Risk-adapted, treosulfan-based therapy with auto- and allo-sct for relapsed/refractory aggressive nhl: a prospective phase-ii trial

Risk-adapted, treosulfan-based therapy with auto- and allo-sct for relapsed/refractory aggressive nhl: a prospective phase-ii trial

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ABSTRACT Since the outcome of relapsed/refractory aggressive non-Hodgkin’s lymphoma (NHL) is highly variable, a risk-adapted treatment approach was evaluated. After two cycles of DHAP,


patients received high-dose treosulfan/etoposide/carboplatinum (TEC) and autologous stem cell rescue. After TEC, low-risk patients with late relapse (>1 year after first CR who achieved


CR after DHAP received no further treatment. Patients with late relapse who achieved CR or PR only after TEC underwent a second cycle of TEC. High-risk patients with early relapse/refractory


disease received treosulfan/fludarabine followed by allogeneic transplantation. Rituximab was added in patients with B-cell lymphoma (86%). At entry, 36% of all 57 patients had refractory


disease, 32% early and 32% late relapse. During DHAP treatment, progression occurred in 32% of patients. Of 33 patients who received TEC, 5 received second TEC and 15 allogeneic


transplantation. Main toxicity after TEC was oral mucositis (CTC grades 3 and 4 in 50% and 13%, respectively). In total, 42% patients achieved CR. Median OS was 21.4 months for all patients


and 32.6 for those who underwent allogeneic transplantation. International prognostic index (IPI) at study entry was highly discriminative at predicting OS (_P_<0.0001). Risk-adapted,


treosulfan-based therapy with auto- and allo-SCT is feasible. Long-term survival is possible with allogeneic transplantation. Access through your institution Buy or subscribe This is a


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ADJUNCTIVE THERAPY TO BEAM CONDITIONING FOR AUTOLOGOUS STEM CELL TRANSPLANTATION IN HODGKIN LYMPHOMA Article 01 February 2022 OXALIPLATIN BEFORE AUTOLOGOUS TRANSPLANTATION IN COMBINATION


WITH HIGH-DOSE CYTARABINE AND RITUXIMAB PROVIDES LONGER DISEASE CONTROL THAN CISPLATIN OR CARBOPLATIN IN PATIENTS WITH MANTLE-CELL LYMPHOMA: RESULTS FROM THE LYMA PROSPECTIVE TRIAL Article


03 March 2021 TREOSULFAN VS BUSULFAN CONDITIONING FOR ALLOGENEIC BMT IN CHILDREN WITH NONMALIGNANT DISEASE: A RANDOMIZED PHASE 2 TRIAL Article Open access 04 November 2023 REFERENCES *


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Google Scholar  Download references ACKNOWLEDGEMENTS We thank Professor Dr Astrid Franke, former Director of the Department of Hematology and Oncology, University of Magdeburg, and Professor


Dr Mathias Freund, former Director of the Department of Hematology and Oncology University of Rostock, Germany, for supporting this study. This work was supported (in part) by research


funding by Medac, Gesellschaft für klinische Spezialpräparate mbH, Wedel, Germany; F. Hoffmann-La Roche AG, Grenzach, Germany; and Amgen GmbH, München, Germany (to MK). JC has received


research funding and honoraria from Medac. AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Onkologisches Ambulanzzentrum, Hannover, Germany M Koenigsmann * Klinik für Onkologie und Hämatologie


Klinikum, Oldenburg, Germany J Casper & B Metzner * Klinik für Hämatologie und Internistische Onkologie Klinikum, Magdeburg, Germany C Kahl * Medizinische Klinik I, Malteserkrankenhaus


St Franziskus Hospital, Flensburg, Germany N Basara * Abteilung für Hämatologie und Onkologie, Klinik für Innere Medizin II, Universitätsklinik, Jena, Germany H G Sayer * Abteilung für


Hämatologie und Internistische Onkologie, Universitätsklinik, Leipzig, Germany G Behre * Klinik I für Innere Medizin, Universitätsklinik, Köln, Germany S Theurich & D Niederwieser *


Klinik und Poliklinik für Innere Medizin IV, Universitätsklinikum, Halle, Germany M Christopeit * Klinik für Innere Medizin, Johanniter-Krankenhaus, Stendal, Germany M Mohren * Klinik für


Hämatologie und Internistische Onkologie, Universitätsklinikum, Regensburg, Germany A Reichle * Klinik für Hämatologie, Hämostaseologie, Onkologie und Stammzelltransplantation, Medizinische


Hochschule, Hannover, Germany A Ganser & M Stadler * Medizinische Klinik mit Schwerpunkt Hämatologie und Onkologie, Charité Universitätsmedizin Berlin, Berlin, Germany L Uharek *


Evangelisches Krankenhaus, Hamm, Germany L Balleisen * Wissenschaftlicher Service Pharma GmbH, Langenfeld, Germany A Hinke & R Hinke Authors * M Koenigsmann View author publications You


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Google Scholar CORRESPONDING AUTHOR Correspondence to M Koenigsmann. ETHICS DECLARATIONS COMPETING INTERESTS The authors declare no conflict of interest. ADDITIONAL INFORMATION Supplementary


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ABOUT THIS ARTICLE CITE THIS ARTICLE Koenigsmann, M., Casper, J., Kahl, C. _et al._ Risk-adapted, treosulfan-based therapy with auto- and allo-SCT for relapsed/refractory aggressive NHL: a


prospective phase-II trial. _Bone Marrow Transplant_ 49, 410–415 (2014). https://doi.org/10.1038/bmt.2013.199 Download citation * Received: 22 June 2013 * Revised: 16 October 2013 *


Accepted: 25 October 2013 * Published: 23 December 2013 * Issue Date: March 2014 * DOI: https://doi.org/10.1038/bmt.2013.199 SHARE THIS ARTICLE Anyone you share the following link with will


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content-sharing initiative KEYWORDS * relapsed non-Hogkin’s lymphoma * treosulfan * autologous transplantation * allogeneic transplantation * risk-adapted therapy