Bendamustine plus rituximab in Japanese patients with relapsed or refractory diffuse large B-cell lymphoma

被引:5
作者
Murayama, Kayoko [1 ]
Kiguchi, Toru [2 ,3 ]
Izutsu, Koji [4 ]
Kameoka, Yoshihiro [5 ,6 ]
Hidaka, Michihiro [7 ]
Kato, Harumi [8 ]
Rai, Shinya [9 ]
Kuroda, Junya [10 ]
Ishizawa, Kenichi [11 ]
Ichikawa, Satoshi [12 ]
Ando, Kiyoshi [13 ]
Ogura, Michinori [14 ]
Fukushima, Koji [15 ]
Terui, Yasuhito [16 ,17 ]
机构
[1] Gunma Prefectural Canc Ctr, Dept Hematol, Ota, Japan
[2] Chugoku Cent Hosp, Dept Hematol, Fukuyama, Hiroshima, Japan
[3] Dokkyo Med Univ, Saitama Med Ctr, Dept Diabet Endocrinol & Hematol, 2-1-50 Minami Koshigaya, Koshigaya, Saitama 3438555, Japan
[4] Natl Canc Ctr, Dept Hematol Tokyo, Tokyo, Japan
[5] Akita Univ, Grad Sch Med, Dept Hematol Nephrol & Rheumatol, Akita, Japan
[6] Akita Univ, Fac Med, Akita, Japan
[7] Natl Hosp Org Kumamoto Med Ctr, Dept Hematol, Kumamoto, Japan
[8] Aichi Canc Ctr Hosp, Dept Hematol & Cell Therapy, Nagoya, Aichi, Japan
[9] Kindai Univ, Fac Med, Dept Hematol & Rheumatol, Osakasayama, Japan
[10] Kyoto Prefectural Univ Med, Dept Med, Div Hematol & Oncol, Kyoto, Japan
[11] Yamagata Univ, Fac Med, Dept Internal Med 3, Yamagata, Japan
[12] Tohoku Univ, Grad Sch Med, Dept Hematol & Rheumatol, Sendai, Miyagi, Japan
[13] Tokai Univ, Sch Med, Dept Hematol & Oncol, Isehara, Kanagawa, Japan
[14] Kasugai Municipal Hosp, Dept Hematol & Oncol, Kasugai, Aichi, Japan
[15] SymBio Pharmaceut Ltd, Med Affairs Dept, Res & Dev Div, Tokyo, Japan
[16] Canc Inst Hosp JFCR, Dept Hematol Oncol, Tokyo, Japan
[17] Saitama Med Univ, Dept Hematol, Saitama, Japan
关键词
Bendamustine hydrochloride; Lymphoma; Large B cell; Diffuse; Recurrence; Rituximab; Salvage therapy; MULTICENTER PHASE-II;
D O I
10.1007/s00277-022-04801-2
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This single-arm phase 3 study was conducted to confirm the results of our phase 2 study of bendamustine (B)-rituximab (R) in patients with relapsed/refractory diffuse large B cell lymphoma (rrDLBCL). The primary endpoint was overall response rate (ORR). Autologous stem cell transplantation-ineligible rrDLBCL patients with <= 2 prior chemotherapy regimens received R 375 mg/m(2) IV on day 1 and B 120 mg/m(2)/day IV on days 2 and 3 every 21 days up to 6 cycles. Thirty-eight patients with a median age of 74 years (range, 43-86) received BR. The ORR and complete response rates were 76.3% and 47.4%, respectively. With a median follow-up of 19.5 months including long-term follow-up, median progression-free survival was 11.9 months. Median OS was 29.2 months. Discontinuation of treatment due to Gr3-5 TEAE was observed among 13 of 38 patients (34.2%). One patient with cytomegalovirus enterocolitis died during follow-up. This BR regimen was confirmed to be effective and tolerable in studied patients. ClinicalTrials.gov Identifier: NCT03372837 registered on 14 December 2017, NCT04354402 registered on 21 April, 2020.
引用
收藏
页码:979 / 989
页数:11
相关论文
共 13 条
[1]   Lenalidomide in Pretreated Patients with Diffuse Large B-Cell Lymphoma: An Italian Observational Multicenter Retrospective Study in Daily Clinical Practice [J].
Broccou, Alessandro ;
Casadei, Beatrice ;
Chiappella, Annalisa ;
Visco, Carlo ;
Tani, Monica ;
Cascavilla, Nicola ;
Conconi, Annarita ;
Balzarotti, Monica ;
Cox, Maria Christina ;
Marino, Dario ;
Goldaniga, Maria Ceolia ;
Marasca, Roberto ;
Tecchio, Cristina ;
Patti, Caterina ;
Musuraca, Gerardo ;
Devizzi, Liuana ;
Monaco, Federico ;
Romano, Alessandra ;
Fama, Angelo ;
Zancanella, Michelle ;
Paolini, Rossella ;
Rigacci, Luigi ;
Castellino, Claudia ;
Gaudio, Francesco ;
Argnani, Lisa ;
Zinzani, Pier Luigi .
