Article ; Online: Do all patients with primary refractory/first relapse of HL need autologous stem cell transplant?
Hematology. American Society of Hematology. Education Program
2022 Volume 2022, Issue 1, Page(s) 699–705
Abstract: The standard approach to treatment of primary refractory/first relapse of classical Hodgkin lymphoma (cHL) is administration of second-line therapy (SLT) followed by consolidation with high-dose therapy and autologous hematopoietic cell transplantation ( ... ...
Abstract | The standard approach to treatment of primary refractory/first relapse of classical Hodgkin lymphoma (cHL) is administration of second-line therapy (SLT) followed by consolidation with high-dose therapy and autologous hematopoietic cell transplantation (HDT/AHCT). Historically, this approach cured about 50% of patients. Due to improvements in supportive care, positron emission tomography-adaptive strategies, and incorporation of novel agents into SLT, contemporary studies show that about 75% of patients with primary refractory or first relapse of cHL can be cured. Recent studies evaluating incorporation of PD-1 blockade in SLT appear to show even further improvement in remission rates and bring into question whether an aggressive approach that includes HDT/AHCT is needed for everyone. To address this question, several ongoing studies are beginning to explore the possibility of avoiding or delaying HDT/AHCT for patients with primary refractory or first relapse of cHL. |
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MeSH term(s) | Humans ; Neoplasm Recurrence, Local/therapy ; Neoplasm Recurrence, Local/pathology ; Treatment Outcome ; Hodgkin Disease/diagnostic imaging ; Hodgkin Disease/therapy ; Hodgkin Disease/pathology ; Transplantation, Autologous ; Hematopoietic Stem Cell Transplantation ; Stem Cell Transplantation ; Antineoplastic Combined Chemotherapy Protocols/therapeutic use |
Language | English |
Publishing date | 2022-12-09 |
Publishing country | United States |
Document type | Journal Article ; Research Support, Non-U.S. Gov't |
ZDB-ID | 2084287-9 |
ISSN | 1520-4383 ; 1520-4391 |
ISSN (online) | 1520-4383 |
ISSN | 1520-4391 |
DOI | 10.1182/hematology.2022000365 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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