Impact of pre- and/or post-autologous stem cell transplantation exposure to brentuximab vedotin on survival outcomes in patients with high-risk Hodgkin lymphoma.
Maria Carmen Martinez MunozManuel Espeso de HaroSamuel RomeroAntonio GutiérrezEva Domingo-DomènechAna P González-RodríguezIzaskun ZeberioMaría Paz Martínez-BadasAntonia Rodríguez-IzquierdoCecilia CarpioMariana Bastos-OreiroJosé Ángel Hernández-RivasRolando VallansotNicholas KelleherFrancisco J Díaz-GálvezTamara TorradoArturo PereiraRamón García-Sanznull nullPublished in: Annals of hematology (2022)
The AETHERA trial demonstrated that brentuximab vedotin (BV) consolidation after autologous stem cell transplantation (ASCT) in patients with Hodgkin lymphoma (HL) at high risk of relapse/progression increases progression-free survival (PFS). Patients previously exposed to BV were excluded from that trial. However, BV alone or in combination with chemotherapy is frequently used as front-line treatment and/or pre-ASCT salvage therapy. We analyzed data from 156 patients with high-risk HL who underwent ASCT with (BV-CON, n = 62) or without (non-BV, n = 94) BV consolidation. Fifty-seven patients received BV-based salvage regimens before ASCT. The 3-year overall survival and PFS for all patients were 91.6% and 70.0%, respectively. Multivariate analysis showed that BV-CON was associated with better PFS (HR 0.39, p = 0.01), whereas positive PET at transplant leaded to worse PFS (HR 2.71, p = 0.001). BV-CON improved PFS in PET-positive patients (72.2% vs. 43.0%, p = 0.05), with a beneficial trend observed in PET negative (88.8% vs. 75.2%, p = 0.09). BV-CON patients with or without BV exposure pre-ASCT had a significantly better PFS than non-BV with or without BV pretransplant treatment (HR 0.36, p = 0.004). The efficacy of real-life BV consolidation therapy was similar to that in the AETHERA trial. This therapeutic strategy improves survival independently of BV exposure prior to ASCT.
Keyphrases
- lps induced
- lipopolysaccharide induced
- hodgkin lymphoma
- end stage renal disease
- stem cell transplantation
- inflammatory response
- ejection fraction
- newly diagnosed
- chronic kidney disease
- free survival
- peritoneal dialysis
- computed tomography
- clinical trial
- high dose
- randomized controlled trial
- squamous cell carcinoma
- positron emission tomography
- deep learning
- big data
- phase ii
- data analysis
- placebo controlled