Allogeneic haematopoietic cell transplantation offers the chance of cure for patients with transformed follicular lymphoma
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Allogeneic haematopoietic cell transplantation offers the chance of cure for patients with transformed follicular lymphoma. / Heinzelmann, Frank; Bethge, Wolfgang; Beelen, Dietrich Wilhelm; Stelljes, Matthias; Dreger, Peter; Engelhard, Marianne; Finke, Jürgen; Kröger, Nikolaus; Holler, Ernst; Bornhäuser, Martin; Müller, Annerose; Haubitz, Imme; Ottinger, Hellmut.
in: J CANCER RES CLIN, Jahrgang 144, Nr. 6, 06.2018, S. 1173-1183.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Allogeneic haematopoietic cell transplantation offers the chance of cure for patients with transformed follicular lymphoma
AU - Heinzelmann, Frank
AU - Bethge, Wolfgang
AU - Beelen, Dietrich Wilhelm
AU - Stelljes, Matthias
AU - Dreger, Peter
AU - Engelhard, Marianne
AU - Finke, Jürgen
AU - Kröger, Nikolaus
AU - Holler, Ernst
AU - Bornhäuser, Martin
AU - Müller, Annerose
AU - Haubitz, Imme
AU - Ottinger, Hellmut
PY - 2018/6
Y1 - 2018/6
N2 - PURPOSE: In patients with follicular lymphoma, secondary transformation to aggressive lymphoma (tFL) implies a poor prognosis. In principle, allogeneic haematopoietic cell transplantation (allo-HCT) offers a chance of cure for tFL but is rarely practiced. Aim of this retrospective multicenter study was to define the actual significance of allo-HCT in treatment of tFL.METHODS: The database of the German Registry for Stem Cell Transplantation (DRST) was screened for patients who underwent allo-HCT for tFL 1998-2008. Confirmation of tFL-diagnosis by local and/or pathologists of the National NHL Board was mandatory for enrolment. Gaps in reported EBMT Minimum Essential Data datasets (MED-A) were filled by local DRST data managers. Relevant HCT outcome variables were evaluated by uni- and multivariate statistical analysis.RESULTS: Median age of enrolled 33 patients was 51 years with a post allo-HCT median follow-up of 7.1 years of surviving patients. At time of HCT 24/33 patients had chemosensitive disease. In 24/33 patients reduced intensity conditioning (RIC) was used. Estimated 1, 2, 5-year overall survival (OS) and event-free survival rates were 49/39/33, and 33/30/24%. Cumulative 100 days non-relapse mortality was 25%. Chemosensitive disease, RIC, and limited chronic GvHD were identified as independent prognostic factors for OS.CONCLUSIONS: Allo-HCT offers the chance of cure for tFL.
AB - PURPOSE: In patients with follicular lymphoma, secondary transformation to aggressive lymphoma (tFL) implies a poor prognosis. In principle, allogeneic haematopoietic cell transplantation (allo-HCT) offers a chance of cure for tFL but is rarely practiced. Aim of this retrospective multicenter study was to define the actual significance of allo-HCT in treatment of tFL.METHODS: The database of the German Registry for Stem Cell Transplantation (DRST) was screened for patients who underwent allo-HCT for tFL 1998-2008. Confirmation of tFL-diagnosis by local and/or pathologists of the National NHL Board was mandatory for enrolment. Gaps in reported EBMT Minimum Essential Data datasets (MED-A) were filled by local DRST data managers. Relevant HCT outcome variables were evaluated by uni- and multivariate statistical analysis.RESULTS: Median age of enrolled 33 patients was 51 years with a post allo-HCT median follow-up of 7.1 years of surviving patients. At time of HCT 24/33 patients had chemosensitive disease. In 24/33 patients reduced intensity conditioning (RIC) was used. Estimated 1, 2, 5-year overall survival (OS) and event-free survival rates were 49/39/33, and 33/30/24%. Cumulative 100 days non-relapse mortality was 25%. Chemosensitive disease, RIC, and limited chronic GvHD were identified as independent prognostic factors for OS.CONCLUSIONS: Allo-HCT offers the chance of cure for tFL.
KW - Adult
KW - Aged
KW - Cell Transformation, Neoplastic
KW - Female
KW - Graft vs Host Disease
KW - Hematopoietic Stem Cell Transplantation
KW - Humans
KW - Lymphoma, Follicular
KW - Male
KW - Middle Aged
KW - Prognosis
KW - Retrospective Studies
KW - Transplantation, Homologous
KW - Journal Article
U2 - 10.1007/s00432-018-2633-5
DO - 10.1007/s00432-018-2633-5
M3 - SCORING: Journal article
C2 - 29623467
VL - 144
SP - 1173
EP - 1183
JO - J CANCER RES CLIN
JF - J CANCER RES CLIN
SN - 0171-5216
IS - 6
ER -