Yu Tsung-Ying, Dai Ming-Shen
Division of Hematology/Oncology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
J Hematol. 2020 Apr;9(1-2):30-32. doi: 10.14740/jh596. Epub 2020 Apr 23.
Hodgkin's lymphoma (HL) is usually sensitive and curative to multi-agent chemotherapy, but may become refractory disease in a subset of relapsed patients. Recent novel agents, brentuximab-vedotin (BV) and immune checkpoint inhibitors have significantly improve the treatment outcome. We report the outcome by combination of BV with pembrolizumab in a patient with a relapsed/refractory HL in a remarkable and durable response, even previously failed to multiple lines of chemotherapy, or brentuximab-vedotin/pembrolizumab monotherapy. Further investigation of immunotherapy combination in relapsed/refractory HL is needed.
霍奇金淋巴瘤(HL)通常对多药化疗敏感且可治愈,但在一部分复发患者中可能会成为难治性疾病。近期的新型药物,如本妥昔单抗(BV)和免疫检查点抑制剂,显著改善了治疗效果。我们报告了1例复发/难治性HL患者采用BV联合帕博利珠单抗治疗的结果,该患者取得了显著且持久的缓解,即便此前对多线化疗、或本妥昔单抗/帕博利珠单抗单药治疗均无效。复发/难治性HL免疫治疗联合方案仍需进一步研究。