Allogeneic Stem Cell Transplantation with a Novel Reduced Intensity Conditioning Regimen for the Treatment of Patients with Primary Cutaneous T-cell Lymphomas
Abstract The prognosis of patients with mycosis fungoides (MF) and Sezary Syndrome (SS) varies greatly, from near normal life expectancy in patients with early stage, to a median survival of less than 2 years for those diagnosed with advanced stage disease. Initial response to treatment is almost al...
Ausführliche Beschreibung
Autor*in: |
Stamouli, Maria [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2021 |
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Schlagwörter: |
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Anmerkung: |
© International Academy for Clinical Hematology 2021 |
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Übergeordnetes Werk: |
Enthalten in: Clinical hematology international - Paris : Atlantis Press, 2019, 3(2021), 2 vom: Juni, Seite 72-76 |
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Übergeordnetes Werk: |
volume:3 ; year:2021 ; number:2 ; month:06 ; pages:72-76 |
Links: |
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DOI / URN: |
10.2991/chi.k.210529.001 |
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Katalog-ID: |
SPR054881501 |
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520 | |a Abstract The prognosis of patients with mycosis fungoides (MF) and Sezary Syndrome (SS) varies greatly, from near normal life expectancy in patients with early stage, to a median survival of less than 2 years for those diagnosed with advanced stage disease. Initial response to treatment is almost always followed by relapse and, finally, most of patients enter a phase of advanced multi-drug resistant disease with a short life expectancy after multiple lines of treatment. Allogeneic stem cell transplantation (allo-SCT) is usually limited to patients with advanced disease resistant to multiple treatments. Retrospective registry-based studies have shown increased Non-relapse Mortality (NRM) rates in patients with poor performance status, as well as in patients treated with myeloablative conditioning regimens. Another major limitation of allo-SCT is the increased relapse rate which occurs in nearly 50% of the cases, and is probably due to the fact that only heavily pretreated patients with advanced disease are referred for allo-SCT. Due to the paucity of data, the ideal conditioning regimen which will provide the maximum therapeutic benefit without the cost of increased NRM is not currently known. In this article we present our experience with a novel regimen in the treatment of patients with advanced MF/SS. | ||
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10.2991/chi.k.210529.001 doi (DE-627)SPR054881501 (SPR)chi.k.210529.001-e DE-627 ger DE-627 rakwb eng Stamouli, Maria verfasserin aut Allogeneic Stem Cell Transplantation with a Novel Reduced Intensity Conditioning Regimen for the Treatment of Patients with Primary Cutaneous T-cell Lymphomas 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © International Academy for Clinical Hematology 2021 Abstract The prognosis of patients with mycosis fungoides (MF) and Sezary Syndrome (SS) varies greatly, from near normal life expectancy in patients with early stage, to a median survival of less than 2 years for those diagnosed with advanced stage disease. Initial response to treatment is almost always followed by relapse and, finally, most of patients enter a phase of advanced multi-drug resistant disease with a short life expectancy after multiple lines of treatment. Allogeneic stem cell transplantation (allo-SCT) is usually limited to patients with advanced disease resistant to multiple treatments. Retrospective registry-based studies have shown increased Non-relapse Mortality (NRM) rates in patients with poor performance status, as well as in patients treated with myeloablative conditioning regimens. Another major limitation of allo-SCT is the increased relapse rate which occurs in nearly 50% of the cases, and is probably due to the fact that only heavily pretreated patients with advanced disease are referred for allo-SCT. Due to the paucity