Bendamustine for the treatment of relapsed ...
Document type :
Article dans une revue scientifique
PMID :
Permalink :
Title :
Bendamustine for the treatment of relapsed or refractory peripheral T cell lymphomas: A French retrospective multicenter study
Author(s) :
Reboursiere, Emilie [Auteur]
CHU Caen
Le Bras, Fabien [Auteur]
Hôpital Henri Mondor
Herbaux, Charles [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Gyan, Emmanuel [Auteur]
Clavert, Aline [Auteur]
Morschhauser, Franck [Auteur]
Groupe de Recherche sur les formes Injectables et les Technologies Associées - ULR 7365 [GRITA]
Malak, Sandra [Auteur]
Institut Curie [Paris]
Sibon, David [Auteur]
Imagine - Institut des maladies génétiques (IHU) [Imagine - U1163]
Broussais, Florence [Auteur]
Braun, Thorsten [Auteur]
Fornecker, Luc-Matthieu [Auteur]
Garidi, Reda [Auteur]
Tricot, Sabine [Auteur]
Houot, Roch [Auteur]
Joly, Bertrand [Auteur]
Abarah, Wajed [Auteur]
Choufi, Bachra [Auteur]
Pham, Anne-Dominique [Auteur]
Hôpital Européen Georges Pompidou [APHP] [HEGP]
Gac, Anne-Claire [Auteur]
Fruchart, Christophe [Auteur]
Marin, Emilie [Auteur]
CHU Caen
Safar, Violaine [Auteur]
Parcelier, Anne [Auteur]
CHU Amiens-Picardie
Maisonneuve, Herve [Auteur]
Centre Hospitalier Départemental - Hôpital de La Roche-sur-Yon [CHD Vendée]
Bachy, Emmanuel [Auteur]
Cartron, Guillaume [Auteur]
Jaccard, Arnaud [Auteur]
Tournilhac, Olivier [Auteur]
Rossi, Cedric [Auteur]
Service d'Hématologie Clinique (CHU de Dijon)
Schirmer, Luciane [Auteur]
Martignoles, Jean-Alain [Auteur]
Gaulard, Philippe [Auteur]
Tilly, Herve [Auteur]
Groupe d'étude des proliférations lymphoïdes [GPL]
Damaj, Gandhi [Auteur]
Lymphoma Study Association Lysa, Centers [Auteur]
CHU Caen
Le Bras, Fabien [Auteur]
Hôpital Henri Mondor
Herbaux, Charles [Auteur]

Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Gyan, Emmanuel [Auteur]
Clavert, Aline [Auteur]
Morschhauser, Franck [Auteur]

Groupe de Recherche sur les formes Injectables et les Technologies Associées - ULR 7365 [GRITA]
Malak, Sandra [Auteur]
Institut Curie [Paris]
Sibon, David [Auteur]
Imagine - Institut des maladies génétiques (IHU) [Imagine - U1163]
Broussais, Florence [Auteur]
Braun, Thorsten [Auteur]
Fornecker, Luc-Matthieu [Auteur]
Garidi, Reda [Auteur]
Tricot, Sabine [Auteur]
Houot, Roch [Auteur]
Joly, Bertrand [Auteur]
Abarah, Wajed [Auteur]
Choufi, Bachra [Auteur]
Pham, Anne-Dominique [Auteur]
Hôpital Européen Georges Pompidou [APHP] [HEGP]
Gac, Anne-Claire [Auteur]
Fruchart, Christophe [Auteur]
Marin, Emilie [Auteur]
CHU Caen
Safar, Violaine [Auteur]
Parcelier, Anne [Auteur]
CHU Amiens-Picardie
Maisonneuve, Herve [Auteur]
Centre Hospitalier Départemental - Hôpital de La Roche-sur-Yon [CHD Vendée]
Bachy, Emmanuel [Auteur]
Cartron, Guillaume [Auteur]
Jaccard, Arnaud [Auteur]
Tournilhac, Olivier [Auteur]
Rossi, Cedric [Auteur]
Service d'Hématologie Clinique (CHU de Dijon)
Schirmer, Luciane [Auteur]
Martignoles, Jean-Alain [Auteur]
Gaulard, Philippe [Auteur]
Tilly, Herve [Auteur]
Groupe d'étude des proliférations lymphoïdes [GPL]
Damaj, Gandhi [Auteur]
Lymphoma Study Association Lysa, Centers [Auteur]
Journal title :
Oncotarget
Abbreviated title :
Oncotarget
Volume number :
7
Pages :
85573-85583
Publication date :
2016-12
ISSN :
1949-2553
HAL domain(s) :
Sciences du Vivant [q-bio]
English abstract : [en]
Peripheral T-cell lymphoma (PTCL) is a group of diseases with poor outcome and few therapeutic options. We aimed to assess the efficacy of bendamustine in real life cohort of patients.Between November 2009 and March 2015, ...
