Allogeneic hematopoietic cell transplantation ...
Document type :
Article dans une revue scientifique: Article original
PMID :
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Title :
Allogeneic hematopoietic cell transplantation in patients with myeloid/lymphoid neoplasm with FGFR1-rearrangement: a study of the Chronic Malignancies Working Party of EBMT.
Author(s) :
Hernández-Boluda, J. C. [Auteur]
Pereira, A. [Auteur]
Zinger, N. [Auteur]
Gras, L. [Auteur]
Martino, R. [Auteur]
Paneesha, S. [Auteur]
Finke, J. [Auteur]
Chinea, A. [Auteur]
Rambaldi, A. [Auteur]
Robin, Marie [Auteur]
Hopital Saint-Louis [AP-HP] [AP-HP]
Saccardi, R. [Auteur]
Natale, A. [Auteur]
Snowden, J. A. [Auteur]
Tsirigotis, P. [Auteur]
Vallejo, C. [Auteur]
Wulf, G. [Auteur]
Xicoy, B. [Auteur]
Russo, D. [Auteur]
Maertens, J. [Auteur]
Daguindau, Etienne [Auteur]
Hôpital JeanMinjoz
Lenhoff, S. [Auteur]
Hayden, P. [Auteur]
Czerw, T. [Auteur]
Mclornan, D. P. [Auteur]
Yakoub-Agha, Ibrahim [Auteur]
Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286
Pereira, A. [Auteur]
Zinger, N. [Auteur]
Gras, L. [Auteur]
Martino, R. [Auteur]
Paneesha, S. [Auteur]
Finke, J. [Auteur]
Chinea, A. [Auteur]
Rambaldi, A. [Auteur]
Robin, Marie [Auteur]
Hopital Saint-Louis [AP-HP] [AP-HP]
Saccardi, R. [Auteur]
Natale, A. [Auteur]
Snowden, J. A. [Auteur]
Tsirigotis, P. [Auteur]
Vallejo, C. [Auteur]
Wulf, G. [Auteur]
Xicoy, B. [Auteur]
Russo, D. [Auteur]
Maertens, J. [Auteur]
Daguindau, Etienne [Auteur]
Hôpital JeanMinjoz
Lenhoff, S. [Auteur]
Hayden, P. [Auteur]
Czerw, T. [Auteur]
Mclornan, D. P. [Auteur]
Yakoub-Agha, Ibrahim [Auteur]
Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286
Journal title :
Bone Marrow Transplantation
Abbreviated title :
Bone Marrow Transplant
Publication date :
2022-01-27
ISSN :
1476-5365
HAL domain(s) :
Sciences du Vivant [q-bio]
English abstract : [en]
Allogeneic hematopoietic cell transplantation (allo-HCT) is the only curative treatment for patients with myeloid/lymphoid neoplasm (MLN) with FGFR1 rearrangement, but data on overall results are limited. We report on the ...
Show more >Allogeneic hematopoietic cell transplantation (allo-HCT) is the only curative treatment for patients with myeloid/lymphoid neoplasm (MLN) with FGFR1 rearrangement, but data on overall results are limited. We report on the largest series of patients (n = 22) with FGFR1-rearranged MLN undergoing allo-HCT. Distribution according to cytogenetic subtype was: t(8;13) in 11 cases, t(8;22) in 7 cases, t(6;8) in 2 cases, and other (n = 2). Over a third of patients displayed a chronic myeloproliferative (MPN) phenotype, another third showed MPN features with concomitant lymphoma or acute leukemia, and the remaining ones presented as acute leukemia. After a median follow-up of 4.1 years from transplant, the estimated 5-year survival rate, progression-free survival, non-relapse mortality and relapse incidence was 74%, 63%, 14% and 23%, respectively. Causes of death were relapse/progression (n = 4), graft-versus-host disease (n = 2) and organ toxicity (n = 1). Six patients experienced disease relapse at a median of 6.1 months (range: 2.3–119.6). Two of them achieved complete remission with ponatinib or pemigatinib and were alive at 34.5 and 37 months from relapse, respectively. These data highlight the significant curative potential of allo-HCT in this aggressive disease. Maintenance with tyrosine kinase inhibitors may be a promising approach, at least in cases with detectable residual disease after transplant.Show less >
Show more >Allogeneic hematopoietic cell transplantation (allo-HCT) is the only curative treatment for patients with myeloid/lymphoid neoplasm (MLN) with FGFR1 rearrangement, but data on overall results are limited. We report on the largest series of patients (n = 22) with FGFR1-rearranged MLN undergoing allo-HCT. Distribution according to cytogenetic subtype was: t(8;13) in 11 cases, t(8;22) in 7 cases, t(6;8) in 2 cases, and other (n = 2). Over a third of patients displayed a chronic myeloproliferative (MPN) phenotype, another third showed MPN features with concomitant lymphoma or acute leukemia, and the remaining ones presented as acute leukemia. After a median follow-up of 4.1 years from transplant, the estimated 5-year survival rate, progression-free survival, non-relapse mortality and relapse incidence was 74%, 63%, 14% and 23%, respectively. Causes of death were relapse/progression (n = 4), graft-versus-host disease (n = 2) and organ toxicity (n = 1). Six patients experienced disease relapse at a median of 6.1 months (range: 2.3–119.6). Two of them achieved complete remission with ponatinib or pemigatinib and were alive at 34.5 and 37 months from relapse, respectively. These data highlight the significant curative potential of allo-HCT in this aggressive disease. Maintenance with tyrosine kinase inhibitors may be a promising approach, at least in cases with detectable residual disease after transplant.Show less >
Language :
Anglais
Peer reviewed article :
Oui
Audience :
Internationale
Popular science :
Non
Administrative institution(s) :
Université de Lille
Inserm
CHU Lille
Inserm
CHU Lille
Submission date :
2024-01-12T02:26:46Z
2024-03-08T15:29:46Z
2024-03-08T15:29:46Z
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