of data, the ideal conditioning regimen which will provide the maximum therapeutic benefit without the cost of increased NRM is not currently known. In this article we present our experience with a novel regimen in the treatment of patients with advanced MF/SS. Mycosis fungoides (dpeaa)DE-He213 sezary syndrome (dpeaa)DE-He213 cutaneous t-cell lymphomas (dpeaa)DE-He213 donor lymphocyte infusion (dpeaa)DE-He213 allogeneic stem cell transplantation (dpeaa)DE-He213 graft-versus-host disease (dpeaa)DE-He213 graft versus lymphoma (dpeaa)DE-He213 Gkirkas, Konstantinos aut Karagiannidi, Aggeliki aut Iliakis, Theodoros aut Chondropoulos, Spiros aut Thomopoulos, Thomas aut Nikolaou, Vassiliki aut Pappa, Vassiliki aut Papadavid, Evangelia aut Tsirigotis, Panagiotis (orcid)0000-0002-3522-3680 aut Enthalten in Clinical hematology international Paris : Atlantis Press, 2019 3(2021), 2 vom: Juni, Seite 72-76 (DE-627)1682374505 (DE-600)3000786-0 2590-0048 nnns volume:3 year:2021 number:2 month:06 pages:72-76 https://dx.doi.org/10.2991/chi.k.210529.001 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_21 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2021 2 06 72-76 |
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10.2991/chi.k.210529.001 doi (DE-627)SPR054881501 (SPR)chi.k.210529.001-e DE-627 ger DE-627 rakwb eng Stamouli, Maria verfasserin aut Allogeneic Stem Cell Transplantation with a Novel Reduced Intensity Conditioning Regimen for the Treatment of Patients with Primary Cutaneous T-cell Lymphomas 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © International Academy for Clinical Hematology 2021 Abstract The prognosis of patients with mycosis fungoides (MF) and Sezary Syndrome (SS) varies greatly, from near normal life expectancy in patients with early stage, to a median survival of less than 2 years for those diagnosed with advanced stage disease. Initial response to treatment is almost always followed by relapse and, finally, most of patients enter a phase of advanced multi-drug resistant disease with a short life expectancy after multiple lines of treatment. Allogeneic stem cell transplantation (allo-SCT) is usually limited to patients with advanced disease resistant to multiple treatments. Retrospective registry-based studies have shown increased Non-relapse Mortality (NRM) rates in patients with poor performance status, as well as in patients treated with myeloablative conditioning regimens. Another major limitation of allo-SCT is the increased relapse rate which occurs in nearly 50% of the cases, and is probably due to the fact that only heavily pretreated patients with advanced disease are referred for allo-SCT. Due to the paucity of data, the ideal conditioning regimen which will provide the maximum therapeutic benefit without the cost of increased NRM is not currently known. In this article we present our experience with a novel regimen in the treatment of patients with advanced MF/SS. Mycosis fungoides (dpeaa)DE-He213 sezary syndrome (dpeaa)DE-He213 cutaneous t-cell lymphomas (dpeaa)DE-He213 donor lymphocyte infusion (dpeaa)DE-He213 allogeneic stem cell transplantation (dpeaa)DE-He213 graft-versus-host disease (dpeaa)DE-He213 graft versus lymphoma (dpeaa)DE-He213 Gkirkas, Konstantinos aut Karagiannidi, Aggeliki aut Iliakis, Theodoros aut Chondropoulos, Spiros aut Thomopoulos, Thomas aut Nikolaou, Vassiliki aut Pappa, Vassiliki aut Papadavid, Evangelia aut Tsirigotis, Panagiotis (orcid)0000-0002-3522-3680 aut Enthalten in Clinical hematology international Paris : Atlantis Press, 2019 3(2021), 2 vom: Juni, Seite 72-76 (DE-627)1682374505 (DE-600)3000786-0 2590-0048 nnns volume:3 year:2021 number:2 month:06 pages:72-76 https://dx.doi.org/10.2991/chi.k.210529.001 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_21 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2021 2 06 72-76 |
