Long-Term Follow-Up of the Prospective Randomized AATT Study (Autologous or Allogeneic Transplantation in Patients With Peripheral T-Cell Lymphoma).
Détails
ID Serval
serval:BIB_97ADDAFFC4B9
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Long-Term Follow-Up of the Prospective Randomized AATT Study (Autologous or Allogeneic Transplantation in Patients With Peripheral T-Cell Lymphoma).
Périodique
Journal of clinical oncology
Collaborateur⸱rice⸱s
French Lymphoma Study Association (LYSA), the Société Francophone de greffe de moelle et Thérapie Cellulaire (SFGM-TC), and the German Lymphoma Alliance (GLA)
Contributeur⸱rice⸱s
Rosenwald A., Feller A.C., Hansmann M.L., Klapper W., Moeller P., Mueller-Hermelink H.K., Stein H., de Leval L., Gaulard P., Parrens M., Ledoux-Pilon A., Bossard C., Vailhen N.
ISSN
1527-7755 (Electronic)
ISSN-L
0732-183X
Statut éditorial
Publié
Date de publication
10/11/2024
Peer-reviewed
Oui
Volume
42
Numéro
32
Pages
3788-3794
Langue
anglais
Notes
Publication types: Journal Article ; Randomized Controlled Trial ; Clinical Trial, Phase III
Publication Status: ppublish
Publication Status: ppublish
Résumé
Clinical trials frequently include multiple end points that mature at different times. The initial report, typically based on the primary end point, may be published when key planned co-primary or secondary analyses are not yet available. Clinical Trial Updates provide an opportunity to disseminate additional results from studies, published in JCO or elsewhere, for which the primary end point has already been reported.Primary analysis of the phase III randomized AATT study showed that younger patients with peripheral T-cell lymphoma (PTCL) consolidated with autologous or allogeneic transplantation (alloSCT) had similar event-free survival (EFS) and overall survival (OS). Seven-year EFS of patients randomly assigned to alloSCT was 38% (95% CI, 25 to 52) compared with 34% (95% CI, 22 to 47) for patients randomly assigned to autologous transplantation of hematopoietic stem cells (autoSCT); OS was 55% (95% CI, 41 to 69) and 61% (95% CI, 47 to 74). Among patients undergoing alloSCT (n = 26) or autoSCT (n = 41) on study, the cumulative progression/relapse rate was 8% (95% CI, 0 to 19) and 55% (95% CI, 35 to 74). Nonrelapse mortality (NRM) was 31% (95% CI, 13 to 49) and 3% (95% CI, 0 to 8) after alloSCT and autoSCT, respectively. Fifteen of 30 patients with early progression and 11 of 20 patients with progression/relapse after autoSCT received alloSCT. Seven-year OS after salvage alloSCT was 61% (95% CI, 47 to 74); NRM was 23% (95% CI, 6 to 40). Long-term follow-up documents the strong graft versus lymphoma effect of alloSCT independent of the timing of transplantation. Survival of patients unable to undergo transplantation was dismal. AlloSCT is the treatment of choice for younger, transplant-eligible patients with relapsed/refractory PTCL. AlloSCT is currently not recommended as part of first-line consolidation.
Mots-clé
Humans, Lymphoma, T-Cell, Peripheral/therapy, Lymphoma, T-Cell, Peripheral/mortality, Transplantation, Autologous, Hematopoietic Stem Cell Transplantation/methods, Follow-Up Studies, Middle Aged, Transplantation, Homologous, Adult, Male, Female, Prospective Studies, Young Adult, Time Factors, Aged
Pubmed
Création de la notice
17/09/2024 7:44
Dernière modification de la notice
08/11/2024 18:56