Brentuximab vedotin enables successful reduced-intensity allogeneic hematopoietic cell transplantation in patients with relapsed or refractory Hodgkin lymphoma

被引:107
作者
Chen, Robert [1 ]
Palmer, Joycelynne M. [2 ]
Thomas, Sandra H. [1 ]
Tsai, Ni-Chun [2 ]
Farol, Len [3 ]
Nademanee, Auayporn [1 ]
Forman, Stephen J. [1 ]
Gopal, Ajay K. [4 ]
机构
[1] City Hope Natl Med Ctr, Dept Hematol HCT, Duarte, CA 91010 USA
[2] City Hope Natl Med Ctr, Div Biostat, Duarte, CA 91010 USA
[3] City Hope Kaiser Permanente, Los Angeles, CA USA
[4] Univ Washington, Fred Hutchinson Canc Ctr, Seattle Canc Care Alliance, Seattle, WA 98195 USA
基金
美国国家卫生研究院;
关键词
RECEPTOR;
D O I
10.1182/blood-2012-03-418673
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Brentuximab vedotin induces an overall response rate of 75% in patients with relapsed/refractory Hodgkin lymphoma, but its impact on future allogeneic transplantation (allo-HCT) is not known. We retrospectively examined the records of 18 patients with relapsed/refractory Hodgkin lymphoma who were treated on brentuximab vedotin clinical trials to evaluate the efficacy and safety of subsequent reduced-intensity allo-HCT. Seventeen patients had previous autologous transplant; 6 were in complete remission, and 8 were in partial remission before allo-HCT with 12 grafts from unrelated or mismatched donors. The 1-year overall survival was 100%, progression-free survival was 92.3%, and nonrelapse mortality was 0% (median follow-up, 14 months). The incidence of acute GVHD was 27.8% and chronic GVHD was 56.3%. Brentuximab vedotin before reduced-intensity allo-HCT does not appear to adversely affect engraftment, GVHD, or survival and may provide sufficient disease control to enable reduced-intensity allo-HCT. (Blood. 2012;119(26):6379-6381)
引用
收藏
页码:6379 / 6381
页数:3
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