Show more >Peripheral T-cell lymphoma (PTCL) is a group of diseases with poor outcome and few therapeutic options. We aimed to assess the efficacy of bendamustine in real life cohort of patients.Between November 2009 and March 2015, 138 PTCL patients were treated with bendamustine in 27 centers. Population median age was 64 (28-89) years with male/female ratio of 1.4. There were mainly angio-immunoblastic (AITL = 71), PTCL-not otherwise specified (PTCL-NOS = 40) and anaplastic large cell lymphoma (ALCL = 8). The majority of patients (96%) had disseminated disease and extranodal localizations (77%). Median number of chemotherapy lines prior to bendamustine was 2 (1-8). Median duration of response (DoR) after the last chemotherapy prior to bendamustine was 4.3 months (1-70) and 50% of patients had refractory disease.Median number of administered bendamustine cycles was 2 (1-8) and 72 patients (52%) received less than 3 mostly because of disease progression. Median dose was 90 (50-150) mg/m². Overall response rate (ORR) was 32.6% with complete response (CR) rate of 24.6% and median DoR was 3.3 months (1-39). AITL patients were more sensitive than PTCL-NOS patients (ORR: 45.1 versus 20%, p = 0.01). Median PFS and OS were 3.1 (0.2-46.3) and 4.4 (0.2-55.4) months. On multivariate analysis, refractory disease (p = 0.001) and extranodal localization (p = 0.028) adversely influenced ORR. Grade 3-4 thrombocytopenia, neutropenia and infections were reported in 22, 17 and 23% of cases respectively.Bendamustine as single agent could be considered as a therapeutic option for relapsed or refractory PTCL, particularly in chemosensitive or AITL patients. Combinations of bendamustine with other drugs warrant further evaluation.Show less >
Show more >Peripheral T-cell lymphoma (PTCL) is a group of diseases with poor outcome and few therapeutic options. We aimed to assess the efficacy of bendamustine in real life cohort of patients.Between November 2009 and March 2015, 138 PTCL patients were treated with bendamustine in 27 centers. Population median age was 64 (28-89) years with male/female ratio of 1.4. There were mainly angio-immunoblastic (AITL = 71), PTCL-not otherwise specified (PTCL-NOS = 40) and anaplastic large cell lymphoma (ALCL = 8). The majority of patients (96%) had disseminated disease and extranodal localizations (77%). Median number of chemotherapy lines prior to bendamustine was 2 (1-8). Median duration of response (DoR) after the last chemotherapy prior to bendamustine was 4.3 months (1-70) and 50% of patients had refractory disease.Median number of administered bendamustine cycles was 2 (1-8) and 72 patients (52%) received less than 3 mostly because of disease progression. Median dose was 90 (50-150) mg/m². Overall response rate (ORR) was 32.6% with complete response (CR) rate of 24.6% and median DoR was 3.3 months (1-39). AITL patients were more sensitive than PTCL-NOS patients (ORR: 45.1 versus 20%, p = 0.01). Median PFS and OS were 3.1 (0.2-46.3) and 4.4 (0.2-55.4) months. On multivariate analysis, refractory disease (p = 0.001) and extranodal localization (p = 0.028) adversely influenced ORR. Grade 3-4 thrombocytopenia, neutropenia and infections were reported in 22, 17 and 23% of cases respectively.Bendamustine as single agent could be considered as a therapeutic option for relapsed or refractory PTCL, particularly in chemosensitive or AITL patients. Combinations of bendamustine with other drugs warrant further evaluation.Show less >
Language :
Anglais
Audience :
Internationale
Popular science :
Non
Administrative institution(s) :
Université de Lille
CHU Lille
CHU Lille
Collections :
Research team(s) :
Innovation/évaluation des médicaments injectables
Submission date :
2019-02-26T17:07:22Z
2022-02-02T11:15:22Z
2022-02-02T11:15:22Z