Idelalisib treatment prior to allogeneic stem cell transplantation for patients with chronic lymphocytic leukemia: a report from the EBMT chronic malignancies working party
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Idelalisib treatment prior to allogeneic stem cell transplantation for patients with chronic lymphocytic leukemia: a report from the EBMT chronic malignancies working party. / Schetelig, Johannes; Chevallier, Patrice; van Gelder, Michel; Hoek, Jennifer; Hermine, Olivier; Chakraverty, Ronjon; Browne, Paul; Milpied, Noel; Malagola, Michele; Socié, Gerard; Delgado, Julio; Deconinck, Eric; Damaj, Ghandi; Maury, Sebastian; Beelen, Dietrich; Quoc, Stéphanie Nguyen; Shankara, Paneesha; Brecht, Arne; Mayer, Jiri; Hunault-Berger, Mathilde; Bittenbring, Jörg; Thieblemont, Catherine; Lepretre, Stéphane; Baldauf, Henning; de Wreede, Liesbeth C; Tournilhac, Olivier; Yakoub-Agha, Ibrahim; Kröger, Nicolaus; Dreger, Peter.
In: BONE MARROW TRANSPL, Vol. 56, No. 3, 03.2021, p. 605-613.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Idelalisib treatment prior to allogeneic stem cell transplantation for patients with chronic lymphocytic leukemia: a report from the EBMT chronic malignancies working party
AU - Schetelig, Johannes
AU - Chevallier, Patrice
AU - van Gelder, Michel
AU - Hoek, Jennifer
AU - Hermine, Olivier
AU - Chakraverty, Ronjon
AU - Browne, Paul
AU - Milpied, Noel
AU - Malagola, Michele
AU - Socié, Gerard
AU - Delgado, Julio
AU - Deconinck, Eric
AU - Damaj, Ghandi
AU - Maury, Sebastian
AU - Beelen, Dietrich
AU - Quoc, Stéphanie Nguyen
AU - Shankara, Paneesha
AU - Brecht, Arne
AU - Mayer, Jiri
AU - Hunault-Berger, Mathilde
AU - Bittenbring, Jörg
AU - Thieblemont, Catherine
AU - Lepretre, Stéphane
AU - Baldauf, Henning
AU - de Wreede, Liesbeth C
AU - Tournilhac, Olivier
AU - Yakoub-Agha, Ibrahim
AU - Kröger, Nicolaus
AU - Dreger, Peter
PY - 2021/3
Y1 - 2021/3
N2 - No studies have been reported so far on bridging treatment with idelalisib for patients with chronic lymphocytic leukemia (CLL) prior to allogeneic hematopoietic cell transplantation (alloHCT). To study potential carry-over effects of idelalisib and to assess the impact of pathway-inhibitor (PI) failure we performed a retrospective EBMT registry-based study. Patients with CLL who had a history of idelalisib treatment and received a first alloHCT between 2015 and 2017 were eligible. Data on 72 patients (median age 58 years) were analyzed. Forty percent of patients had TP53mut/del CLL and 64% had failed on at least one PI. No primary graft failure occurred. Cumulative incidences of acute GVHD °II-IV and chronic GVHD were 51% and 39%, respectively. Estimates for 2-year overall survival (OS), progression-free survival (PFS), and cumulative incidences of relapse/progression (CIR) and non-relapse mortality NRM were 59%, 44%, 25%, and 31%. In univariate analysis, drug sensitivity was a strong risk factor. For patients who had failed neither PI treatment nor chemoimmunotherapy (CIT) the corresponding 2-year estimates were 73%, 65%, 15%, and 20%, respectively. In conclusion, idelalisib may be considered as an option for bridging therapy prior to alloHCT. Owing to the high risk for acute GVHD intensified clinical monitoring is warranted.
AB - No studies have been reported so far on bridging treatment with idelalisib for patients with chronic lymphocytic leukemia (CLL) prior to allogeneic hematopoietic cell transplantation (alloHCT). To study potential carry-over effects of idelalisib and to assess the impact of pathway-inhibitor (PI) failure we performed a retrospective EBMT registry-based study. Patients with CLL who had a history of idelalisib treatment and received a first alloHCT between 2015 and 2017 were eligible. Data on 72 patients (median age 58 years) were analyzed. Forty percent of patients had TP53mut/del CLL and 64% had failed on at least one PI. No primary graft failure occurred. Cumulative incidences of acute GVHD °II-IV and chronic GVHD were 51% and 39%, respectively. Estimates for 2-year overall survival (OS), progression-free survival (PFS), and cumulative incidences of relapse/progression (CIR) and non-relapse mortality NRM were 59%, 44%, 25%, and 31%. In univariate analysis, drug sensitivity was a strong risk factor. For patients who had failed neither PI treatment nor chemoimmunotherapy (CIT) the corresponding 2-year estimates were 73%, 65%, 15%, and 20%, respectively. In conclusion, idelalisib may be considered as an option for bridging therapy prior to alloHCT. Owing to the high risk for acute GVHD intensified clinical monitoring is warranted.
U2 - 10.1038/s41409-020-01069-w
DO - 10.1038/s41409-020-01069-w
M3 - SCORING: Journal article
C2 - 33004942
VL - 56
SP - 605
EP - 613
JO - BONE MARROW TRANSPL
JF - BONE MARROW TRANSPL
SN - 0268-3369
IS - 3
ER -