ONCOLOGIST, 2019, 24 (09) :1246-1252
[2]   Revised response criteria for malignant lymphoma [J].
Cheson, Bruce D. ;
Pfistner, Beate ;
Juweid, Malik E. ;
Gascoyne, Randy D. ;
Specht, Lena ;
Horning, Sandra J. ;
Coiffier, Bertrand ;
Fisher, Richard I. ;
Hagenbeek, Anton ;
Zucca, Emanuele ;
Rosen, Steven T. ;
Stroobants, Sigrid ;
Lister, T. Andrew ;
Hoppe, Richard T. ;
Dreyling, Martin ;
Tobinai, Kensei ;
Vose, Julie M. ;
Connors, Joseph M. ;
Federico, Massimo ;
Diehl, Volker .
JOURNAL OF CLINICAL ONCOLOGY, 2007, 25 (05) :579-586
[3]   Optimal use of bendamustine in hematologic disorders: Treatment recommendations from an international consensus panel - an update [J].
Cheson, Bruce D. ;
Brugger, Wolfram ;
Damaj, Gandhi ;
Dreyling, Martin ;
Kahl, Brad ;
Kimby, Eva ;
Ogura, Michinori ;
Weidmann, Eckhart ;
Wendtner, Clemens-Martin ;
Zinzani, Pier Luigi .
LEUKEMIA & LYMPHOMA, 2016, 57 (04) :766-782
[4]   Differences in incidence and trends of haematological malignancies in Japan and the United States [J].
Chihara, Dai ;
Ito, Hidemi ;
Matsuda, Tomohiro ;
Shibata, Akiko ;
Katsumi, Akira ;
Nakamura, Shigeo ;
Tomotaka, Sobue ;
Morton, Lindsay M. ;
Weisenburger, Dennis D. ;
Matsuo, Keitaro .
BRITISH JOURNAL OF HAEMATOLOGY, 2014, 164 (04) :536-545
[5]  
Fan Lei, 2017, J Hematol, V6, P33, DOI 10.14740/jh320w
[6]   Relapsed/Refractory Diffuse Large B-Cell Lymphoma [J].
Friedberg, Jonathan W. .
HEMATOLOGY-AMERICAN SOCIETY HEMATOLOGY EDUCATION PROGRAM, 2011, :498-505
[7]  
NCCN, 2021, NCCN GUID B CELL LYM
[8]   Multicenter Phase II Study of Bendamustine Plus Rituximab in Patients With Relapsed or Refractory Diffuse Large B-Cell Lymphoma [J].
Ohmachi, Ken ;
Niitsu, Nozomi ;
Uchida, Toshiki ;
Kim, Seok Jin ;
Ando, Kiyoshi ;
Takahashi, Naoki ;
Takahashi, Naoto ;
Uike, Naokuni ;
Eom, Hyeon Seok ;
Chae, Yee Soo ;
Terauchi, Takashi ;
Tateishi, Ukihide ;
Tatsumi, Mitsuaki ;
Kim, Won Seog ;
Tobinai, Kensei ;
Suh, Cheolwon ;
Ogura, Michinori .
JOURNAL OF CLINICAL ONCOLOGY, 2013, 31 (17) :2103-+
[9]   Phase II study of a salvage regimen using cyclophosphamide, high-dose cytarabine, dexamethasone, etoposide, and rituximab in patients with relapsed or refractory B-cell non-Hodgkin's lymphoma [J].
Oki, Yasuhiro ;
Ogura, Michinori ;
Kato, Harumi ;
Kikuchi, Ako ;
Taji, Hirofumi ;
Kagami, Yoshitoyo ;
Oshiro, Aya ;
Tsujimura, Akane ;
Yamamoto, Kazuhito ;
Morishima, Yasuo .
CANCER SCIENCE, 2008, 99 (01) :179-184
[10]   Polatuzumab Vedotin in Relapsed or Refractory Diffuse Large B-Cell Lymphoma [J].
Sehn, Laurie H. ;
Herrera, Alex F. ;
Flowers, Christopher R. ;
Kamdar, Manali K. ;
McMillan, Andrew ;
Hertzberg, Mark ;
Assouline, Sarit ;
Kim, Tae Min ;
Kim, Won Seog ;
Ozcan, Muhit ;
Hirata, Jamie ;
Penuel, Elicia ;
Paulson, Joseph N. ;
Cheng, Ji ;
Ku, Grace ;
Matasar, Matthew J. .
JOURNAL OF CLINICAL ONCOLOGY, 2020, 38 (02) :155-+