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既往接受过表观遗传治疗的复发或难治性霍奇金淋巴瘤患者对免疫检查点抑制剂的完全缓解率较高。

High rate of complete responses to immune checkpoint inhibitors in patients with relapsed or refractory Hodgkin lymphoma previously exposed to epigenetic therapy.

作者信息

Falchi Lorenzo, Sawas Ahmed, Deng Changchun, Amengual Jennifer E, Colbourn Donald S, Lichtenstein Emily A, Khan Karen A, Schwartz Lawrence H, O'Connor Owen A

机构信息

Center for Lymphoid Malignancies, Division of Hematology/Oncology, Department of Medicine, Columbia University Medical Center, 51 West 51st Street, Suite 200, New York, NY, 10019, USA.

Department of Radiology, Columbia University Medical Center, 180 Fort Washington Avenue, New York, NY, 10032, USA.

出版信息

J Hematol Oncol. 2016 Nov 30;9(1):132. doi: 10.1186/s13045-016-0363-1.


DOI:10.1186/s13045-016-0363-1
PMID:27899158
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5129196/
Abstract

Options for patients with relapsed or refractory (R/R) classical Hodgkin lymphoma (cHL) after brentuximab vedotin (Bv) and autologous stem cell transplantation (ASCT) are limited. Immune checkpoint inhibitors (ICI) are active in this population but rarely induce complete response (CR). Ten patients with R/R cHL after ASCT and Bv received pembrolizumab (n = 8) or nivolumab (n = 2). Five had been previously exposed to 5-azacitidine on a phase 1 study. Among nine evaluable patients, seven (78%) achieved CR, one partial response, and one reduction of tumor burden. All five patients who had received 5-azacitidine prior to ICI achieved CR, while only two of four who did not receive prior 5-azacitidine achieved CR. At a median follow-up of 9.9 months [0.5-14.3], eight patients are alive and five are still receiving treatment. We documented an unprecedented CR rate after ICI in patients with R/R cHL. We hypothesize that hypomethylating agents might have an immune priming effect and enhance the efficacy of ICI.

摘要

对于接受过本妥昔单抗(Bv)和自体干细胞移植(ASCT)后复发或难治性(R/R)经典型霍奇金淋巴瘤(cHL)的患者,治疗选择有限。免疫检查点抑制剂(ICI)在该人群中具有活性,但很少能诱导完全缓解(CR)。10例接受过ASCT和Bv治疗的R/R cHL患者接受了帕博利珠单抗(n = 8)或纳武利尤单抗(n = 2)治疗。其中5例患者曾在1期研究中接受过阿扎胞苷治疗。在9例可评估的患者中,7例(78%)达到CR,1例部分缓解,1例肿瘤负荷减轻。在接受ICI治疗前接受过阿扎胞苷治疗的所有5例患者均达到CR,而在未接受过阿扎胞苷治疗的4例患者中只有2例达到CR。在中位随访9.9个月[0.5 - 14.3]时,8例患者存活,5例仍在接受治疗。我们记录了R/R cHL患者接受ICI治疗后前所未有的CR率。我们推测,低甲基化药物可能具有免疫启动作用并增强ICI的疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e45/5129196/975f6162eb70/13045_2016_363_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e45/5129196/104ac2806589/13045_2016_363_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e45/5129196/975f6162eb70/13045_2016_363_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e45/5129196/104ac2806589/13045_2016_363_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e45/5129196/975f6162eb70/13045_2016_363_Fig2_HTML.jpg

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[1]
Epigenetic Treatment Alters Immune-Related Gene Signatures to Increase the Sensitivity of Anti PD-L1 Drugs.

Cancers (Basel). 2025-7-23

[2]
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[3]
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[4]
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[5]
Checkpoint Inhibitors and the Changing Face of the Relapsed/Refractory Classical Hodgkin Lymphoma Pathway.

Curr Oncol Rep. 2022-11

[6]
Post-hematopoietic stem cell transplantation relapse: Role of checkpoint inhibitors.

Health Sci Rep. 2022-3-8

[7]
Relapsed/refractory classical Hodgkin lymphoma effectively treated with low-dose decitabine plus tislelizumab: A case report.

World J Clin Cases. 2021-7-26

[8]
Deregulated miRNAs Contribute to Silencing of B-Cell Specific Transcription Factors and Activation of NF-κB in Classical Hodgkin Lymphoma.

Cancers (Basel). 2021-6-23

[9]
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[10]
Emerging Therapies in Relapsed and Refractory Hodgkin Lymphoma: What Comes Next After Brentuximab Vedotin and PD-1 Inhibition?

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本文引用的文献

[1]
Programmed Death-1 Blockade With Pembrolizumab in Patients With Classical Hodgkin Lymphoma After Brentuximab Vedotin Failure.

J Clin Oncol. 2016-11-1

[2]
PD-L1 and PD-L2 Genetic Alterations Define Classical Hodgkin Lymphoma and Predict Outcome.

J Clin Oncol. 2016-8-10

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Inhibiting DNA Methylation Causes an Interferon Response in Cancer via dsRNA Including Endogenous Retroviruses.

Cell. 2015-8-27

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Durable remissions in a pivotal phase 2 study of brentuximab vedotin in relapsed or refractory Hodgkin lymphoma.

Blood. 2015-2-19

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PD-1 blockade with nivolumab in relapsed or refractory Hodgkin's lymphoma.

N Engl J Med. 2014-12-6

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J Clin Oncol. 2014-9-20

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The blockade of immune checkpoints in cancer immunotherapy.

Nat Rev Cancer. 2012-3-22

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Annu Rev Immunol. 2008

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