Risk factors and timing of autologous stem cell transplantation for patients with peripheral T-cell lymphoma View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-11-14

AUTHORS

Satoshi Yamasaki, Dai Chihara, Sung-Won Kim, Takahito Kawata, Shuichi Mizuta, Hiroatsu Ago, Takaaki Chou, Takahisa Yamane, Hitoji Uchiyama, Tatsuo Oyake, Katsuhiro Miura, Bungo Saito, Hirofumi Taji, Hirohisa Nakamae, Toshihiro Miyamoto, Takahiro Fukuda, Junya Kanda, Yoshiko Atsuta, Ritsuro Suzuki

ABSTRACT

High-dose chemotherapy with autologous stem cell transplantation (HDC-ASCT) is an option for patients with peripheral T-cell lymphoma (PTCL); however, neither prospective nor retrospective studies support proceeding with ASCT upfront, and the timing of HDC-ASCT remains controversial. We retrospectively analyzed the risk factors for outcomes of 570 patients with PTCL, including PTCL not otherwise specified (PTCL-NOS) and angioimmunoblastic T-cell lymphoma (AITL), who received ASCT for frontline consolidation (n = 98 and 75, respectively) or alternative therapies after either relapse (n = 112 and 75) or primary induction failure (PIF; n = 127 and 83) between 2000 and 2015. Significant risk factors for overall survival (OS) after upfront ASCT were a ≥ 2 prognostic index for T-cell lymphoma (P < 0.001) and partial response (PR) at ASCT (P = 0.041) in PTCL-NOS patients, and > 60 years of age (P = 0.0028) and PR at ASCT (P = 0.0013) in AITL patients. Performance status of ≥ 2 at ASCT (P < 0.001), receiving ≥ 3 regimens before ASCT (P = 0.018), and PR at ASCT (P = 0.018) in PTCL-NOS patients and > 60 years of age at ASCT (P = 0.0077) in AITL patients were risk factors for OS after ASCT with a chemosensitive PIF status. Strategies that carefully select PTCL patients may allow identification of individuals suitable for ASCT. More... »

PAGES

175-186

References to SciGraph publications

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  • Journal

    TITLE

    International Journal of Hematology

    ISSUE

    2

    VOLUME

    109

    Author Affiliations

  • Department of Hematology and Clinical Research Institute, National Hospital Organization Kyushu Medical Center, 1-8-1 Jigyohama, Chuo-Ku, 810-8563, Fukuoka, Japan
  • Medical Oncology Service, Center for Cancer Research, National Cancer Institute, National Institute of Health, Bethesda, MD, USA
  • Division of Hematopoietic Stem Cell Transplantation, National Cancer Center Hospital, Tokyo, Japan
  • Department of Hematology and Oncology, Graduate School of Medicine, Kyoto University, Kyoto, Japan
  • Department of Hematology and Immunology, Kanazawa Medical University, Ishikawa, Japan
  • Department of Hematology and Oncology, Shimane Prefectural Central Hospital, Izumo, Japan
  • Department of Hematology and Oncology, Niigata Cancer Center Hospital, Niigata, Japan
  • Department of Hematology, Osaka City General Hospital, Osaka, Japan
  • Department of Hematology, Japanese Red Cross Kyoto Daiichi Hospital, Kyoto, Japan
  • Division of Hematology and Oncology, Department of Internal Medicine, Iwate Medical University, Morioka, Japan
  • Department of Hematology and Rheumatology, Center of Hematoloietic Cell Transplantation and Cell Therapy, Nihon University School of Medicine, Tokyo, Japan
  • Division of Hematology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan
  • Department of Hematology and Cell Therapy, Aichi Cancer Center Hospital, Nagoya, Japan
  • Department of Hematology, Osaka City University Hospital, Osaka, Japan
  • Hematology, Oncology and Cardiovascular Medicine, Kyushu University Hospital, Fukuoka, Japan
  • Department of Healthcare Administration, Nagoya University Graduate School of Medicine and Japanese Data Center for Hematopoietic Cell Transplantation, Nagoya, Japan
  • Department of Oncology and Hematology, Shimane University Hospital, Izumo, Japan
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s12185-018-2560-x

    DOI

    http://dx.doi.org/10.1007/s12185-018-2560-x

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1109896349

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/30430419


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