Details

Autor(en) / Beteiligte

• García-Noblejas, A.
• Cannata-Ortiz, J.
• Conde, E.
• González Barca, E.
• Gutiérrez, N.
• Rojas, R.
• Vidal, M.J.
• Ramírez, M.J.
• Jiménez-Ubieto, A.
• García-Ruiz, J.C.
• Sancho, J. M.
• López, A.
• Ríos Rull, P.
• Novelli, S.
• Albo, C.
• Debén, G.
• López-Guillermo, A.
• Nicolás, C.
• González de Villambrosia, S.
• Mercadal, S.
• Martín García-Sancho, A.
• Arranz, R.

Titel

Autologous stem cell transplantation (ASCT) in patients with mantle cell lymphoma: a retrospective study of the Spanish lymphoma group (GELTAMO)

Ist Teil von

• Annals of hematology, 2017-08, Vol.96 (8), p.1323-1330

Ort / Verlag

Berlin/Heidelberg: Springer Berlin Heidelberg

Erscheinungsjahr

2017

Quelle

MEDLINE

Beschreibungen/Notizen

• Guidelines recommend autologous stem cell transplantation (ASCT) consolidation in first complete or partial response after regimens including rituximab (R) and high-dose AraC (HDAC), but its use beyond that response is questioned. We present a retrospective analysis of 268 patients with MCL who received ASCT. With a median follow-up for survival patients of 54 months, progression-free survival and overall survival for the whole series were 38 and 74 months, respectively, and for patients transplanted in first CR 49 and 97 months, respectively. Patients without CR before transplant were analyzed separately, those who achieved CR after transplantation had better PFS (48 vs 0.03 months, p  < 0.001) and OS (92 vs 16 months, p  < 0.001) than the remaining. In univariate analysis, first CR at transplant ( p  = 0.01) and prior rituximab ( p  = 0.02) were the variables associated with PFS. For OS, the same variables resulted significant ( p  = 0.03 and p  < 0.001, respectively). In multivariate analysis, only the status at transplant (first CR) remained significant. This retrospective study concludes that ASCT consolidation in first CR induces high survival rates. In other stages of disease, the need of ASCT as consolidation may be questioned.