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成功使用本妥昔单抗治疗难治性间变性大细胞淋巴瘤,作为单倍体造血干细胞移植的桥接治疗及移植后维持治疗。

Successful use of brentuximab vedotin for refractory anaplastic large cell lymphoma as a bridging therapy to haploidentical stem cell transplantation and maintenance therapy post-transplantation.

作者信息

Koh Kyung-Nam, Im Ho Joon, Suh Jin Kyung, Lee Seong Wook, Choi Eun Seok, Seo Jong Jin

机构信息

Division of Pediatric Hematology/Oncology, Department of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Seoul, Korea.

出版信息

Pediatr Blood Cancer. 2015 Jun;62(6):1063-5. doi: 10.1002/pbc.25351. Epub 2015 Jan 16.

Abstract

Brentuximab vedotin (BV) is a monoclonal antibody-drug conjugate that targets CD30, and has been reported to be effective for relapsed/refractory anaplastic large cell lymphoma. We here report a patient who experienced multiple relapses after conventional chemotherapy and autologous hematopoietic stem cell transplantation (HSCT). He achieved a complete metabolic response with BV and proceeded to undergo haploidentical HSCT. After HSCT, he received three doses of BV to prevent an early relapse, and remains in remission 16 months post-transplantation. Our case suggests the potential use of BV both as a bridging therapy to allogeneic HSCT and as a maintenance therapy post-transplantation.

摘要

本妥昔单抗(BV)是一种靶向CD30的单克隆抗体药物偶联物,据报道对复发/难治性间变性大细胞淋巴瘤有效。我们在此报告一名患者,其在接受传统化疗和自体造血干细胞移植(HSCT)后经历了多次复发。他使用BV后获得了完全代谢缓解,并继续接受单倍体HSCT。HSCT后,他接受了三剂BV以预防早期复发,移植后16个月仍处于缓解状态。我们的病例表明BV有可能作为异基因HSCT的桥接治疗以及移植后的维持治疗。

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