November 2024
·
24 Reads
This page lists works of an author who doesn't have a ResearchGate profile or hasn't added the works to their profile yet. It is automatically generated from public (personal) data to further our legitimate goal of comprehensive and accurate scientific recordkeeping. If you are this author and want this page removed, please let us know.
November 2024
·
24 Reads
April 2024
·
7 Reads
February 2024
·
63 Reads
We report the outcome of 563 cases of newly diagnosed lymphoma registered in 2019–2021, including 176 cases (31.2%) of Hodgkin lymphoma (HL), 130 (23.1%) of diffuse large B‐cell lymphoma (DLBCL), 28 (5%) of follicular lymphoma (FL), 16 (2.9%) of mantle cell lymphoma (MCL) and 20 (3.5%) of peripheral T‐cell lymphoma (PTCL). After a median follow‐up of 30.1 months (95% CI: 28.8–31.3), the 3‐year overall survival rates were 95%, 83%, 86%, 100%, 61% and 42% for HL, DLBCL, CLL, FL, MCL and PTCL respectively. These data offer valuable information on the curability of lymphoma patients in Ukraine, in a real‐world setting.
September 2023
·
9 Reads
Clinical Lymphoma, Myeloma and Leukemia
September 2023
·
19 Reads
Clinical Lymphoma, Myeloma and Leukemia
August 2023
·
111 Reads
·
3 Citations
August 2023
·
35 Reads
June 2023
·
86 Reads
·
6 Citations
Journal of Clinical Oncology
LBA7505 Background: Primary mediastinal B-cell lymphoma (PMBCL) has a good prognosis if remission is rapidly achieved with dose‐intensive immunochemotherapy. In these patients mediastinal radiotherapy (RT) may consolidate responses; however, it increases the risk of second malignancies and coronary or valvular heart disease. The IELSG37 trial was planned with a non-inferiority design to test whether RT can be omitted in patients who achieve a complete metabolic response (CMR) after immunochemotherapy. Methods: Patients with newly diagnosed PMBCL were eligible. Initial rituximab and anthracycline-based therapy was chosen according to local practice. CMR was defined, upon central review of positron emission computed tomography (PET/CT) scans, as Deauville score 1 to 3, according to the Lugano classification. Responding patients were randomized to observation (OBS) or consolidation RT (30 Gy). Randomization was stratified on gender, chemotherapy regimen, country, and PET/CT score. The primary endpoint was progression-free survival (PFS) after randomization. The sample size (540 patients to enrol, and 376 to randomize) was calculated assuming a 30-month PFS probability of 0.85 in both arms, with alpha at 0.05, 80% power and a hazard ratio (HR) of 1.77 as non-inferiority margin. Results: At a median follow-up of 30 months, the number of observed events was considerably lower than expected, hence, the Independent Data Monitoring Committee (IDMC) of the trial recommended to complete the planned total accrual without increasing the study size or duration. The primary endpoint analysis was performed, according to the IDMC recommendation, with ≥80% of patients having a minimum follow-up of 30 months. 545 patients (209 men, 336 women) were enrolled. Induction immunochemotherapy was completed and response assessed in 530 patients, 268 of them (50.6%) achieved a CMR and were randomly allocated to OBS (n = 132) or RT (n = 136). The PFS at 30 months was 98.5% (95%CI, 94.3 – 99.6) in the RT arm and 96.2% (95%CI, 91.1-98.4) in the OBS arm (P = 0.278). The estimated relative effect of radiotherapy vs observation in terms of hazard ratio (HR) was 0.47 (0.12-1.89) without adjustments and 0.79 (0.19-3.31) after stratification for the variables used for randomization. At 30 months the absolute risk reduction from RT was 2.3% (-1.5 to 6.2) unadjusted, and 0.8% (-3.0 to 8.3) with stratified HR. The number needed to treat is high (43 patients, unadjusted, and 126 after stratification). The 5-year overall survival was 99% in both arms. Longer follow-up is needed to examine late toxicity. Conclusions: This study is the largest prospective study of PMBCL ever conducted and although the event rate did not reach the assumed level, its evidence supports the omission of RT in patients achieving a CMR after immunochemotherapy.