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10.2991/chi.k.210529.001 doi (DE-627)SPR054881501 (SPR)chi.k.210529.001-e DE-627 ger DE-627 rakwb eng Stamouli, Maria verfasserin aut Allogeneic Stem Cell Transplantation with a Novel Reduced Intensity Conditioning Regimen for the Treatment of Patients with Primary Cutaneous T-cell Lymphomas 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © International Academy for Clinical Hematology 2021 Abstract The prognosis of patients with mycosis fungoides (MF) and Sezary Syndrome (SS) varies greatly, from near normal life expectancy in patients with early stage, to a median survival of less than 2 years for those diagnosed with advanced stage disease. Initial response to treatment is almost always followed by relapse and, finally, most of patients enter a phase of advanced multi-drug resistant disease with a short life expectancy after multiple lines of treatment. Allogeneic stem cell transplantation (allo-SCT) is usually limited to patients with advanced disease resistant to multiple treatments. Retrospective registry-based studies have shown increased Non-relapse Mortality (NRM) rates in patients with poor performance status, as well as in patients treated with myeloablative conditioning regimens. Another major limitation of allo-SCT is the increased relapse rate which occurs in nearly 50% of the cases, and is probably due to the fact that only heavily pretreated patients with advanced disease are referred for allo-SCT. Due to the paucity of data, the ideal conditioning regimen which will provide the maximum therapeutic benefit without the cost of increased NRM is not currently known. In this article we present our experience with a novel regimen in the treatment of patients with advanced MF/SS. Mycosis fungoides (dpeaa)DE-He213 sezary syndrome (dpeaa)DE-He213 cutaneous t-cell lymphomas (dpeaa)DE-He213 donor lymphocyte infusion (dpeaa)DE-He213 allogeneic stem cell transplantation (dpeaa)DE-He213 graft-versus-host disease (dpeaa)DE-He213 graft versus lymphoma (dpeaa)DE-He213 Gkirkas, Konstantinos aut Karagiannidi, Aggeliki aut Iliakis, Theodoros aut Chondropoulos, Spiros aut Thomopoulos, Thomas aut Nikolaou, Vassiliki aut Pappa, Vassiliki aut Papadavid, Evangelia aut Tsirigotis, Panagiotis (orcid)0000-0002-3522-3680 aut Enthalten in Clinical hematology international Paris : Atlantis Press, 2019 3(2021), 2 vom: Juni, Seite 72-76 (DE-627)1682374505 (DE-600)3000786-0 2590-0048 nnns volume:3 year:2021 number:2 month:06 pages:72-76 https://dx.doi.org/10.2991/chi.k.210529.001 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_21 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2021 2 06 72-76 |
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10.2991/chi.k.210529.001 doi (DE-627)SPR054881501 (SPR)chi.k.210529.001-e DE-627 ger DE-627 rakwb eng Stamouli, Maria verfasserin aut Allogeneic Stem Cell Transplantation with a Novel Reduced Intensity Conditioning Regimen for the Treatment of Patients with Primary Cutaneous T-cell Lymphomas 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © International Academy for Clinical Hematology 2021 Abstract The prognosis of patients with mycosis fungoides (MF) and Sezary Syndrome (SS) varies greatly, from near normal life expectancy in patients with early stage, to a median survival of less than 2 years for those diagnosed with advanced stage disease. Initial response to treatment is almost always followed by relapse and, finally, most of patients enter a phase of advanced multi-drug resistant disease with a short life expectancy after multiple lines of treatment. Allogeneic stem cell transplantation (allo-SCT) is usually limited to patients with advanced disease resistant to multiple treatments. Retrospective registry-based studies have shown increased Non-relapse Mortality (NRM) rates in patients with poor performance status, as well as in patients treated with myeloablative conditioning regimens. Another major limitation of allo-SCT is the increased relapse rate which occurs in nearly 50% of the cases, and is probably due to the fact that only heavily pretreated patients with advanced disease are referred for allo-SCT. Due to the paucity of data, the ideal conditioning regimen which will provide the maximum therapeutic benefit without the cost of increased NRM is not currently known. In this article we present our experience with a novel regimen in the treatment of patients with advanced MF/SS. Mycosis fungoides (dpeaa)DE-He213 