Král Zdeněk, Michalka Jozef, Móciková Heidi, Marková Jana, Sýkorová Alice, Belada David, Jungová Alexandra, Vokurka Samuel, Lukášová Marie, Procházka Vít, Ďuraš Juraj, Hájek Roman, Dušek Ladislav, Drgoňa Ľuboš, Ladická Miriam, Ballová Veronika, Vranovský Andrej
Department of Internal Medicine, Hematology and Oncology, University Hospital Brno and Faculty of Medicine, Masaryk University, Brno, Czech Republic.
Department of Clinical Hematology, University Hospital Kralovske Vinohrady and Third Faculty of Medicine, Charles University, Prague, Czech Republic.
J Cancer. 2019 Aug 28;10(21):5041-5048. doi: 10.7150/jca.29308. eCollection 2019.
: Clinical trials have demonstrated the effectiveness of the CD30-targeted antibody-drug conjugate brentuximab vedotin (BV) for the treatment of relapsed/refractory Hodgkin lymphoma (R/R HL). In this study, we report on outcomes with BV in a real-world setting using data collected in clinics in the Czech Republic and Slovakia. : Clinical and epidemiological data for patients with R/R HL who received treatment with BV at eight centers across the Czech Republic and Slovakia were examined. Data were amalgamated and analyzed retrospectively. : Clinical data for 58 patients (median age: 30.5 years) with R/R HL who received BV during the course of their treatment were collected and analyzed. Patients had received a median of 3 prior treatment regimens and most (91%) were treated with BV after relapse following autologous stem cell transplantation. Therapeutic responses after BV included 19 (33%) complete responses (CRs) and 8 (14%) partial responses. CRs occurred more frequently in patients who had received fewer prior treatment regimens. The 1-, 2-, and 3-year overall survival (OS) rates from initiation of BV were 78%, 62%, and 41%, respectively. : Response rates and OS in this analysis of BV in real-world settings in the Czech Republic and Slovakia were consistent with those reported for pivotal clinical trials and from previous studies outside the clinical trial setting. The results support the efficacy of BV for treatment of R/R HL in real-life clinical practice.
临床试验已证明靶向CD30的抗体药物偶联物brentuximab vedotin(BV)治疗复发/难治性霍奇金淋巴瘤(R/R HL)的有效性。在本研究中,我们使用在捷克共和国和斯洛伐克诊所收集的数据报告了BV在真实世界中的治疗结果。对在捷克共和国和斯洛伐克八个中心接受BV治疗的R/R HL患者的临床和流行病学数据进行了检查。数据进行了合并并进行回顾性分析。收集并分析了58例(中位年龄:30.5岁)在治疗过程中接受BV治疗的R/R HL患者的临床数据。患者此前接受的治疗方案中位数为3种,大多数(91%)在自体干细胞移植后复发后接受BV治疗。BV治疗后的疗效反应包括19例(33%)完全缓解(CR)和8例(14%)部分缓解。在接受较少先前治疗方案的患者中,CR更频繁出现。从开始使用BV起,1年、2年和3年总生存率(OS)分别为78%、62%和41%。在捷克共和国和斯洛伐克对BV进行的真实世界分析中的缓解率和OS与关键临床试验以及临床试验环境之外的先前研究报告的结果一致。结果支持BV在实际临床实践中治疗R/R HL的疗效。