which is a significant improvement over untreated cases.
However, it's crucial to discuss the potential risks and benefits of doxorubicin with a veterinarian to determine the best course of treatment for your dog.
Frequently Asked Questions
What are the side effects of doxorubicin in dogs with lymphoma?
Doxorubicin can cause acute side effects in dogs with lymphoma, including vomiting, hives, and changes in blood pressure. These effects are often due to an allergic reaction and can be managed with careful administration and monitoring.
What is the best chemotherapy for dogs with lymphoma?
The gold standard treatment for dogs with lymphoma is a multi-agent chemotherapy protocol called CHOP, which combines several injectable and oral drugs. This treatment is typically given on a weekly basis for several months to effectively manage the disease.
How long can a dog live with lymphoma after chemo?
Dogs with lymphoma can live for 10-14 months or more after chemotherapy, depending on the cancer's stage and response to treatment
Sources
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3129606/
- https://caninelymphoma.com/canine-lymphoma-chemotherapy-doxorubicin/
- https://bmcvetres.biomedcentral.com/articles/10.1186/s12917-018-1688-5
- https://www.dogcancer.com/articles/drugs/doxorubicin/
- https://www.dvm360.com/view/treatment-options-for-canine-lymphoma
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