sezary syndrome (dpeaa)DE-He213 cutaneous t-cell lymphomas (dpeaa)DE-He213 donor lymphocyte infusion (dpeaa)DE-He213 allogeneic stem cell transplantation (dpeaa)DE-He213 graft-versus-host disease (dpeaa)DE-He213 graft versus lymphoma (dpeaa)DE-He213 Gkirkas, Konstantinos aut Karagiannidi, Aggeliki aut Iliakis, Theodoros aut Chondropoulos, Spiros aut Thomopoulos, Thomas aut Nikolaou, Vassiliki aut Pappa, Vassiliki aut Papadavid, Evangelia aut Tsirigotis, Panagiotis (orcid)0000-0002-3522-3680 aut Enthalten in Clinical hematology international Paris : Atlantis Press, 2019 3(2021), 2 vom: Juni, Seite 72-76 (DE-627)1682374505 (DE-600)3000786-0 2590-0048 nnns volume:3 year:2021 number:2 month:06 pages:72-76 https://dx.doi.org/10.2991/chi.k.210529.001 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_21 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2021 2 06 72-76 |
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10.2991/chi.k.210529.001 doi (DE-627)SPR054881501 (SPR)chi.k.210529.001-e DE-627 ger DE-627 rakwb eng Stamouli, Maria verfasserin aut Allogeneic Stem Cell Transplantation with a Novel Reduced Intensity Conditioning Regimen for the Treatment of Patients with Primary Cutaneous T-cell Lymphomas 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © International Academy for Clinical Hematology 2021 Abstract The prognosis of patients with mycosis fungoides (MF) and Sezary Syndrome (SS) varies greatly, from near normal life expectancy in patients with early stage, to a median survival of less than 2 years for those diagnosed with advanced stage disease. Initial response to treatment is almost always followed by relapse and, finally, most of patients enter a phase of advanced multi-drug resistant disease with a short life expectancy after multiple lines of treatment. Allogeneic stem cell transplantation (allo-SCT) is usually limited to patients with advanced disease resistant to multiple treatments. Retrospective registry-based studies have shown increased Non-relapse Mortality (NRM) rates in patients with poor performance status, as well as in patients treated with myeloablative conditioning regimens. Another major limitation of allo-SCT is the increased relapse rate which occurs in nearly 50% of the cases, and is probably due to the fact that only heavily pretreated patients with advanced disease are referred for allo-SCT. Due to the paucity of data, the ideal conditioning regimen which will provide the maximum therapeutic benefit without the cost of increased NRM is not currently known. In this article we present our experience with a novel regimen in the treatment of patients with advanced MF/SS. Mycosis fungoides (dpeaa)DE-He213 sezary syndrome (dpeaa)DE-He213 cutaneous t-cell lymphomas (dpeaa)DE-He213 donor lymphocyte infusion (dpeaa)DE-He213 allogeneic stem cell transplantation (dpeaa)DE-He213 graft-versus-host disease (dpeaa)DE-He213 graft versus lymphoma (dpeaa)DE-He213 Gkirkas, Konstantinos aut Karagiannidi, Aggeliki aut Iliakis, Theodoros aut Chondropoulos, Spiros aut Thomopoulos, Thomas aut Nikolaou, Vassiliki aut Pappa, Vassiliki aut Papadavid, Evangelia aut Tsirigotis, Panagiotis (orcid)0000-0002-3522-3680 aut Enthalten in Clinical hematology international Paris : Atlantis Press, 2019 3(2021), 2 vom: Juni, Seite 72-76 (DE-627)1682374505 (DE-600)3000786-0 2590-0048 nnns volume:3 year:2021 number:2 month:06 pages:72-76 https://dx.doi.org/10.2991/chi.k.210529.001 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_21 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2021 2 06 72-76 |
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Stamouli, Maria misc Mycosis fungoides misc sezary syndrome misc cutaneous t-cell lymphomas misc donor lymphocyte infusion misc allogeneic stem cell transplantation misc graft-versus-host disease misc graft versus lymphoma Allogeneic Stem Cell Transplantation with a Novel Reduced Intensity Conditioning Regimen for the Treatment of Patients with Primary Cutaneous T-cell Lymphomas |
