Brentuximab vedotin in combination with or without donor lymphocyte infusion for patients with Hodgkin lymphoma after allogeneic stem cell transplantation

被引:17
作者
Tsirigotis, P. [1 ]
Danylesko, I. [2 ]
Gkirkas, K. [1 ]
Shem-Tov, N. [2 ]
Yerushalmi, R. [2 ]
Stamouli, M. [1 ]
Avigdor, A. [2 ]
Spyridonidis, A. [3 ]
Gauthier, J. [4 ]
Goldstein, G. [2 ]
Apostolidis, J. [5 ,6 ]
Mohty, M. [7 ]
Shimoni, A. [2 ]
Nagler, A. [2 ]
机构
[1] Univ Athens, ATTIKO Univ Hosp, Dept Internal Med 2, Rimini 1, Athens 2462, Greece
[2] Chaim Sheba Med Ctr, Div Hematol, Tel Aviv, Israel
[3] Univ Patras, Bone Marrow Transplantat Unit, Patras, Greece
[4] Univ Lille, Bone Marrow Transplantat Unit, Lille, France
[5] Evaggelismos Gen Hosp, Bone Marrow Transplantat & Hematol, Athens, Greece
[6] Evaggelismos Gen Hosp, Lymphoma Dept, Athens, Greece
[7] Hosp St Antoine, Dept Hematol, Paris, France
关键词
ANDERSON-CANCER-CENTER; MARROW TRANSPLANTATION; EUROPEAN GROUP; WORKING PARTY; EXPERIENCE; RELAPSE; BLOOD;
D O I
10.1038/bmt.2016.129
中图分类号
Q6 [生物物理学];
学科分类号
071011 ;
摘要
In our study, we evaluated the safety and efficacy of Brentuximab vedotin (BV) with or without the addition of donor lymphocyte infusion (DLI) after allogeneic stem cell transplantation (allo-SCT) in 16 patients with advanced Hodgkin lymphoma (HL). Thirteen patients with relapsed HL after allo-SCT received BV as treatment for active disease. Three patients without progression of HL after allo-SCT received BV as consolidation. Twelve patients had been previously exposed to BV for treatment of relapse after autologousSCT. Ten out of 16 patients received BV in combination with DLI. Among the 13 patients treated for active disease, CR and PR was observed in 7 and 2 patients, respectively. With a median follow-up of 13 months, 13 out of 16 patients are alive, while 3 died because of disease progression. The median PFS was 6 months. DLI-associated GVHD occurred in seven patients. Five patients with GVHD required immunosuppression, and in all cases, GVHD resolved after a short course of low dose steroids, implying that an antiGVHD modulating effect could be induced by the concurrent administration of BV. No serious adverse event was observed in any of the patients.
引用
收藏
页码:1313 / 1317
页数:5
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