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国际骨髓移植登记处淋巴瘤工作委员会研究项目带来的淋巴瘤移植进展:一份五年报告(2013 - 2018年)

Advances in Transplantation for Lymphomas Resulting from CIBMTR Lymphoma Working Committee's Research Portfolio: A Five-Year Report (2013-2018).

作者信息

Hamadani Mehdi

机构信息

Division of Hematology and Oncology, Medical College of Wisconsin, Milwaukee WI, 53226.

Center for International Blood and Marrow Transplant Research, Milwaukee, WI 53226.

出版信息

Adv Cell Gene Ther. 2018 Nov;1(3). doi: 10.1002/acg2.17. Epub 2018 Aug 30.

Abstract

The Center for International Blood and Marrow Transplant Research (CIBMTR) is a research collaboration between the National Marrow Donor Program (NMDP)/Be The Match and the Medical College of Wisconsin (MCW). The CIBMTR collaborates with the global scientific community to advance hematopoietic cell transplantation (HCT) and cellular therapy worldwide to increase survival and enrich quality of life for patients. The observation research program within CIBMTR is organized into 15 working committees. This review is aiming to highlight the observational research studies published by the CIBMTR Lymphoma Working committee over the last five years (2013-18) and to summarize how these studies have impacted the field by helping inform clinical practice in scenarios where prospective data from high quality randomized trials were not available or where owing to the rarity of a particular transplant indication such data were unlikely to be generated, outside the setting of a large observational research database. The salient findings reviewed include; (a) studies supporting role of autologous HCT in diffuse large B-cell lymphoma (DLBCL) patients with sensitive relapse of disease within one year of diagnosis, (b) role of autologous HCT vs allogeneic HCT in follicular lymphoma patients with early therapy failure, (c) prognostic scoring system development for classical Hodgkin lymphoma and DLBCL patients with prior autograft failure, (d) defining the role of alternative donor transplantation in lymphomas, (e) evaluating appropriate conditioning regimens for HCT in lymphoma, and (f) outcomes of HCT in rare lymphoid malignancies.

摘要

国际血液和骨髓移植研究中心(CIBMTR)是国家骨髓捐献计划(NMDP)/成为配型(Be The Match)与威斯康星医学院(MCW)之间的一项研究合作项目。CIBMTR与全球科学界合作,在全球范围内推进造血细胞移植(HCT)和细胞治疗,以提高患者的生存率并改善其生活质量。CIBMTR内部的观察性研究项目分为15个工作委员会。本综述旨在突出CIBMTR淋巴瘤工作委员会在过去五年(2013 - 2018年)发表的观察性研究,并总结这些研究如何在缺乏高质量随机试验前瞻性数据的情况下,或由于特定移植适应症罕见而不太可能产生此类数据的情况下(在大型观察性研究数据库之外),通过为临床实践提供信息来影响该领域。所综述的主要发现包括:(a)支持自体HCT在诊断后一年内疾病敏感复发的弥漫性大B细胞淋巴瘤(DLBCL)患者中的作用的研究;(b)自体HCT与异基因HCT在早期治疗失败的滤泡性淋巴瘤患者中的作用;(c)针对既往自体移植失败的经典霍奇金淋巴瘤和DLBCL患者的预后评分系统的开发;(d)确定替代供体移植在淋巴瘤中的作用;(e)评估淋巴瘤HCT的合适预处理方案;(f)罕见淋巴恶性肿瘤的HCT结果。

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