2018
Moxetumomab pasudotox in relapsed/refractory hairy cell leukemia
KREITMAN, R.J.; C. DEARDEN; P.L. ZINZANI; J. DELGADO; L. KARLIN et al.Základní údaje
Originální název
Moxetumomab pasudotox in relapsed/refractory hairy cell leukemia
Autoři
KREITMAN, R.J.; C. DEARDEN; P.L. ZINZANI; J. DELGADO; L. KARLIN; T. ROBAK; D.E. GLADSTONE; P. LE COUTRE; S. DIETRICH; M. GOTIC; L. LARRATT; F. OFFNER; G. SCHILLER; R. SWORDS; L. BACON; M. BOCCHIA; K. BOUABDALLAH; D.A. BREEMS; A. CORTELEZZI; S. DINNER; Michael DOUBEK; B.T. GJERTSEN; M. GOBBI; A. HELLMANN; S. LEPRETRE; F. MALOISEL; F. RAVANDI; P. ROUSSELOT; M. RUMMEL; T. SIDDIQI; T. TADMOR; X. TROUSSARD; C.A. YI; G. SAGLIO; G.J. ROBOZ; K. BALIC; N. STANDIFER; P. HE; S. MARSHALL; W. WILSON; I. PASTAN; N.S. YAO a F. GILES
Vydání
Leukemia, London, Nature Publishing Group, 2018, 0887-6924
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30205 Hematology
Stát vydavatele
Velká Británie a Severní Irsko
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 9.944
Označené pro přenos do RIV
Ano
Kód RIV
RIV/00216224:14110/18:00103867
Organizační jednotka
Lékařská fakulta
UT WoS
EID Scopus
Klíčová slova anglicky
MINIMAL RESIDUAL DISEASE; TERM-FOLLOW-UP; CLADRIBINE; RITUXIMAB; IMMUNOHISTOCHEMISTRY; ERADICATION; DIAGNOSIS; EFFICACY; PATTERNS; ANTIBODY
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 12. 3. 2019 11:56, Soňa Böhmová
Anotace
V originále
This is a pivotal, multicenter, open-label study of moxetumomab pasudotox, a recombinant CD22-targeting immunotoxin, in hairy cell leukemia (HCL), a rare B cell malignancy with high CD22 expression. The study enrolled patients with relapsed/ refractory HCL who had >= 2 prior systemic therapies, including >= 1 purine nucleoside analog. Patients received moxetumomab pasudotox 40 mu g/kg intravenously on days 1, 3, and 5 every 28 days for <= 6 cycles. Blinded independent central review determined disease response and minimal residual disease (MRD) status. Among 80 patients (79% males; median age, 60.0 years), durable complete response (CR) rate was 30%, CR rate was 41%, and objective response rate (CR and partial response) was 75%; 64 patients (80%) achieved hematologic remission. Among complete responders, 27 (85%) achieved MRD negativity by immunohistochemistry. The most frequent adverse events (AEs) were peripheral edema (39%), nausea (35%), fatigue (34%), and headache (33%). Treatment-related serious AEs of hemolytic uremic syndrome (7.5%) and capillary leak syndrome (5%) were reversible and generally manageable with supportive care and treatment discontinuation (6 patients; 7.5%). Moxetumomab pasudotox treatment achieved a high rate of independently assessed durable response and MRD eradication in heavily pretreated patients with HCL, with acceptable tolerability.