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The effectiveness and reliability of autologous hematopoietic stem cell transplantation following chemotherapy in managing malignant lymphoma: a meta-analysis.

作者信息

Ahmed Hend, Shafiey Ahmed S, Abdelrahim Mohamed E A

机构信息

Faculty of Pharmacy, Beni-Suef University, Beni-Suef, Egypt.

Clinical Pharmacy Department, Faculty of Pharmacy, Beni-Suef University, Beni-Suef, Egypt.

出版信息

Discov Oncol. 2025 Feb 13;16(1):175. doi: 10.1007/s12672-025-01876-x.


DOI:10.1007/s12672-025-01876-x
PMID:39945929
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11825413/
Abstract

BACKGROUND: Autologous hematopoietic stem cell transplantation (AHSCT) is a valuable treatment option for several hematological malignancies, particularly in relapsed or refractory cases. Autologous hematopoietic stem cell transplantation (AHSCT) is effective in improving survival rates in selected patients, particularly those with aggressive lymphomas and multiple myeloma. Studies suggest AHSCT may outperform alternative therapies, but ongoing research is essential to refine patient selection. Many patients enjoy prolonged remission and improved quality of life, indicating the need for long-term follow-up to assess late effects and overall survival. This work aimed to establish meta-analysis to methodically evaluate the safety and effectiveness of autologous stem cell therapy (AHSCT) in the management of malignant lymphoma following high-dose chemotherapy and to produce reliable findings that may serve as a foundation for clinical application and reference. METHODS: A systematic literature search was performed from February 2017 to August 2024, and malignant lymphoma was identified as the study subjects' diagnosis. The experimental group was identified as AHSCT afterwards high-dose chemotherapy, while the control group underwent standard chemotherapy (with no restrictions on the chemotherapy regimen). The outcome indicators were progression-free survival (PFS), complete remission rate (complete response (CR) + partial response (PR)), and overall survival (OS). RESULTS: Fifteen literature pieces in all, consisting of 1229 subjects in the control group and 896 subjects in the experimental group, were included. Conventional chemotherapy (chemotherapy regimen not limited) was the intervention strategy used in the control group. The odds ratio (OR) was 2.23, with a 95% confidence interval (CI) of [1.54, 3.22], Z = 4.25; P < 0.0001, indicating that the groups differed in overall survival and progression-free survival rates. Similarly, the progression-free survival rate was 2.70, with a 95% CI of 1.86-3.92, Z = 4.25; P < 0.0001, and overall survival was 2.23. CONCLUSIONS: Patients with malignant lymphoma who receive chemotherapy can substantially extend their overall survival and progression-free survival rates with AHSCT treatment.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/971e/11825413/8e5bb015a7dd/12672_2025_1876_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/971e/11825413/fd5d795e757c/12672_2025_1876_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/971e/11825413/bb8eaafce89d/12672_2025_1876_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/971e/11825413/fb9c329e90dc/12672_2025_1876_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/971e/11825413/63b6612ae2ed/12672_2025_1876_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/971e/11825413/72f1e1ffb3ec/12672_2025_1876_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/971e/11825413/8e5bb015a7dd/12672_2025_1876_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/971e/11825413/fd5d795e757c/12672_2025_1876_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/971e/11825413/bb8eaafce89d/12672_2025_1876_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/971e/11825413/fb9c329e90dc/12672_2025_1876_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/971e/11825413/63b6612ae2ed/12672_2025_1876_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/971e/11825413/72f1e1ffb3ec/12672_2025_1876_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/971e/11825413/8e5bb015a7dd/12672_2025_1876_Fig6_HTML.jpg

相似文献

[1]
The effectiveness and reliability of autologous hematopoietic stem cell transplantation following chemotherapy in managing malignant lymphoma: a meta-analysis.

Discov Oncol. 2025-2-13

[2]
Efficacy and safety of autologous hematopoietic stem cell transplantation in the treatment of malignant lymphoma after chemotherapy: a systematic review and meta-analysis.

