Long-term outcome analysis of reduced-intensity allogeneic stem cell transplantation in patients with mantle cell lymphoma: a retrospective study from the EBMT Lymphoma Working Party
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Long-term outcome analysis of reduced-intensity allogeneic stem cell transplantation in patients with mantle cell lymphoma: a retrospective study from the EBMT Lymphoma Working Party. / Robinson, Stephen P; Boumendil, Ariane; Finel, Herve; Peggs, Karl S; Chevallier, Patrice; Sierra, Jorge; Finke, Jürgen; Poiré, Xavier; Maillard, Natacha; Milpied, Noël; Yakoub-Agha, Ibrahim; Koh, Mickey; Kröger, Nicolaus; Nagler, Arnon; Koc, Yener; Dietrich, Sascha; Montoto, Silvia; Dreger, Peter.
in: BONE MARROW TRANSPL, Jahrgang 53, Nr. 5, 05.2018, S. 617-624.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Long-term outcome analysis of reduced-intensity allogeneic stem cell transplantation in patients with mantle cell lymphoma: a retrospective study from the EBMT Lymphoma Working Party
AU - Robinson, Stephen P
AU - Boumendil, Ariane
AU - Finel, Herve
AU - Peggs, Karl S
AU - Chevallier, Patrice
AU - Sierra, Jorge
AU - Finke, Jürgen
AU - Poiré, Xavier
AU - Maillard, Natacha
AU - Milpied, Noël
AU - Yakoub-Agha, Ibrahim
AU - Koh, Mickey
AU - Kröger, Nicolaus
AU - Nagler, Arnon
AU - Koc, Yener
AU - Dietrich, Sascha
AU - Montoto, Silvia
AU - Dreger, Peter
PY - 2018/5
Y1 - 2018/5
N2 - Reduced-intensity allogeneic stem cell transplantation (RIST) is usually reserved for patients with mantle cell lymphoma who relapse after an autoSCT. However, the long-term efficacy of RIST and its curative potential have not been clearly demonstrated. We studied the long-term outcome of patients receiving a RIST for MCL as reported to the EBMT. A total of 324 patients, median age 57 years (range 31-70), underwent a RIST between 2000 and 2008; 43% of the patients had received >3 lines of prior therapy, including an autoSCT in 46%. Non-relapse mortality (NRM) was 10% at 100 days and 24% at 1 year and was lower for patients receiving anti-thymocyte globulin (ATG)/ALG (RR 0.59, p = 0.046). After a median follow-up of 72 months (range 3-159), 118 patients relapsed at a median of 8 months post RIST (range 1-117). The cumulative incidence of relapse was 25% and 40% at 1 and 5 years, respectively, and was associated with chemorefractory disease (HR 0.49, p = 0.01) and the use of CAMPATH (HR 2.59, p = 0.0002). The 4-year progression-free survival rate and overall survival rate was 31 and 40%, respectively. RIST results in long-term disease-free survival in about 30% of the patients, including those patients relapsing after a prior autoSCT.
AB - Reduced-intensity allogeneic stem cell transplantation (RIST) is usually reserved for patients with mantle cell lymphoma who relapse after an autoSCT. However, the long-term efficacy of RIST and its curative potential have not been clearly demonstrated. We studied the long-term outcome of patients receiving a RIST for MCL as reported to the EBMT. A total of 324 patients, median age 57 years (range 31-70), underwent a RIST between 2000 and 2008; 43% of the patients had received >3 lines of prior therapy, including an autoSCT in 46%. Non-relapse mortality (NRM) was 10% at 100 days and 24% at 1 year and was lower for patients receiving anti-thymocyte globulin (ATG)/ALG (RR 0.59, p = 0.046). After a median follow-up of 72 months (range 3-159), 118 patients relapsed at a median of 8 months post RIST (range 1-117). The cumulative incidence of relapse was 25% and 40% at 1 and 5 years, respectively, and was associated with chemorefractory disease (HR 0.49, p = 0.01) and the use of CAMPATH (HR 2.59, p = 0.0002). The 4-year progression-free survival rate and overall survival rate was 31 and 40%, respectively. RIST results in long-term disease-free survival in about 30% of the patients, including those patients relapsing after a prior autoSCT.
KW - Journal Article
U2 - 10.1038/s41409-017-0067-3
DO - 10.1038/s41409-017-0067-3
M3 - SCORING: Journal article
C2 - 29335632
VL - 53
SP - 617
EP - 624
JO - BONE MARROW TRANSPL
JF - BONE MARROW TRANSPL
SN - 0268-3369
IS - 5
ER -