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Clofarabine monotherapy in aggressive, relapsed and refractory Langerhans cell histiocytosis
Ist Teil von
British journal of haematology, 2024-05, Vol.204 (5), p.1888-1893
Ort / Verlag
England: Blackwell Publishing Ltd
Erscheinungsjahr
2024
Link zum Volltext
Quelle
Wiley Online Library All Journals
Beschreibungen/Notizen
Summary
Over 50% of patients with systemic LCH are not cured with front‐line therapies, and data to guide salvage options are limited. We describe 58 patients with LCH who were treated with clofarabine. Clofarabine monotherapy was active against LCH in this cohort, including heavily pretreated patients with a systemic objective response rate of 92.6%, higher in children (93.8%) than adults (83.3%). BRAFV600E+ variant allele frequency in peripheral blood is correlated with clinical responses. Prospective multicentre trials are warranted to determine optimal dosing, long‐term efficacy, late toxicities, relative cost and patient‐reported outcomes of clofarabine compared to alternative LCH salvage therapy strategies.