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Clinical outcomes of a novel combination of lenalidomide and rituximab followed by stem cell transplantation for relapsed/refractory aggressive B-cell non-hodgkin lymphoma

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机构: [1]Sun Yat Sen Univ, State Key Lab Oncol South China, Dept Med Oncol, Canc Ctr, Guangzhou 510275, Guangdong, Peoples R China [2]Collaborat Innovat Ctr Canc Med, Guangzhou 510275, Guangdong, Peoples R China [3]Univ Texas MD Anderson Canc Ctr, Dept Lymphoma & Myeloma, Houston, TX 77030 USA [4]Chinese Acad Med Sci, Lymphoma & Myeloma Ctr, Inst Hematol, Tianjin, Peoples R China [5]Chinese Acad Med Sci, Blood Dis Hosp, State Key Lab Expt Methods Hematol, Tianjin, Peoples R China [6]Peking Union Med Coll, Tianjin, Peoples R China [7]Univ Texas MD Anderson Canc Ctr, Dept Biostat, Houston, TX 77030 USA [8]Univ Texas MD Anderson Canc Ctr, Dept Stem Cell Transplantat & Cellular Therapy, Houston, TX 77030 USA
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关键词: Clinical outcomes Lenalidomide Relapsed lymphoma Rituximab Stem cell transplantation

摘要:
We retrospectively compared outcomes of patients with relapsed/refractory non-Hodgkin lymphoma (NHL) who underwent stem cell transplantation (SCT) with stable disease or better following a novel combination of lenalidomide and rituximab (LR) treatment and did not undergo SCT in a phase I/II clinical trial. We retrospectively compared outcomes of patients who underwent SCT with that of patients who had stable disease or better following LR treatment and did not undergo SCT. Twenty-two patients enrolled in LR clinical trial and undergone SCT were identified, 13 with mantle cell lymphoma (MCL) and nine with large B-cell lymphoma (LBCL). All patients who underwent SCT achieved complete response. In the MCL subset, there were no significant differences between SCT and non-SCT groups except that non-SCT patients were older and had a higher mantle-cell international prognostic index score. There was no difference between SCT-group and non-SCT-group in response duration (P=0.3), progression-free survival (PFS) (P=0.304) and overall survival (OS) (P=0.87). In LBCL subgroup, there were no significant differences between two groups except that non-SCT group had a higher international prognostic index score. Patients with LBCL who underwent SCT had significantly longer response duration (P=0.001), PFS (P=0.000), and OS (P=0.003) than the non-SCT group. The novel therapeutic combination offers a bridge to SCT in patients with relapsed/refractory aggressive B-cell NHL.

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出版当年[2014]版:
大类 | 2 区 医学
小类 | 2 区 肿瘤学 3 区 细胞生物学
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第一作者:
第一作者机构: [1]Sun Yat Sen Univ, State Key Lab Oncol South China, Dept Med Oncol, Canc Ctr, Guangzhou 510275, Guangdong, Peoples R China [2]Collaborat Innovat Ctr Canc Med, Guangzhou 510275, Guangdong, Peoples R China [3]Univ Texas MD Anderson Canc Ctr, Dept Lymphoma & Myeloma, Houston, TX 77030 USA
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通讯机构: [3]Univ Texas MD Anderson Canc Ctr, Dept Lymphoma & Myeloma, Houston, TX 77030 USA [8]Univ Texas MD Anderson Canc Ctr, Dept Stem Cell Transplantat & Cellular Therapy, Houston, TX 77030 USA
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