2018
Potential loss of prognostic significance of minimal residual disease assessment after R-CHOP-based induction in elderly patients with mantle cell lymphoma in the era of rituximab maintenance
KLENER, Pavel, Eva FRONKOVA, Marketa KALINOVA, David BELADA, Kristina FORSTEROVA et. al.Základní údaje
Originální název
Potential loss of prognostic significance of minimal residual disease assessment after R-CHOP-based induction in elderly patients with mantle cell lymphoma in the era of rituximab maintenance
Autoři
KLENER, Pavel (203 Česká republika, garant), Eva FRONKOVA (203 Česká republika), Marketa KALINOVA (203 Česká republika), David BELADA (203 Česká republika), Kristina FORSTEROVA (203 Česká republika), Robert PYTLIK (203 Česká republika), Petra BLAHOVCOVA (203 Česká republika), Martin SIMKOVIC (203 Česká republika), David ŠÁLEK (203 Česká republika, domácí), Heidi MOCIKOVA (203 Česká republika), Vit PROCHAZKA (203 Česká republika), Andrea JANIKOVA (203 Česká republika), Martina VASKOVA (203 Česká republika), Ester MEJSTRIKOVA (203 Česká republika), Roman KODET (203 Česká republika), Jan TRKA (203 Česká republika) a Marek TRNENY (203 Česká republika)
Vydání
Hematological Oncology, MALDEN, USA, WILEY-BLACKWELL, 2018, 0278-0232
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30205 Hematology
Stát vydavatele
Spojené státy
Utajení
není předmětem státního či obchodního tajemství
Impakt faktor
Impact factor: 3.439
Kód RIV
RIV/00216224:14110/18:00105802
Organizační jednotka
Lékařská fakulta
UT WoS
000452625700007
Klíčová slova anglicky
elderly patients; maintenance rituximab; mantle cell lymphoma; minimal residual disease; PET-CT
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 10. 2. 2019 17:38, Soňa Böhmová
Anotace
V originále
Rituximab maintenance (RM) prolongs survival of elderly patients with mantle cell lymphoma (MCL). Persistent minimal residual disease (MRD) after induction repeatedly correlated with shorter progression-free survival (PFS). However, none of the published studies analyzed patients treated with RM. The main purpose was to analyze prognostic significance of MRD in the elderly patients with newly diagnosed MCL treated according to the recently published observational trial protocol (alternation of R-CHOP and R-cytarabine, 3 + 3 cycles, GovTrial number NCT03054883) at the centers that implemented RM. Minimal residual disease was evaluated by a EuroMRD standardized real-time PCR approach after 3 and 6 cycles of the induction therapy. Prognostic significance of MRD was analyzed in a subcohort of patients treated at the centers that implemented RM as a standard approach. Bone marrow proved to be a significantly more sensitive source for MRD detection than peripheral blood. In either compartment MRD (positive versus negative) after 3 or 6 cycles of the induction therapy did not correlate with PFS. The observed loss of prognostic significance of MRD after the R-CHOP-based induction appears to be a consequence of RM immune control over the residual lymphoma.