June 2023
·
45 Reads
·
3 Citations
Hematological Oncology
June 2023
·
8 Reads
·
2 Citations
Hematological Oncology
... 24 , 47 , 64 , 66 , 71 , 87-90 Particularly for primary mediastinal B-cell lymphoma (PMBCL), recent studies suggest that RT may not be necessary for patients who achieve CMR. [87][88][89][90] Importantly, it is often observed that the PFS rates for these PMBCL patients exceed 90%. Based on these findings, an RT benefit in patients with unfavorable prognoses (PFS ≤ 80%) requires urgent confirmation in RCTs. ...
August 2023
... In a study of 268 patients with CMR (complete metabolic response) -defined as a Deauville score of 1 to 3 according to the Lugano classification -after treatment with rituximab and anthracycline-based therapy, and who were randomized to either OBS (observation) (n = 132) or RT (n = 136), PFS at 30 months was 96.2% vs. 98.5%. The 5-year overall survival was 99% in both arms [37]. ...
June 2023
Journal of Clinical Oncology
... Thus, RT in EoT-PETnegative patients after R-da-EPOCH is clearly clinically irrelevant with a number need-to-treat of 51. These findings are in line with the recent International Extranodal Lymphoma Study Group (IELSG)-37 study, 20 validate the original R-da-EPOCH dataset, 7 and suggest that the omission of RT remains valid even if the strict escalation process is violated in a sizeable minority of them, as often seen in real-life. 13 Patients with D5PSS-4 EoT-PET were not irradiated in the combined NCI/Stanford series with only 1 of 17 progressing and successfully salvaged with resection alone. ...
June 2023
Hematological Oncology
... Additionally, there are conflicting findings across different datasets regarding the predictive power of TMTV [18,19] and SUVmax [20,21]. Ceriani et al. [22] showed that glucose consumption via Total Lesion Glycolysis (TLG) and Metabolic Heterogeneity (MH) demonstrated superior accuracy in identifying high-risk patients prone to disease progression. There are a number of studies that investigated the feasibility of employing PET "radiomics", to predict treatment outcomes in PMBCL patients [3]. ...
June 2023
Hematological Oncology
... 15 Many South American nations, including Uruguay and Argentina, have recognised the importance of multidisciplinary care for patients with brain tumours, and have invested in and incorporated neuro-oncology multidisciplinary teams (MDTs) comprising neurosurgeons, radiation oncologists, and medical oncologists into mainstream neurosurgical practice. 15,17,18 Also, the availability and access to advanced imaging techniques such as positron emission tomography-computed tomography (PET-CT) has also widely increased, aiding in accurate diagnosis and treatment planning. 18 In addition, there has been a massive increase in the number of dedicated neuro-oncology centres, and to some degree, increased investment into neurosurgical training, and a consequent increase in the number of neurosurgical staff. ...
December 2021
... Annual open meetings, usually conducted in conjunction with the national haematology scientific congresses, or virtually in 2020-21, provide opportunities for clinicians, site staff, industry partners and students to learn more about the registry. Scientific results are presented at local and international conferences and published in the peer-reviewed literature [10][11][12][13]. Commissioned reports are also provided to industry partners and may be requested by others (for example, government agencies). ...
June 2021
Hematological Oncology
... shown in a randomized fashion and such comparisons suffer from important limitations (18)(19)(20)(21). ...
June 2021
Hematological Oncology
... Current guidelines do not recommend standard endoscopy in the work-up of mantle cell lymphomas. In previous studies it was demonstrated however that PET-CT has a low sensitivity for gastro-intestinal involvement (13,14). Patients can however be asymptomatic and yet they seem to have a worse prognosis. ...
February 2021
Journal of Personalized Medicine
... With the progressive understanding of the molecular mechanisms of myeloma, numerous innovative drugs have been studied in RRMM patients, such as BCMA ADC belantamab, 23 the XPO-1 inhibitor selinexor, 24,25 a BRAF/MEK co-inhibitor, 26 and the Bcl-2 inhibitor venetoclax, 27 as reported this year. Venetoclax is a well-studied drug, which shows excellent superiority in patients with t (11; 14). ...
November 2020
Blood
... In 2020, of 32 abstracts that included at least one aspect of the geriatric assessment in patients with haematological malignancies presented at the annual American Society of Hematology and European Haematology Association meetings, only three included data from LMICs: one from Peru and two multicentre international clinical trials with patients from Brazil and Ukraine. [66][67][68][69][70][71] ...
November 2020
Blood