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Allogeneic transplant following brentuximab vedotin in patients with relapsed or refractory Hodgkin lymphoma and systemic anaplastic large cell lymphoma.

Abstract
Brentuximab vedotin is an antibody drug conjugate that induces durable objective responses in patients with relapsed or refractory Hodgkin lymphoma and systemic anaplastic large cell lymphoma. Fifteen of 160 patients who participated in two pivotal phase 2 studies received a consolidative allogeneic stem cell transplant (allo-SCT) following brentuximab vedotin treatment. This case series describes their experience. The studies were approved by Institutional Review Boards prior to patient enrollment. Patients received 1.8 mg/kg brentuximab vedotin every 3 weeks for up to 16 cycles. The estimated 2-year progression-free survival (PFS) rate was 66%, and the median PFS has not yet been reached. Eleven of the 15 patients were alive and the estimated 2-year survival rate was 80%. The safety of brentuximab vedotin treatment in this series was consistent with the known safety profile in this setting. Brentuximab vedotin is a compelling option for reducing tumor burden to facilitate a consolidative allo-SCT.
AuthorsTim Illidge, Reda Bouabdallah, Robert Chen, Ajay K Gopal, Craig H Moskowitz, Radhakrishnan Ramchandren, Andrei R Shustov, Herve Tilly, Tanya M Trippett, Adam Gibb, Laurie E Grove, Ranjana Advani
JournalLeukemia & lymphoma (Leuk Lymphoma) Vol. 56 Issue 3 Pg. 703-10 (Mar 2015) ISSN: 1029-2403 [Electronic] United States
PMID24913507 (Publication Type: Journal Article, Research Support, N.I.H., Extramural)
Chemical References
  • Immunoconjugates
  • Brentuximab Vedotin
Topics
  • Adolescent
  • Adult
  • Aged
  • Brentuximab Vedotin
  • Combined Modality Therapy
  • Diarrhea (etiology)
  • Disease-Free Survival
  • Drug Resistance, Neoplasm
  • Female
  • Fever (etiology)
  • Hodgkin Disease (therapy)
  • Humans
  • Immunoconjugates (adverse effects, therapeutic use)
  • Lymphoma, Large-Cell, Anaplastic (therapy)
  • Male
  • Middle Aged
  • Neoplasm Recurrence, Local
  • Nervous System Diseases (etiology)
  • Neutropenia (etiology)
  • Retrospective Studies
  • Stem Cell Transplantation (adverse effects, methods)
  • Transplantation, Homologous
  • Treatment Outcome
  • Young Adult

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