Highly Diverse Efficacy of Salvage Treatment Regimens for Relapsed or Refractory Peripheral T-Cell Lymphoma: A Systematic Review

The goal of this study was to perform a systematic review to examine the efficacy and safety of various salvage therapy regimens on patients with relapsed/refractory PTCL. The electronic searches were performed using PubMed, Cochrane Library, EMBASE, and Web of Science from inception through June 20...

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Veröffentlicht in:PloS one 2016-10, Vol.11 (10), p.e0161811-e0161811
Hauptverfasser: Yang, Ya-Ting, Tai, Cheng-Jeng, Chen, Chiehfeng, Wu, Hong-Cheng, Mikhaylichenko, Natalia, Chiu, Hsien-Tsai, Chen, Yun-Yi, Hsu, Yi-Hsin Elsa
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container_issue 10
container_start_page e0161811
container_title PloS one
container_volume 11
creator Yang, Ya-Ting
Tai, Cheng-Jeng
Chen, Chiehfeng
Wu, Hong-Cheng
Mikhaylichenko, Natalia
Chiu, Hsien-Tsai
Chen, Yun-Yi
Hsu, Yi-Hsin Elsa
description The goal of this study was to perform a systematic review to examine the efficacy and safety of various salvage therapy regimens on patients with relapsed/refractory PTCL. The electronic searches were performed using PubMed, Cochrane Library, EMBASE, and Web of Science from inception through June 2015, with search terms related to relapsed/refractory PTCL, salvage chemotherapy regimens, and clinical trials. An eligible study met the following inclusion criteria: (1) Patients had refractory or relapsed PTCL; (2) drug regimens were used for salvage therapy; (3) the study was a clinical trial; (4) the study reported on a series of at least 10 patients of PTCL. Of 35 records identified, a total of 14 studies were eligible for systematic reviews, and 12 different salvage regimens were investigated. A total of 618 relapsed/refractory PTCL patients were identified. The ORRs ranged from 22% for those treated with lenalidomide to 86% for those with brentuximab vedotin. By the three most frequent subtypes, the ORRs ranged from 14.2% to 71.5% for patients with the PTCL-NOS subtype, 8% to 54% for AITL subtypes, and 24% to 86% for the ALCL subtype. The medians of DOR, PFS, and OS ranged from 2.5 to 16.6 months, 2.6 to 13.3 months, and 3.6 to 14.5 months, respectively. The most frequently reported grade 3 or 4 adverse events (AEs) were hematological AEs, such as neutropenia and thrombocytopenia. The efficacy of salvage therapy regimens is highly diverse for patients with relapsed/refractory PTCL; this heterogeneity in therapeutic effects might be due to the diversity in mechanisms, PTCL subtype distribution, and/or numbers/profiles of prior therapy. Comparative studies with matched pair analysis are warranted for more evidence of the salvage treatment effect on relapsed or heavily pretreated patients with PTCL.
doi_str_mv 10.1371/journal.pone.0161811
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subjects Analysis
Biology and Life Sciences
Blood
Cancer therapies
Care and treatment
Chemotherapy
Clinical trials
Comparative studies
Disease-Free Survival
Drug dosages
Effectiveness
Evidence-based medicine
FDA approval
Hematology
Hospitals
Humans
Internal medicine
Lymphocytes T
Lymphoma
Lymphoma, T-Cell, Peripheral - therapy
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title Highly Diverse Efficacy of Salvage Treatment Regimens for Relapsed or Refractory Peripheral T-Cell Lymphoma: A Systematic Review
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