文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

霍奇金淋巴瘤的挽救治疗:当前治疗方案及结果综述

Salvage Therapy for Hodgkin's Lymphoma: A Review of Current Regimens and Outcomes.

作者信息

Castagna Luca, Santoro Armando, Carlo-Stella Carmelo

机构信息

Humanitas Clinical and Research Center, IRCCS, Rozzano, Milan 20089, Italy.

Humanitas University, Department of Biomedical Sciences, Pieve Emanuele, Milan 20090, Italy.

出版信息

J Blood Med. 2020 Oct 27;11:389-403. doi: 10.2147/JBM.S250581. eCollection 2020.


DOI:10.2147/JBM.S250581
PMID:33149713
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7603406/
Abstract

Relapse/refractory Hodgkin lymphoma patients are still a clinical concern. Indeed, despite more effective first-line chemotherapy regimens and better stratification of unresponsive patients by clinical factors and use of early PET, roughly one-third of such patients need salvage chemotherapy and consolidation with high-dose chemotherapy. In this paper, the authors review the different salvage treatments, with special emphasis on newer combinations with brentuximab vedotin or check point inhibitors. The overall response rate is constantly increasing, with a complete remission rate approaching 80%. Functional response evaluation by PET imaging is a strong predictive factor of longer survival, and more sophisticated tools, such as detection of circulating tumour DNA, are emerging to refine the disease-status assessment after treatment. Consolidation by high-dose chemotherapy is still considered the standard of care in chemosensitive patients, leading to a high fraction of patients towards long-term disease control. Maintenance therapy with BV is now approved, reducing disease relapse/progression. An increasing number of Hodgkin lymphoma patients will be cured after first- and second-line therapy, and long-term toxicity needs to be continuously assessed and avoided.

摘要

复发/难治性霍奇金淋巴瘤患者仍是临床关注的问题。事实上,尽管一线化疗方案更有效,且通过临床因素和早期PET对无反应患者进行了更好的分层,但仍有大约三分之一的此类患者需要挽救性化疗并接受大剂量化疗巩固治疗。在本文中,作者回顾了不同的挽救性治疗方法,特别强调了与维布妥昔单抗或检查点抑制剂的新联合方案。总体缓解率不断提高,完全缓解率接近80%。通过PET成像进行功能反应评估是生存期延长的有力预测因素,并且正在出现更复杂的工具,如循环肿瘤DNA检测,以完善治疗后疾病状态的评估。大剂量化疗巩固治疗仍被认为是化疗敏感患者的标准治疗方法,可使很大一部分患者实现长期疾病控制。目前,维布妥昔单抗维持治疗已获批准,可减少疾病复发/进展。越来越多的霍奇金淋巴瘤患者将在一线和二线治疗后治愈,长期毒性需要持续评估并加以避免。

相似文献

[1]
Salvage Therapy for Hodgkin's Lymphoma: A Review of Current Regimens and Outcomes.

J Blood Med. 2020-10-27

[2]
Brentuximab vedotin as consolidation therapy after autologous stem-cell transplantation in patients with Hodgkin's lymphoma at risk of relapse or progression (AETHERA): a randomised, double-blind, placebo-controlled, phase 3 trial.

Lancet. 2015-3-19

[3]
Brentuximab vedotin combined with ABVD or AVD for patients with newly diagnosed Hodgkin's lymphoma: a phase 1, open-label, dose-escalation study.

Lancet Oncol. 2013-11-15

[4]
Novel Salvage Therapy Options for Initial Treatment of Relapsed/Refractory Classical Hodgkin's Lymphoma: So Many Options, How to Choose?

Cancers (Basel). 2022-7-20

[5]
Treatment of relapsed aggressive lymphomas: regimens with and without high-dose therapy and stem cell rescue.

Cancer Chemother Pharmacol. 2002-5

[6]
A targeted salvage therapy with Brentuximab vedotin in heavily treated refractory or relapsed pediatric Hodgkin lymphoma patients before and after stem cell transplantation.

Turk J Pediatr. 2019

[7]
Brentuximab Vedotin in Transplant-Naïve Relapsed/Refractory Hodgkin Lymphoma: Experience in 30 Patients.

Oncologist. 2015-12

[8]
Results of a Multicenter Phase II Trial of Brentuximab Vedotin as Second-Line Therapy before Autologous Transplantation in Relapsed/Refractory Hodgkin Lymphoma.

Biol Blood Marrow Transplant. 2015-12

[9]
[Reaserch Advance on Treatment Strategies for Relapsed/Refractory Hodgkin's Lymphoma--Review].

Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2020-2

[10]
Brentuximab vedotin for paediatric relapsed or refractory Hodgkin's lymphoma and anaplastic large-cell lymphoma: a multicentre, open-label, phase 1/2 study.

Lancet Haematol. 2018-10

引用本文的文献

[1]
Combination of Brentuximab Vedotin and Pembrolizumab as Salvage Treatment Before Autologous Stem Cell Transplantation and Maintenance in Patients with Relapsed/Refractory Hodgkin Lymphoma.

Biomedicines. 2025-1-21

[2]
Programmed Death 1 (PD-1) Expression in Relapsing and Remitting Hodgkin Lymphoma as Prognostic Factor.

Asian Pac J Cancer Prev. 2023-8-1

[3]
Safety and efficacy of immune checkpoint inhibitors after allogeneic hematopoietic cell transplantation.

Bone Marrow Transplant. 2023-10

[4]
The role of transplantation in Hodgkin lymphoma.

Front Oncol. 2023-1-26

[5]
Immune Checkpoint Blockade for the Treatment of Hodgkin Lymphoma.

Immunotargets Ther. 2022-2-23

本文引用的文献

[1]
Checkpoint inhibition before haploidentical transplantation with posttransplant cyclophosphamide in Hodgkin lymphoma.

Blood Adv. 2020-4-14

[2]
Brentuximab vedotin in association with bendamustine in refractory or multiple relapsed Hodgkin lymphoma. A retrospective real-world study.

Eur J Haematol. 2020-6

[3]
Interim thymus and activation regulated chemokine versus interim F-fluorodeoxyglucose positron-emission tomography in classical Hodgkin lymphoma response evaluation.

Br J Haematol. 2020-7

[4]
The EBMT activity survey on hematopoietic-cell transplantation and cellular therapy 2018: CAR-T's come into focus.

Bone Marrow Transplant. 2020-8

[5]
Five-year results of the BEGEV salvage regimen in relapsed/refractory classical Hodgkin lymphoma.

Blood Adv. 2020-1-14

[6]
First salvage treatment with bendamustine and brentuximab vedotin in Hodgkin lymphoma: a phase 2 study of the Fondazione Italiana Linfomi.

Blood Cancer J. 2019-12-11

[7]
Gemcitabine and bendamustine is a safe and effective salvage regimen for patients with recurrent/refractory Hodgkin lymphoma: Results of a phase 1/2 study.

Cancer. 2019-12-10

[8]
Early F-FDG PET/CT Response Predicts Survival in Relapsed or Refractory Hodgkin Lymphoma Treated with Nivolumab.

J Nucl Med. 2019-10-18

[9]
Pembrolizumab in relapsed or refractory Hodgkin lymphoma: 2-year follow-up of KEYNOTE-087.

Blood. 2019-8-13

[10]
Lower Graft-versus-Host Disease and Relapse Risk in Post-Transplant Cyclophosphamide-Based Haploidentical versus Matched Sibling Donor Reduced-Intensity Conditioning Transplant for Hodgkin Lymphoma.

Biol Blood Marrow Transplant. 2019-5-25

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索