Autologous stem cell transplantation for HIV-associated lymphoma in the antiretroviral and rituximab era: a retrospective study by the EBMT Lymphoma ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-02-25

AUTHORS

Kai Hübel, Alessandro Re, Ariane Boumendil, Herve Finel, Marcus Hentrich, Stephen Robinson, Christoph Wyen, Mariagrazia Michieli, Edward Kanfer, Jose Luis Diez-Martin, Pascual Balsalobre, Laure Vincent, Wilfried Schroyens, Josep Maria Ribera Santasusana, Nicolaus Kröger, Xaver Schiel, Kate Cwynarski, Albert Esquirol, Aida Botelho Sousa, Chiara Cattaneo, Silvia Montoto, Peter Dreger

ABSTRACT

The present study aimed at describing the outcome of patients with HIV-associated lymphomas following autologous hematopoietic stem cell transplantation (autoHCT) in the rituximab and combined antiretroviral therapy (cART) era. Eligible for this retrospective study were HIV-positive patients with lymphoma who received autoHCT between 2007 and 2013. A total of 118 patients were included with a median age of 45 years (range 24–66). Underlying diagnoses were diffuse large B cell lymphoma in 47%, Hodgkin lymphoma in 24%, Burkitt lymphoma in 18%, and plasmablastic lymphoma in 7% of patients. Disease status at autoHCT was complete remission in 44%, partial remission (PR) in 38%, and less than PR in 18% of the patients. With a median follow-up of 4 years, 3-year non-relapse mortality, incidence of relapse, progression-free survival (PFS) and overall survival (OS) were 10%, 27%, 63% and 66%, respectively. By multivariate analysis, disease status less than PR but not CD4+ cell count at the time of autoHCT was a significant predictor of unfavorable PFS and OS. In conclusion, in the era of cART and chemoimmunotherapy, the outcome of autoHCT for HIV-related lymphoma is driven by lymphoma-dependent risk factors rather than by characteristics of the HIV infection. More... »

PAGES

1625-1631

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/s41409-019-0480-x

DOI

http://dx.doi.org/10.1038/s41409-019-0480-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1112366139

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30804486


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