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Treatment with brentuximab vedotin plus bendamustine in unselected patients with CD30‐positive aggressive lymphomas

OBJECTIVES: A treatment regimen consisting of bendamustine and brentuximab vedotin (BV) has been described as a highly potent salvage therapy and as an effective induction therapy leading to high response rates before autologous stem cell transplantation (ASCT) in patients with classical Hodgkin lym...

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Autores principales: Wagner, Sandro M., Melchardt, Thomas, Egle, Alexander, Magnes, Teresa, Skrabs, Cathrin, Staber, Philipp, Simonitsch‐Klupp, Ingrid, Panny, Michael, Lehner, Barbara, Greil, Richard, Keil, Felix, Jäger, Ulrich, Sillaber, Christian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7065019/
https://www.ncbi.nlm.nih.gov/pubmed/31838747
http://dx.doi.org/10.1111/ejh.13368
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author Wagner, Sandro M.
Melchardt, Thomas
Egle, Alexander
Magnes, Teresa
Skrabs, Cathrin
Staber, Philipp
Simonitsch‐Klupp, Ingrid
Panny, Michael
Lehner, Barbara
Greil, Richard
Keil, Felix
Jäger, Ulrich
Sillaber, Christian
author_facet Wagner, Sandro M.
Melchardt, Thomas
Egle, Alexander
Magnes, Teresa
Skrabs, Cathrin
Staber, Philipp
Simonitsch‐Klupp, Ingrid
Panny, Michael
Lehner, Barbara
Greil, Richard
Keil, Felix
Jäger, Ulrich
Sillaber, Christian
author_sort Wagner, Sandro M.
collection PubMed
description OBJECTIVES: A treatment regimen consisting of bendamustine and brentuximab vedotin (BV) has been described as a highly potent salvage therapy and as an effective induction therapy leading to high response rates before autologous stem cell transplantation (ASCT) in patients with classical Hodgkin lymphoma (cHL). In this retrospective analysis, we aimed to assess this therapy's efficacy in unselected patients with cHL and CD30+ peripheral T‐cell lymphoma (PTCL). PATIENTS AND METHODS: Data of 28 patients with cHL and five patients with PTCL treated with a combination of bendamustine and BV at three Austrian tertiary cancer centers were analyzed. RESULTS: In patients with cHL, the ORR was 100% (78.6% CR, 21.4% PR). After 17 months median follow‐up, median survival times were not reached; 1‐year PFS was 81.9%, and 1‐year OS was 95.7%. Thirteen eligible patients (46.4%) successfully underwent planned ASCT after salvage therapy with bendamustine and BV and subsequent high‐dose chemotherapy. Three of the five PTCL patients achieved CR, while two did not respond and died during or shortly after therapy. CONCLUSION: A combination of bendamustine and BV is an effective salvage and induction therapy before ASCT in patients with relapsed/refractory cHL. Further research is warranted to evaluate the use in patients with PTCL.
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spelling pubmed-70650192020-03-16 Treatment with brentuximab vedotin plus bendamustine in unselected patients with CD30‐positive aggressive lymphomas Wagner, Sandro M. Melchardt, Thomas Egle, Alexander Magnes, Teresa Skrabs, Cathrin Staber, Philipp Simonitsch‐Klupp, Ingrid Panny, Michael Lehner, Barbara Greil, Richard Keil, Felix Jäger, Ulrich Sillaber, Christian Eur J Haematol Original Articles OBJECTIVES: A treatment regimen consisting of bendamustine and brentuximab vedotin (BV) has been described as a highly potent salvage therapy and as an effective induction therapy leading to high response rates before autologous stem cell transplantation (ASCT) in patients with classical Hodgkin lymphoma (cHL). In this retrospective analysis, we aimed to assess this therapy's efficacy in unselected patients with cHL and CD30+ peripheral T‐cell lymphoma (PTCL). PATIENTS AND METHODS: Data of 28 patients with cHL and five patients with PTCL treated with a combination of bendamustine and BV at three Austrian tertiary cancer centers were analyzed. RESULTS: In patients with cHL, the ORR was 100% (78.6% CR, 21.4% PR). After 17 months median follow‐up, median survival times were not reached; 1‐year PFS was 81.9%, and 1‐year OS was 95.7%. Thirteen eligible patients (46.4%) successfully underwent planned ASCT after salvage therapy with bendamustine and BV and subsequent high‐dose chemotherapy. Three of the five PTCL patients achieved CR, while two did not respond and died during or shortly after therapy. CONCLUSION: A combination of bendamustine and BV is an effective salvage and induction therapy before ASCT in patients with relapsed/refractory cHL. Further research is warranted to evaluate the use in patients with PTCL. John Wiley and Sons Inc. 2020-01-10 2020-03 /pmc/articles/PMC7065019/ /pubmed/31838747 http://dx.doi.org/10.1111/ejh.13368 Text en © 2019 The Authors. European Journal of Haematology published by John Wiley & Sons Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Original Articles
Wagner, Sandro M.
Melchardt, Thomas
Egle, Alexander
Magnes, Teresa
Skrabs, Cathrin
Staber, Philipp
Simonitsch‐Klupp, Ingrid
Panny, Michael
Lehner, Barbara
Greil, Richard
Keil, Felix
Jäger, Ulrich
Sillaber, Christian
Treatment with brentuximab vedotin plus bendamustine in unselected patients with CD30‐positive aggressive lymphomas
title Treatment with brentuximab vedotin plus bendamustine in unselected patients with CD30‐positive aggressive lymphomas
title_full Treatment with brentuximab vedotin plus bendamustine in unselected patients with CD30‐positive aggressive lymphomas
title_fullStr Treatment with brentuximab vedotin plus bendamustine in unselected patients with CD30‐positive aggressive lymphomas
title_full_unstemmed Treatment with brentuximab vedotin plus bendamustine in unselected patients with CD30‐positive aggressive lymphomas
title_short Treatment with brentuximab vedotin plus bendamustine in unselected patients with CD30‐positive aggressive lymphomas
title_sort treatment with brentuximab vedotin plus bendamustine in unselected patients with cd30‐positive aggressive lymphomas
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7065019/
https://www.ncbi.nlm.nih.gov/pubmed/31838747
http://dx.doi.org/10.1111/ejh.13368
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