The European landscape on allogeneic haematopoietic cell transplantation in Chronic Lymphocytic Leukaemia between 2009 and 2019: A perspective from the Chronic Malignancies Working Party of the EBMT
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The European landscape on allogeneic haematopoietic cell transplantation in Chronic Lymphocytic Leukaemia between 2009 and 2019: A perspective from the Chronic Malignancies Working Party of the EBMT. / Tournilhac, Olivier; van Gelder, Michel; Eikema, Dirk-Jan; Zinger, Nienke; Dreger, Peter; Bornhäuser, Martin; Vucinic, Vladan; Scheid, Christof; Cornelissen, Jan J; Schroeder, Thomas; Jindra, Pavel; Sengeloev, Henrik; Nguyen Quoc, Stephanie; Stelljes, Matthias; Blau, Igor Wolfgang; Mayer, Jiri; Paneesha, Shankara; Chevallier, Patrice; Forcade, Edouard; Kröger, Nicolaus; Blaise, Didier; Gribben, John; Nielsen, Bendt; Johansson, Jan-Erik; Kyriakou, Charalampia; Beguin, Yves; Pioltelli, Pietro; Sampol, Antònia; McLornan, Donal P; Schetelig, Johannes; Hayden, Patrick J; Yakoub-Agha, Ibrahim.
In: BONE MARROW TRANSPL, Vol. 58, No. 6, 06.2023, p. 621-624.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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TY - JOUR
T1 - The European landscape on allogeneic haematopoietic cell transplantation in Chronic Lymphocytic Leukaemia between 2009 and 2019: A perspective from the Chronic Malignancies Working Party of the EBMT
AU - Tournilhac, Olivier
AU - van Gelder, Michel
AU - Eikema, Dirk-Jan
AU - Zinger, Nienke
AU - Dreger, Peter
AU - Bornhäuser, Martin
AU - Vucinic, Vladan
AU - Scheid, Christof
AU - Cornelissen, Jan J
AU - Schroeder, Thomas
AU - Jindra, Pavel
AU - Sengeloev, Henrik
AU - Nguyen Quoc, Stephanie
AU - Stelljes, Matthias
AU - Blau, Igor Wolfgang
AU - Mayer, Jiri
AU - Paneesha, Shankara
AU - Chevallier, Patrice
AU - Forcade, Edouard
AU - Kröger, Nicolaus
AU - Blaise, Didier
AU - Gribben, John
AU - Nielsen, Bendt
AU - Johansson, Jan-Erik
AU - Kyriakou, Charalampia
AU - Beguin, Yves
AU - Pioltelli, Pietro
AU - Sampol, Antònia
AU - McLornan, Donal P
AU - Schetelig, Johannes
AU - Hayden, Patrick J
AU - Yakoub-Agha, Ibrahim
N1 - © 2023. The Author(s), under exclusive licence to Springer Nature Limited.
PY - 2023/6
Y1 - 2023/6
N2 - Allogeneic transplantation (allo-HCT) is a curative treatment in CLL whose efficacy including the most severe forms had led to the 2006 EBMT recommendations. The advent after 2014 of targeted therapies has revolutionized CLL management, allowing prolonged control to patients who have failed immunochemotherapy and/or have TP53 alterations. We analysed the pre COVID pandemic 2009-2019 EBMT registry. The yearly number of allo-HCT raised to 458 in 2011 yet dropped from 2013 onwards to an apparent plateau above 100. Within the 10 countries who were under the EMA for drug approval and performed 83.5% of those procedures, large initial differences were found but the annual number converged to 2-3 per 10 million inhabitants during the 3 most recent years suggesting that allo-HCT remains applied in selected patients. Long-term follow-up on targeted therapies shows that most patients relapse, some early, with risk factors and resistance mechanisms being described. The treatment of patients exposed to both BCL2 and BTK inhibitors and especially those with double refractory disease will become a challenge in which allo-HCT remains a solid option in competition with emerging therapies that have yet to demonstrate their long-term effectiveness.
AB - Allogeneic transplantation (allo-HCT) is a curative treatment in CLL whose efficacy including the most severe forms had led to the 2006 EBMT recommendations. The advent after 2014 of targeted therapies has revolutionized CLL management, allowing prolonged control to patients who have failed immunochemotherapy and/or have TP53 alterations. We analysed the pre COVID pandemic 2009-2019 EBMT registry. The yearly number of allo-HCT raised to 458 in 2011 yet dropped from 2013 onwards to an apparent plateau above 100. Within the 10 countries who were under the EMA for drug approval and performed 83.5% of those procedures, large initial differences were found but the annual number converged to 2-3 per 10 million inhabitants during the 3 most recent years suggesting that allo-HCT remains applied in selected patients. Long-term follow-up on targeted therapies shows that most patients relapse, some early, with risk factors and resistance mechanisms being described. The treatment of patients exposed to both BCL2 and BTK inhibitors and especially those with double refractory disease will become a challenge in which allo-HCT remains a solid option in competition with emerging therapies that have yet to demonstrate their long-term effectiveness.
KW - Humans
KW - Leukemia, Lymphocytic, Chronic, B-Cell/therapy
KW - Hematopoietic Stem Cell Transplantation/methods
KW - Neoplasm Recurrence, Local
KW - COVID-19/etiology
KW - Transplantation, Homologous/methods
KW - Transplantation Conditioning/methods
KW - Retrospective Studies
U2 - 10.1038/s41409-023-01955-z
DO - 10.1038/s41409-023-01955-z
M3 - SCORING: Review article
C2 - 36977926
VL - 58
SP - 621
EP - 624
JO - BONE MARROW TRANSPL
JF - BONE MARROW TRANSPL
SN - 0268-3369
IS - 6
ER -