Fox Christopher P, Townsend William, Gribben John G, Menne Tobias, Kalakonda Nagesh, Williams Paula, Toron Farah, Tyas Emma, Cooper Miranda, Rickards Joshua, Radford John
School of Medicine University of Nottingham Nottingham UK.
University College London Hospitals NHS Foundation Trust London UK.
EJHaem. 2024 Aug 7;5(5):992-997. doi: 10.1002/jha2.970. eCollection 2024 Oct.
Autologous stem-cell transplantation (ASCT) is standard therapy for relapsed/refractory large B-cell lymphoma (R/R LBCL), but many patients are either ineligible or unable to receive it. This retrospective study characterized outcomes in R/R LBCL, delineated by eligibility for, and receipt of, ASCT. Median progression-free survival (PFS) and event-free survival (EFS) for patients undergoing ASCT were 35.2 and 31.6 months (overall survival [OS] not reached). Median PFS, EFS, and OS were 4.3, 4.3, and 6.9 months for ineligible patients, and 2.7, 2.6, and 9.4 months for those eligible for but unable to receive ASCT. This highlights an unmet need for alternative therapies in patients unable to receive ASCT.
自体干细胞移植(ASCT)是复发/难治性大B细胞淋巴瘤(R/R LBCL)的标准治疗方法,但许多患者不符合条件或无法接受该治疗。这项回顾性研究对R/R LBCL患者的预后进行了特征分析,根据是否符合ASCT条件以及是否接受ASCT进行了划分。接受ASCT的患者的无进展生存期(PFS)和无事件生存期(EFS)中位数分别为35.2个月和31.6个月(总生存期[OS]未达到)。不符合条件的患者的PFS、EFS和OS中位数分别为4.3个月、4.3个月和6.9个月,符合条件但无法接受ASCT的患者的PFS、EFS和OS中位数分别为2.7个月、2.6个月和9.4个月。这凸显了无法接受ASCT的患者对替代疗法的未满足需求。