Evaluation of prognostic factors in patients with high-risk classical Hodgkin lymphoma undergoing autologous transplantation Article Swipe
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· 2024
· Open Access
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· DOI: https://doi.org/10.1182/bloodadvances.2024013743
There are limited data assessing the risk scores for primary treatment failure (PTF) in patients with classical Hodgkin lymphoma (cHL; PTF-cHL) undergoing autologous hematopoietic cell transplantation (auto-HCT). ECLIPSE (Evaluation of Classical Hodgkin Lymphoma patients wIth Primary treatment failure and analySis of outcomEs) is a multicenter retrospective cohort of patients with PTF-cHL (aged ≥15 years) diagnosed on or after 1 January 2005, at 15 US medical centers. PTF was defined as 1 of the following patterns of failure: (1) progressive disease by imaging during or within 6 weeks of completion of frontline chemotherapy (primary progression [PP]); (2) partial response (PR) or stable disease (SD) by imaging after completion of frontline treatment (PR/SD); (3) progression of disease by imaging (and confirmed by biopsy) within 12 months of frontline therapy completion after prior documentation of complete response (CR; early relapse [ER]). A total of 478 patients were included in the analysis. Among these, 217 (45%) were PP, 86 (18%) were PR/SD, and 175 (37%) were ER. The 6-month and 1-year cumulative incidence of nonrelapse mortality after auto-HCT were 0.9% and 1.1%, respectively. The median progression-free survival (PFS) and overall survival (OS) after auto-HCT were 4.33 and 10.09 years, respectively. Although those not in CR at the time of auto-HCT were associated with inferior PFS and OS, advanced age and diagnosis before 2011 were associated with inferior OS. This study showcases the safety and long-term efficacy of auto-HCT, even in patients with high-risk disease who are traditionally considered chemotherapy refractory, and will serve as a benchmark for the ongoing transplant vs no transplant trials.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1182/bloodadvances.2024013743
- OA Status
- gold
- Cited By
- 4
- References
- 31
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4402037734
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4402037734Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1182/bloodadvances.2024013743Digital Object Identifier
- Title
-
Evaluation of prognostic factors in patients with high-risk classical Hodgkin lymphoma undergoing autologous transplantationWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-08-30Full publication date if available
- Authors
-
Narendranath Epperla, Ying Huang, Amanda F. Cashen, John L Vaughn, Walter Hanel, Talha Badar, Stefan K. Barta, Paolo F. Caimi, Tarsheen Sethi, Nishitha Reddy, Reem Karmali, Celeste M. Bello, Julio C. Chávez, Shalin Kothari, Francisco J. Hernandez‐Ilizaliturri, Jakub Svoboda, Frederick Lansigan, Martha Glenn, Jonathon B. Cohen, Caryn Sorge, Beth Christian, Alex F. Herrera, Mehdi Hamadani, Luciano J. Costa, Ana C. XavierList of authors in order
- Landing page
-
https://doi.org/10.1182/bloodadvances.2024013743Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.1182/bloodadvances.2024013743Direct OA link when available
- Concepts
-
Medicine, Cumulative incidence, Internal medicine, Transplantation, Incidence (geometry), Retrospective cohort study, Progressive disease, Biopsy, Surgery, Oncology, Cohort, Lymphoma, Refractory (planetary science), Chemotherapy, Optics, Physics, AstrobiologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
4Total citation count in OpenAlex
- Citations by year (recent)
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2025: 4Per-year citation counts (last 5 years)
- References (count)
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31Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.retrospective | 46 |
| abstract_inverted_index.traditionally | 243 |
| abstract_inverted_index.transplantation | 26 |
| abstract_inverted_index.progression-free | 182 |
| cited_by_percentile_year.max | 98 |
| cited_by_percentile_year.min | 97 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 25 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8799999952316284 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.88141758 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |