Impact of Treatment Beyond Progression with Immune Checkpoint Blockade in Hodgkin Lymphoma

Atypical response patterns following immune checkpoint blockade (ICB) in Hodgkin lymphoma (HL) led to the concept of continuation of treatment beyond progression (TBP); however, the longitudinal benefit of this approach is unclear. We therefore performed a retrospective analysis of 64 patients treat...

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Veröffentlicht in:The oncologist (Dayton, Ohio) Ohio), 2020-06, Vol.25 (6), p.e993-e997
Hauptverfasser: Merryman, Reid W., Carreau, Nicole A., Advani, Ranjana H., Spinner, Michael A., Herrera, Alex F., Chen, Robert, Tomassetti, Sarah, Ramchandren, Radhakrishnan, Hamid, Muhammad, Assouline, Sarit, Santiago, Raoul, Wagner‐Johnston, Nina, Paul, Suman, Svoboda, Jakub, Bair, Steven M., Barta, Stefan K., Liu, Yang, Nathan, Sunita, Karmali, Reem, Burkart, Madelyn, Torka, Pallawi, David, Kevin A., Wei, Catherine, Lansigan, Frederick, Emery, Lukas, Persky, Daniel, Smith, Sonali M., Godfrey, James, Chavez, Julio, Cohen, Jonathan B., Troxel, Andrea B., Diefenbach, Catherine, Armand, Philippe
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container_issue 6
container_start_page e993
container_title The oncologist (Dayton, Ohio)
container_volume 25
creator Merryman, Reid W.
Carreau, Nicole A.
Advani, Ranjana H.
Spinner, Michael A.
Herrera, Alex F.
Chen, Robert
Tomassetti, Sarah
Ramchandren, Radhakrishnan
Hamid, Muhammad
Assouline, Sarit
Santiago, Raoul
Wagner‐Johnston, Nina
Paul, Suman
Svoboda, Jakub
Bair, Steven M.
Barta, Stefan K.
Liu, Yang
Nathan, Sunita
Karmali, Reem
Burkart, Madelyn
Torka, Pallawi
David, Kevin A.
Wei, Catherine
Lansigan, Frederick
Emery, Lukas
Persky, Daniel
Smith, Sonali M.
Godfrey, James
Chavez, Julio
Cohen, Jonathan B.
Troxel, Andrea B.
Diefenbach, Catherine
Armand, Philippe
description Atypical response patterns following immune checkpoint blockade (ICB) in Hodgkin lymphoma (HL) led to the concept of continuation of treatment beyond progression (TBP); however, the longitudinal benefit of this approach is unclear. We therefore performed a retrospective analysis of 64 patients treated with ICB; 20 who received TBP (TBP cohort) and 44 who stopped ICB at initial progression (non‐TBP cohort). The TBP cohort received ICB for a median of 4.7 months after initial progression and delayed subsequent treatment by a median of 6.6 months. Despite receiving more prior lines of therapy, the TBP cohort achieved longer progression‐free survival with post‐ICB treatment (median, 17.5 months vs. 6.1 months, p = .035) and longer time‐to‐subsequent treatment failure, defined as time from initial ICB progression to failure of subsequent treatment (median, 34.6 months vs. 9.9 months, p = .003). With the limitations of a retrospective study, these results support the clinical benefit of TBP with ICB for selected patients. To investigate the potential benefit of treatment beyond progression in patients with Hodgkin lymphoma, a multicenter retrospective analysis of 64 patients treated with immune checkpoint blockade was performed. Some patients stopped therapy at initial progression and some received treatment beyond progression. Results are reported here.
doi_str_mv 10.1634/theoncologist.2020-0040
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subjects Brief Communications
title Impact of Treatment Beyond Progression with Immune Checkpoint Blockade in Hodgkin Lymphoma
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