Division of Hematology, Department of Internal Medicine, James Comprehensive Cancer Center, The Ohio State University Wexner Medical Center, 2121 Kenny Road, Room 7168, Columbus, OH, 43210, USA.
Curr Hematol Malig Rep. 2024 Dec;19(6):276-284. doi: 10.1007/s11899-024-00743-w. Epub 2024 Oct 19.
Given the poor outcomes for peripheral T-cell lymphomas (PTCL), stem cell transplant (SCT) remains an important therapeutic approach. Post-SCT relapse is common and maintenance therapy post-SCT is increasingly being utilized. Here we review the use of post-SCT maintenance therapy for PTCL patients.
Maintenance therapy is increasingly utilized to decrease post-SCT relapse and improve outcomes in PTCL. Ongoing and completed post-SCT maintenance trials utilizing agents such as romidepsin, brentuximab vedotin, duvelisib, and pembrolizumab have shown efficacy in decreasing relapse. Further, additional agents with efficacy in PTCL have emerged that may inform future maintenance approaches. Maintenance therapy is a promising approach to maintain response after SCT in PTCL. While several trials are ongoing to evaluate maintenance therapy in PTCL, current data suggests this may be an effective method to decrease post-SCT relapse.
鉴于外周 T 细胞淋巴瘤 (PTCL) 的预后较差,干细胞移植 (SCT) 仍然是一种重要的治疗方法。SCT 后复发很常见,SCT 后维持治疗越来越多地被应用。本文回顾了 SCT 后维持治疗在 PTCL 患者中的应用。
维持治疗越来越多地被用于降低 SCT 后复发率并改善 PTCL 的预后。正在进行和已完成的 SCT 后维持试验中,使用罗米地辛、 Brentuximab vedotin、duvelisib 和 pembrolizumab 等药物,已显示出降低复发的疗效。此外,还出现了其他在 PTCL 中具有疗效的药物,这可能为未来的维持治疗方法提供信息。维持治疗是 PTCL 患者 SCT 后维持缓解的一种很有前途的方法。虽然有几个试验正在评估 PTCL 中的维持治疗,但目前的数据表明,这可能是降低 SCT 后复发的有效方法。