Collins Graham P, Rueda Antonio, Salles Gilles, von Tresckow Bastian, Zaja Francesco
a Oxford Cancer and Haematology Centre , Churchill Hospital , Oxford , UK.
b Department of Medical Oncology , Hospital Costa del Sol , Málaga , Spain.
Leuk Lymphoma. 2018 Sep;59(9):2113-2120. doi: 10.1080/10428194.2017.1421762. Epub 2018 Jan 16.
We examined real-world data on management of relapsed/refractory Hodgkin lymphoma (R/R HL) in five European countries and the consistency of these data with guideline recommendations. Retrospective clinical and epidemiologic data for 509 patients with R/R HL treated between January 2014 and March 2015 were collected at centers in France, Germany, Italy, Spain, and the United Kingdom. Mean age was 46.3 years; 73.3% were receiving second-line therapy for a first relapse during the reporting period. Most patients received ABVD as front-line chemotherapy, except in Germany where escalated BEACOPP was used more often. The proportion of patients receiving stem cell transplantation (SCT) was 44%; 85% of transplants occurred at first relapse. Brentuximab vedotin (BV) was usually administered after autologous SCT, and was initiated for 65% of patients following SCT failure. Our findings suggest that R/R HL management across these countries is broadly consistent with guideline recommendations and that BV is well-integrated into treatment pathways.
我们研究了五个欧洲国家复发性/难治性霍奇金淋巴瘤(R/R HL)管理的真实世界数据,以及这些数据与指南建议的一致性。2014年1月至2015年3月期间,在法国、德国、意大利、西班牙和英国的中心收集了509例R/R HL患者的回顾性临床和流行病学数据。平均年龄为46.3岁;73.3%的患者在报告期内因首次复发接受二线治疗。除德国更常使用强化BEACOPP外,大多数患者接受ABVD作为一线化疗。接受干细胞移植(SCT)的患者比例为44%;85%的移植发生在首次复发时。维布妥昔单抗(BV)通常在自体SCT后给药,65%的患者在SCT失败后开始使用。我们的研究结果表明,这些国家的R/R HL管理与指南建议基本一致,并且BV已很好地纳入治疗路径。