Autologous stem cell transplantation for HIV-associated lymphoma in the antiretroviral and rituximab era: a retrospective study by the EBMT Lymphoma Working Party
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Autologous stem cell transplantation for HIV-associated lymphoma in the antiretroviral and rituximab era: a retrospective study by the EBMT Lymphoma Working Party. / Hübel, Kai; Re, Alessandro; Boumendil, Ariane; Finel, Herve; Hentrich, Marcus; Robinson, Stephen; Wyen, Christoph; Michieli, Mariagrazia; Kanfer, Edward; Diez-Martin, Jose Luis; Balsalobre, Pascual; Vincent, Laure; Schroyens, Wilfried; Santasusana, Josep Maria Ribera; Kröger, Nicolaus; Schiel, Xaver; Cwynarski, Kate; Esquirol, Albert; Sousa, Aida Botelho; Cattaneo, Chiara; Montoto, Silvia; Dreger, Peter.
In: BONE MARROW TRANSPL, Vol. 54, No. 10, 10.2019, p. 1625-1631.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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T1 - Autologous stem cell transplantation for HIV-associated lymphoma in the antiretroviral and rituximab era: a retrospective study by the EBMT Lymphoma Working Party
AU - Hübel, Kai
AU - Re, Alessandro
AU - Boumendil, Ariane
AU - Finel, Herve
AU - Hentrich, Marcus
AU - Robinson, Stephen
AU - Wyen, Christoph
AU - Michieli, Mariagrazia
AU - Kanfer, Edward
AU - Diez-Martin, Jose Luis
AU - Balsalobre, Pascual
AU - Vincent, Laure
AU - Schroyens, Wilfried
AU - Santasusana, Josep Maria Ribera
AU - Kröger, Nicolaus
AU - Schiel, Xaver
AU - Cwynarski, Kate
AU - Esquirol, Albert
AU - Sousa, Aida Botelho
AU - Cattaneo, Chiara
AU - Montoto, Silvia
AU - Dreger, Peter
PY - 2019/10
Y1 - 2019/10
N2 - 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.
AB - 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.
U2 - 10.1038/s41409-019-0480-x
DO - 10.1038/s41409-019-0480-x
M3 - SCORING: Journal article
C2 - 30804486
VL - 54
SP - 1625
EP - 1631
JO - BONE MARROW TRANSPL
JF - BONE MARROW TRANSPL
SN - 0268-3369
IS - 10
ER -