Phase I/II study of bendamustine in combination with ofatumumab, carboplatin, etoposide (BOCE) for relapsed or refractory aggressive B-cell non-Hodgkin lymphoma

被引:1
作者
Pan, Jonathan [1 ]
Ghimire, Sushil [1 ]
Alpdogan, S. Onder [1 ]
Chapman, Andrew [1 ]
Carabasi, Matthew [1 ]
DiMeglio, Martina [1 ]
Gong, Jerald [2 ]
Martinez-Outschoorn, Ubaldo [1 ]
Rose, Lewis [1 ]
Ramirez, Michael [1 ]
Wagner, John L. [1 ]
Weiss, Mark [1 ]
Flomenberg, Neal [1 ]
Pro, Barbara [1 ,3 ]
Porcu, Pierluigi [1 ]
Filicko-OHara, Joanne [1 ]
Gaballa, Sameh [1 ,4 ]
机构
[1] Thomas Jefferson Univ Hosp, Dept Med Oncol, Philadelphia, PA USA
[2] Thomas Jefferson Univ Hosp, Dept Pathol Anat & Cell Biol, Philadelphia, PA 19107 USA
[3] Northwestern Univ, Div Hematol Oncol, Robert H Lurie Comprehens Canc Ctr, Feinberg Sch Med, Chicago, IL USA
[4] H Lee Moffitt Canc Ctr & Res Inst, Div Malignant Hematol, 12902 Magnolia Dr, Tampa, FL 33612 USA
关键词
Relapsed; Refractory NHL; bendamustine; ofatumumab; AUTOLOGOUS TRANSPLANTATION; 1ST-LINE TREATMENT; RITUXIMAB; MULTICENTER; CHEMOTHERAPY; INDOLENT; BLOOD; TRIAL; ICE;
D O I
10.1080/10428194.2020.1842400
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
We developed an outpatient salvage chemotherapy regimen using bendamustine, ofatumumab, carboplatin and etoposide (BOCE) to treat relapsed/refractory non-Hodgkin lymphoma (RR NHL) in a single-center phase I/II study. Primary objectives were safety, tolerability and overall response rate (ORR). Thirty-five RR NHL patients (57% de novo large cell [DLBCL] or grade 3B follicular [FL], 26% transformed DLBCL, 9% grade 3A FL, 3% mantle cell; median age = 62, median prior therapies = 1) were treated. Median follow-up was 24.1 months. ORR was 69% (CR = 49%, PR = 20% [ORR = 70%, CR = 50%, PR = 20% in the de novo DLBCL/grade 3B FL subgroup]). Median progression-free survival was 5.1 months and overall-survival 26.2 months. Twelve patients subsequently underwent stem cell transplantation. The most common non-hematologic grade 3-4 toxicities were neutropenic fever and hypophosphatemia. There were no treatment-related deaths. In conclusion, BOCE is a safe and effective outpatient salvage regimen for patients with RR NHL and serves as an effective bridge to stem cell transplantation.
引用
收藏
页码:590 / 597
页数:8
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