SZTURZ, Petr, Zdeněk ADAM, Zdenek REHAK, Renata KOUKALOVÁ, Leoš KŘEN, Mojmír MOULIS, Marta KREJČÍ and Jiří MAYER. Salvage lenalidomide in four rare oncological diseases. Tumori. Roma: PENSIERO SCIENTIFICO EDITOR, 2013, vol. 99, No 5, p. "e251"-"e256", 6 pp. ISSN 0300-8916. Available from: https://dx.doi.org/10.1700/1377.15326.
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Basic information
Original name Salvage lenalidomide in four rare oncological diseases
Authors SZTURZ, Petr (203 Czech Republic, guarantor, belonging to the institution), Zdeněk ADAM (203 Czech Republic, belonging to the institution), Zdenek REHAK (203 Czech Republic), Renata KOUKALOVÁ (203 Czech Republic), Leoš KŘEN (203 Czech Republic), Mojmír MOULIS (203 Czech Republic), Marta KREJČÍ (203 Czech Republic, belonging to the institution) and Jiří MAYER (203 Czech Republic, belonging to the institution).
Edition Tumori, Roma, PENSIERO SCIENTIFICO EDITOR, 2013, 0300-8916.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30200 3.2 Clinical medicine
Country of publisher Italy
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 1.090
RIV identification code RIV/00216224:14110/13:00065660
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1700/1377.15326
Keywords in English Langerhans cell histiocytosis; Erdheim-Chester disease; angiomatosis; Castleman disease
Tags International impact, Reviewed
Changed by Changed by: Soňa Böhmová, učo 232884. Changed: 29/11/2016 15:06.
Abstract
In rare disorders, there are often no standard therapy recommendations. Patients with refractory disease may require novel experimental approaches. Applied as second- up to fourth-line treatment, lenalidomide (10-25 mg perorally on days 1-21 in a 28-day cycle) was used in our cohort of four adult patients with aggressive, multisystem and relapsing diseases. Complete and long-lasting remissions (more than 1 year, no maintenance therapy) were achieved in patients with Langerhans cell histiocytosis (11 cycles, combination with dexamethasone and etoposide, consolidated by allogeneic blood stem cell transplant) and plasma-cell Castleman disease (15 cycles, monotherapy). Mixed response with complete disappearance of brain infiltrates was reached in Erdheim-Chester disease (6 cycles, monotherapy) and gastrointestinal bleeding was well controlled in multiple angiomatosis (9 cycles, combination with thalidomide). For disease activity evaluation each patient underwent fluorine-18-fluorodeoxyglucose positron emission tomography/computed tomography scan imaging, which was complemented by clinical and laboratory investigations.
Links
MSM0021622434, plan (intention)Name: Od klasických prognostických markerů ke klinicky aplikovatelným farmakogenomickým a farmakoproteomickým projektům u mnohočetného myelomu a monoklonálních gamapatií
Investor: Ministry of Education, Youth and Sports of the CR, From classic prognostic markers to clinical applications in selected pharmacogenomic and pharmacoproteomic projects in multiple myeloma and monoclonal gammapathies
MUNI/A/0723/2012, interní kód MUName: Nové klinické a diagnostické přístupy u hematogických malignit (Acronym: NoKliDiPřiHeMa)
Investor: Masaryk University, Category A
NT13190, research and development projectName: Molekulární charakteristika centrozomálních abnormalit a jejich prognostický význam pro pacienty s mnohočetným myelomem
Investor: Ministry of Health of the CR
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