Italian real life experience with brentuximab vedotin: Results of a large observational study on 234 relapsed/refractory Hodgkin's lymphoma

C. Pellegrini, A. Broccoli, A. Pulsoni, L. Rigacci, C. Patti, G. Gini, D. Mannina, M. Tani, C. Rusconi, A. Romano, A. Vanazzi, B. Botto, A. Santoro, S. Hoaus, G.M. Rigolin, P. Musto, P. Mazza, S. Molica, P. Corradini, A. FamaF. Gaudio, M. Merli, F. Ronconi, G. Gritti, D. Vallisa, P. Tosi, A.M. Liberati, A. Pinto, V. Pavone, F. Gherlinzoni, M.P. Bianchi, S. Volpetti, L. Trentin, M.C. Goldaniga, M. Bonfichi, A.D. Renzo, C. Schiavotto, M. Spina, A.M. Carella, V. Stefoni, L. Argnani, P.L. Zinzani

Research output: Contribution to journalArticlepeer-review

Abstract

A large Italian multicenter observational retrospective study was conducted on the use of brentuximab vedotin (BV) for patients with relapsed Hodgkin's lymphoma (HL) to check if clinical trial results are confirmed even in a real life context. 234 CD30+ HL patients were enrolled. Best response was observed after a median of 4 cycles in 140 patients (59.8%): 74 (31.6%) patients obtained a complete response (CR) and 66 (28.2%) achieved a partial response (PR); overall response rate at the end of the treatment was 48.3% (62 CR and 51 PR). The best response rate was higher in the elderly subset: 14 (50%) CR and 5 (17.8%) PR. Disease free survival was 26.3% at 3 years and progression free survival 31.9% at 4.5 years. Duration of response did not differ for who achieved at least PR and then either did or did not undergo consolidative transplant. Overall, the treatment was well tolerated and no death has been linked to BV-induced toxicity. Our report confirms activity in elderly patients, duration of response unrelated to the consolidation with transplant procedure, the relevance of the CR status at first restaging, and the role of BV as a bridge to transplant for chemorefractory patients. © Pellegrini et al.
Original languageEnglish
Pages (from-to)91703-91710
Number of pages8
JournalOncotarget
Volume8
Issue number53
Publication statusPublished - 2017

Keywords

  • Brentuximab vedotin
  • Hodgkin's lymphoma
  • Long-term response
  • Real life
  • Stem cell transplantation
  • brentuximab vedotin
  • CD30 antigen
  • acute myeloid leukemia
  • adult
  • adult respiratory distress syndrome
  • aged
  • allogeneic stem cell transplantation
  • Article
  • cancer recurrence
  • clinical practice
  • disease free survival
  • disease severity
  • drug dose reduction
  • drug efficacy
  • drug response
  • drug safety
  • drug tolerability
  • female
  • follow up
  • histopathology
  • Hodgkin disease
  • human
  • incidence
  • Italy
  • major clinical study
  • male
  • multiple cycle treatment
  • neutropenia
  • observational study
  • overall survival
  • pancreatitis
  • pancytopenia
  • peripheral neuropathy
  • personal experience
  • progression free survival
  • respiratory failure
  • retrospective study
  • sensory neuropathy
  • thrombocytopenia
  • treatment duration

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