Allogeneic hematopoietic cell transplantation provides effective salvage despite refractory disease or failed prior autologous transplant in angioimmunoblastic T-cell lymphoma: a ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2019-01-10

AUTHORS

Narendranath Epperla, Kwang W. Ahn, Carlos Litovich, Sairah Ahmed, Minoo Battiwalla, Jonathon B. Cohen, Parastoo Dahi, Nosha Farhadfar, Umar Farooq, Cesar O. Freytes, Nilanjan Ghosh, Bradley Haverkos, Alex Herrera, Mark Hertzberg, Gerhard Hildebrandt, David Inwards, Mohamed A. Kharfan-Dabaja, Farhad Khimani, Hillard Lazarus, Aleksandr Lazaryan, Lazaros Lekakis, Hemant Murthy, Sunita Nathan, Taiga Nishihori, Attaphol Pawarode, Tim Prestidge, Praveen Ramakrishnan, Andrew R. Rezvani, Rizwan Romee, Nirav N. Shah, Ana Sureda, Timothy S. Fenske, Mehdi Hamadani

ABSTRACT

BackgroundThere is a paucity of data on the role of allogeneic hematopoietic cell transplantation (allo-HCT) in patients with angioimmunoblastic T-cell lymphoma (AITL). Using the CIBMTR registry, we report here the outcomes of AITL patients undergoing an allo-HCT.MethodsWe evaluated 249 adult AITL patients who received their first allo-HCT during 2000–2016.ResultsThe median patient age was 56 years (range = 21–77). Majority of the patients were Caucasians (86%), with a male predominance (60%). Graft-versus-host disease (GVHD) prophylaxis was predominantly calcineurin inhibitor-based approaches while the most common graft source was peripheral blood (97%). Median follow-up of survivors was 49 months (range = 4–170 months). The cumulative incidence of grade 2–4 and grade 3–4 acute GVHD at day 180 were 36% (95% CI = 30–42) and 12 (95% CI = 8–17), respectively. The cumulative incidence of chronic GVHD at 1 year was 49% (95%CI 43–56). The 1-year non-relapse mortality (NRM) was 19% (95% CI = 14–24), while the 4-year relapse/progression, progression-free survival (PFS), and overall survival (OS) were 21% (95% CI = 16–27), 49% (95% CI = 42–56), and 56% (95% CI = 49–63), respectively. On multivariate analysis, chemoresistant status at the time of allo-HCT was associated with a significantly higher risk for therapy failure (inverse of PFS) (RR = 1.73 95% CI = 1.08–2.77), while KPS < 90% was associated with a significantly higher risk of mortality (inverse of OS) (RR = 3.46 95% CI = 1.75–6.87).ConclusionOur analysis shows that allo-HCT provides durable disease control even in AITL patients who failed a prior auto-HCT and in those subjects with refractory disease at the time of allografting. More... »

PAGES

6

Journal

TITLE

Journal of Hematology & Oncology

ISSUE

1

VOLUME

12

Author Affiliations

  • Division of Hematology, Department of Medicine, The James Cancer Hospital and Solove Research Institute, The Ohio State University, 460 W 10th Ave, 43210, Columbus, OH, USA
  • Center for International Blood and Marrow Transplant Research, Department of Medicine, Medical College of Wisconsin, 9200 W. Wisconsin Avenue, Suite C5500, 8701 W. Watertown Plank Rd, 53226, Milwaukee, WI, USA
  • M.D. Anderson Cancer Center, 1515 Holcombe Boulevard, 77030, Houston, TX, USA
  • Sarah Cannon BMT Program, 2400 Patterson St. Suite 215, 37206, Nashville, TN, USA
  • Winship Cancer Institute, Emory University School of Medicine, 1365-C Clifton Road NE, 30322, Atlanta, GA, USA
  • Memorial Sloan Kettering Cancer Center, 1275 York Ave., 10065, New York, NY, USA
  • Shands Healthcare and University of Florida, PO Box 100278, 32610, Gainesville, FL, USA
  • University of Iowa Hospitals and Clinics, 200 Hawkins Drive C332 GH, 52242, Iowa City, IA, USA
  • Texas Transplant Institute, 4410 Medical Drive Suite 410, 78229, San Antonio, TX, USA
  • Levine Cancer Institute, 1021 Morehead Medical Drive Suite 5300, 28204, Charlotte, NC, USA
  • University of Colorado Hospital, 1665 Aurora Court F-754, 80045, Aurora, CO, USA
  • City of Hope National Medical Center, 1500 E Duarte Rd, 91010, Duarte, CA, USA
  • Prince of Wales Hospital, SEALS Level 4 Campus Building, Barker Street, 2031, Randwick, NSW, Australia
  • University of Kentucky Chandler Medical Center, 800 Rose Street CC 301, 40536, Lexington, KY, USA
  • Mayo Clinic Rochester, 200 First Street SW, 55902, Rochester, MN, USA
  • Mayo Clinic, 4500 San Pablo Rd, 32224, Jacksonville, FL, USA
  • H. Lee Moffitt Cancer Center and Research Institute, 12902 Magnolia Drive, 33612, Tampa, FL, USA
  • Univeristy of Miami, 1475 NW 12th Ave, 33136, Miami, FL, USA
  • Division of Hematology/Oncology, University Florida College of Medicine, 12902 Magnolia Drive, 33612, Tampa, FL, USA
  • Rush University Medical Center, 849 North Franklin Street Unit 1503, 60610, Chicago, IL, USA
  • The University of Michigan, 322 E Liberty St. Unit 4, 48104, Ann Arbor, MI, USA
  • Starship Children’s Health, Level 7 Blood and Cancer Center Park Road, Grafton, 1142, Auckland, New Zealand
  • UT Southwestern Medical Center – BMT Program, 7800C Stenton Ave. Apt. 210, 19118, Philadelphia, PA, USA
  • Stanford Health Care, 300 Pasteur Drive, Room H0101 MC 5623, 94305, Stanford, CA, USA
  • Dana Farber Cancer Institute - Adults, 450 Brookline Avenue, 02215, Boston, MA, USA
  • Division of Hematology and Oncology, Department of Medicine, Medical College of Wisconsin, 8701 Watertown Plank Rd. PO Box 26509, 53226, Milwaukee, WI, USA
  • Institut Català d’Oncologia - Hospital Duran I Reynals, Avda. Granvfa 199-203, 08908, Barcelona, Spain
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1186/s13045-018-0696-z

    DOI

    http://dx.doi.org/10.1186/s13045-018-0696-z

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1111314618

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/30630534


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