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

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 r...

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Veröffentlicht in:Bone marrow transplantation (Basingstoke) 2016-10, Vol.51 (10), p.1313-1317
Hauptverfasser: Tsirigotis, P, Danylesko, I, Gkirkas, K, Shem-Tov, N, Yerushalmi, R, Stamouli, M, Avigdor, A, Spyridonidis, A, Gauthier, J, Goldstein, G, Apostolidis, J, Mohty, M, Shimoni, A, Nagler, A
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container_end_page 1317
container_issue 10
container_start_page 1313
container_title Bone marrow transplantation (Basingstoke)
container_volume 51
creator Tsirigotis, P
Danylesko, I
Gkirkas, K
Shem-Tov, N
Yerushalmi, R
Stamouli, M
Avigdor, A
Spyridonidis, A
Gauthier, J
Goldstein, G
Apostolidis, J
Mohty, M
Shimoni, A
Nagler, A
description 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 autologous-SCT. 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 anti-GVHD modulating effect could be induced by the concurrent administration of BV. No serious adverse event was observed in any of the patients.
doi_str_mv 10.1038/bmt.2016.129
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subjects 631/67
692/699/1541/1990/291/1556
Adolescent
Adult
Autografts
Bone marrow
Brentuximab vedotin
Care and treatment
Cell Biology
Combined Modality Therapy
Dosage and administration
Fatalities
Female
Graft vs Host Disease - drug therapy
Graft vs Host Disease - etiology
Graft-versus-host reaction
Hematology
Hematopoietic Stem Cell Transplantation - adverse effects
Hematopoietic Stem Cell Transplantation - methods
Hodgkin Disease - complications
Hodgkin Disease - mortality
Hodgkin Disease - therapy
Hodgkin's disease
Hodgkin's lymphoma
Humans
Immunoconjugates - administration & dosage
Immunoconjugates - adverse effects
Immunosuppression
Immunotherapy
Internal Medicine
Lymphocyte Transfusion
Lymphocytes
Lymphoma
Male
Medicine
Medicine & Public Health
Monoclonal antibodies
original-article
Patients
Public Health
Stem cell transplantation
Stem Cells
Steroid hormones
Steroids - therapeutic use
Survival Analysis
Targeted cancer therapy
Transplantation
Treatment Outcome
Young Adult
title Brentuximab vedotin in combination with or without donor lymphocyte infusion for patients with Hodgkin lymphoma after allogeneic stem cell transplantation
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