Transl Cancer Res. 2022-4

[3]
Long-term follow-up after autologous hematopoietic stem cell transplantation for low-grade non-Hodgkin lymphoma.

Biol Blood Marrow Transplant. 2005-2

[4]
[Effect and Safety of a New Conditioning Regimen with Chidamide and BEAM for Autologous Hematopoietic Stem Cell Transplantation in Lymphoma].

Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2025-2

[5]
Evaluation of the Impact of Autologous Hematopoietic Stem Cell Transplantation on the Quality of Life of Older Patients with Lymphoma.

Biol Blood Marrow Transplant. 2020-1

[6]
[Combination of high-dose chemotherapy with autologous hematopoietic stem cell transplantation for recurrent and high-risk breast cancer: a pilot study].

Zhonghua Yi Xue Za Zhi. 1999-12

[7]
Autologous hematopoietic stem cell transplantation for relapsed follicular lymphoma: safety profile and clinical outcome in a single-center experience.

Med Oncol. 2014-12

[8]
Treatment of relapsed aggressive lymphomas: regimens with and without high-dose therapy and stem cell rescue.

Cancer Chemother Pharmacol. 2002-5

[9]
[Efficacy and Safety of BeEAM, a Conditioning Regimen for Autologous Stem Cell Transplantation in Malignant Lymphoma].

Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2025-2

[10]
A Retrospective Comparison of Mitoxantrone-Melphalan and BEAM Conditioning Regimens Before Autologous Hematopoietic Stem Cell Transplantation in Relapsed/Refractory Lymphoma Patients.

Indian J Hematol Blood Transfus. 2022-1

本文引用的文献

[1]
Ibrutinib combined with immunochemotherapy with or without autologous stem-cell transplantation versus immunochemotherapy and autologous stem-cell transplantation in previously untreated patients with mantle cell lymphoma (TRIANGLE): a three-arm, randomised, open-label, phase 3 superiority trial of the European Mantle Cell Lymphoma Network.

Lancet. 2024-5-25

[2]
High-dose chemotherapy and autologous haematopoietic stem-cell transplantation in older, fit patients with primary diffuse large B-cell CNS lymphoma (MARTA): a single-arm, phase 2 trial.

Lancet Haematol. 2024-3

[3]
Survival Outcomes for Patients with Relapsed/ Refractory Aggressive B Cell Lymphomas Following Receipt of High-Dose Chemotherapy/Autologous Stem Transplantation and/or Chimeric Antigen Receptor-Modified T Cells.

Transplant Cell Ther. 2023-8

[4]
Long-Term Survival of Patients with Mantle Cell Lymphoma after Total Body Irradiation, High-Dose Chemotherapy and Stem Cell Transplantation: A Monocenter Study.

Cancers (Basel). 2023-2-3

[5]
Reduced-dose WBRT as consolidation treatment for patients with primary CNS lymphoma: an LOC network study.

Blood Adv. 2022-8-23

[6]
Efficacy and safety of autologous hematopoietic stem cell transplantation in the treatment of malignant lymphoma after chemotherapy: a systematic review and meta-analysis.

Transl Cancer Res. 2022-4

[7]
High-Dose Chemotherapy with Autologous Hematopoietic Stem Cell Transplantation in Relapsed or Refractory Primary CNS Lymphoma: A Retrospective Monocentric Analysis of Long-Term Outcome, Prognostic Factors, and Toxicity.

Cancers (Basel). 2022-4-23

[8]
Long-term remissions in patients with early relapse of diffuse large B-cell lymphoma following high-dose chemotherapy, autologous stem cell transplantation, and radiotherapy of residual disease.

Strahlenther Onkol. 2022-1

[9]
BuCyE can safely replace BEAM as a conditioning regimen for autologous stem cell transplantation in the treatment of refractory and relapsed lymphomas.

Leuk Res. 2021-11

[10]
R-CHOP intensification with mid-cycle methotrexate and consolidating AraC/TT with BCNU/aHSCT in primary aggressive lymphoma with CNS involvement.

J Cancer Res Clin Oncol. 2022-1

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