Allogeneic Hematopoietic Stem Cell Transplantation in Transformed Follicular Lymphoma (tFL): Results of a Retrospective Multicenter Study from GELTAMO/GETH-TC Spanish Groups

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Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Rey-Bua, Beatriz
  • Cabrero, Monica
  • Bento, Leyre
  • Bastos-Oreiro, Mariana
  • Parody, Rocio
  • Yanez, Lucrecia
  • Lopez-Godino, Oriana
  • Zanabili, Joud
  • Herrera, Pilar
  • Gutierrez, Gonzalo
  • Perez, Ariadna
  • Pinana, Jose L.
  • Novelli, Silvana
  • Cortes, Maria
  • Sureda, Ana Maria
  • Caballero, Dolores
  • Martin Garcia-Sancho, Alejandro

Grupos

Abstract

BACKGROUND: Transformation of follicular lymphoma into an aggressive lymphoma (tFL) worsens the prognosis and the standard treatment is not completely defined. Allogeneic hematopoietic stem cell transplantation (alloSCT) could be a potentially curative option for these patients, but it has not been widely explored. METHODS: We designed a retrospective multicenter study to analyze the efficacy and toxicity of alloSCT in tFL patients and potential prognostic factors of survival. RESULTS: A total of 43 patients diagnosed with tFL who underwent alloSCT in 14 Spanish centers between January 2000 and January 2019 were included. Median age was 44 (31-67) years. After a median follow-up of 58 months, estimated 5-year overall survival (OS) and progression-free survival (PFS) were both 35%. Estimated 100-day and 1-year non-relapse mortality (NRM) were 20% and 34%, respectively. The type of conditioning regimen (3-year OS of 52% vs. 20%, respectively, for reduced-intensity vs. myeloablative conditioning) and development of chronic graft versus host disease (cGVHD) (3-year OS of 75% vs. 40%) were the only factors significantly associated with OS. The only variable with an independent association with OS was cGVHD (HR, 3.4; 95% CI, 1.2-9.6). CONCLUSIONS: Our results indicate that alloSCT continues to be a potentially curative option for patients with tFL.

Datos de la publicación

ISSN/ISSNe:
2072-6694, 2072-6694

Cancers  MDPI

Tipo:
Article
Páginas:
-
PubMed:
36428762
Factor de Impacto:
1,349 SCImago
Cuartil:
Q1 SCImago

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Keywords

  • allogeneic stem cell transplantation; follicular lymphoma; non-Hodgkin lymphoma; transformed lymphoma

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