Myeloablative versus reduced intensity allogeneic stem cell transplantation for relapsed/refractory Hodgkin's lymphoma in recent years: a retrospective analysis of the Lymphoma Working Party of the European Group for Blood and Marrow Transplantation

BACKGROUND: To evaluate long-term outcome of myeloablative allogeneic stem cell transplantation (allo-SCT) (MAC) versus reduced-intensity allo-SCT (RIC) in patients with relapsed/refractory Hodgkin's lymphoma (HL) in recent years. - PATIENTS AND METHODS: A total of 312 patients (63 MAC and 249...

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Hauptverfasser: Genadieva-Stavrik, Sonja (VerfasserIn) , Boumendil, A. (VerfasserIn) , Dreger, Peter (VerfasserIn) , Peggs, K. (VerfasserIn) , Briones, J. (VerfasserIn) , Corradini, P. (VerfasserIn) , Bacigalupo, A. (VerfasserIn) , Socié, G. (VerfasserIn) , Bonifazi, F. (VerfasserIn) , Finel, H. (VerfasserIn) , Velardi, A. (VerfasserIn) , Potter, M. (VerfasserIn) , Bruno, B. (VerfasserIn) , Castagna, L. (VerfasserIn) , Malladi, R. (VerfasserIn) , Russell, N. (VerfasserIn) , Sureda, A. (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 29 August 2016
In: Annals of oncology
Year: 2016, Jahrgang: 27, Heft: 12, Pages: 2251-2257
ISSN:1569-8041
Online-Zugang: Volltext
Verfasserangaben:S. Genadieva-Stavrik, A. Boumendil, P. Dreger, K. Peggs, J. Briones, P. Corradini, A. Bacigalupo, G. Socié, F. Bonifazi, H. Finel, A. Velardi, M. Potter, B. Bruno, L. Castagna, R. Malladi, N. Russell and A. Sureda

MARC

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245 1 0 |a Myeloablative versus reduced intensity allogeneic stem cell transplantation for relapsed/refractory Hodgkin's lymphoma in recent years  |b a retrospective analysis of the Lymphoma Working Party of the European Group for Blood and Marrow Transplantation  |c S. Genadieva-Stavrik, A. Boumendil, P. Dreger, K. Peggs, J. Briones, P. Corradini, A. Bacigalupo, G. Socié, F. Bonifazi, H. Finel, A. Velardi, M. Potter, B. Bruno, L. Castagna, R. Malladi, N. Russell and A. Sureda 
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520 |a BACKGROUND: To evaluate long-term outcome of myeloablative allogeneic stem cell transplantation (allo-SCT) (MAC) versus reduced-intensity allo-SCT (RIC) in patients with relapsed/refractory Hodgkin's lymphoma (HL) in recent years. - PATIENTS AND METHODS: A total of 312 patients (63 MAC and 249 RIC) with relapsed/refractory HL who received allo-SCT between 2006 and 2010 and were reported to the EBMT Database were included in the study. - RESULTS: With a median follow-up for alive patients of 56 (26-73) months, there were no significant differences in non-relapse mortality (NRM) between MAC and RIC. Relapse rate (RR) was somewhat lower in the MAC group (41% versus 52% at 24 months, P = 0.16). This lower RR translated into a marginal improvement in event-free survival (EFS) for the MAC group (48% versus 36% at 24 months, P = 0.09) with no significant differences in overall survival (73% for MAC and 62% for RIC at 24 months, P = 0.13). Multivariate analysis after adjusting for disease status at the time of allo-SCT showed that the use of MAC was of borderline statistical significance for predicting a lower RR and EFS [HR 0.7, 95% CI (0.5-1.0), P = 0.1] and [HR 0.7, 95% CI (0.5-1.0), P = 0.07], respectively, after allo-SCT. - CONCLUSIONS: With modern transplant practices, the NRM associated with MAC for HL has strongly decreased, resulting into non-significant improvement of EFS because of a somewhat better disease control compared with RIC transplants. The intensity of conditioning regimens should be considered when designing individual allo-SCT strategies or clinical trials in patients with relapsed/refractory HL. 
650 4 |a Adult 
650 4 |a Aged 
650 4 |a allogeneic stem cell transplantation 
650 4 |a Bone Marrow 
650 4 |a conditioning regimen 
650 4 |a Disease-Free Survival 
650 4 |a Female 
650 4 |a Graft vs Host Disease 
650 4 |a Hodgkin Disease 
650 4 |a Humans 
650 4 |a Male 
650 4 |a Neoplasm Recurrence, Local 
650 4 |a relapsed/refractory Hodgkin's lymphoma 
650 4 |a Retrospective Studies 
650 4 |a Stem Cell Transplantation 
650 4 |a Transplantation Conditioning 
650 4 |a Transplantation, Homologous 
650 4 |a Treatment Outcome 
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700 1 |a Castagna, L.  |e VerfasserIn  |4 aut 
700 1 |a Malladi, R.  |e VerfasserIn  |4 aut 
700 1 |a Russell, N.  |e VerfasserIn  |4 aut 
700 1 |a Sureda, A.  |e VerfasserIn  |4 aut 
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