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Allogeneic Stem Cell Transplantation with a Novel Reduced Intensity Conditioning Regimen for the Treatment of Patients with Primary Cutaneous T-cell Lymphomas Mycosis fungoides (dpeaa)DE-He213 sezary syndrome (dpeaa)DE-He213 cutaneous t-cell lymphomas (dpeaa)DE-He213 donor lymphocyte infusion (dpeaa)DE-He213 allogeneic stem cell transplantation (dpeaa)DE-He213 graft-versus-host disease (dpeaa)DE-He213 graft versus lymphoma (dpeaa)DE-He213 |
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Stamouli, Maria Gkirkas, Konstantinos Karagiannidi, Aggeliki Iliakis, Theodoros Chondropoulos, Spiros Thomopoulos, Thomas Nikolaou, Vassiliki Pappa, Vassiliki Papadavid, Evangelia Tsirigotis, Panagiotis |
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Allogeneic Stem Cell Transplantation with a Novel Reduced Intensity Conditioning Regimen for the Treatment of Patients with Primary Cutaneous T-cell Lymphomas |
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Abstract The prognosis of patients with mycosis fungoides (MF) and Sezary Syndrome (SS) varies greatly, from near normal life expectancy in patients with early stage, to a median survival of less than 2 years for those diagnosed with advanced stage disease. Initial response to treatment is almost always followed by relapse and, finally, most of patients enter a phase of advanced multi-drug resistant disease with a short life expectancy after multiple lines of treatment. Allogeneic stem cell transplantation (allo-SCT) is usually limited to patients with advanced disease resistant to multiple treatments. Retrospective registry-based studies have shown increased Non-relapse Mortality (NRM) rates in patients with poor performance status, as well as in patients treated with myeloablative conditioning regimens. Another major limitation of allo-SCT is the increased relapse rate which occurs in nearly 50% of the cases, and is probably due to the fact that only heavily pretreated patients with advanced disease are referred for allo-SCT. Due to the paucity of data, the ideal conditioning regimen which will provide the maximum therapeutic benefit without the cost of increased NRM is not currently known. In this article we present our experience with a novel regimen in the treatment of patients with advanced MF/SS. © International Academy for Clinical Hematology 2021 |
abstractGer |
Abstract The prognosis of patients with mycosis fungoides (MF) and Sezary Syndrome (SS) varies greatly, from near normal life expectancy in patients with early stage, to a median survival of less than 2 years for those diagnosed with advanced stage disease. Initial response to treatment is almost always followed by relapse and, finally, most of patients enter a phase of advanced multi-drug resistant disease with a short life expectancy after multiple lines of treatment. Allogeneic stem cell transplantation (allo-SCT) is usually limited to patients with advanced disease resistant to multiple treatments. Retrospective registry-based studies have shown increased Non-relapse Mortality (NRM) rates in patients with poor performance status, as well as in patients treated with myeloablative conditioning regimens. Another major limitation of allo-SCT is the increased relapse rate which occurs in nearly 50% of the cases, and is probably due to the fact that only heavily pretreated patients with advanced disease are referred for allo-SCT. Due to the paucity of data, the ideal conditioning regimen which will provide the maximum therapeutic benefit without the cost of increased NRM is not currently known. In this article we present our experience with a novel regimen in the treatment of patients with advanced MF/SS. © International Academy for Clinical Hematology 2021 |
abstract_unstemmed |
Abstract The prognosis of patients with mycosis fungoides (MF) and Sezary Syndrome (SS) varies greatly, from near normal life expectancy in patients with early stage, to a median survival of less than 2 years for those diagnosed with advanced stage disease. Initial response to treatment is almost always followed by relapse and, finally, most of patients enter a phase of advanced multi-drug resistant disease with a short life expectancy after multiple lines of treatment. Allogeneic stem cell transplantation (allo-SCT) is usually limited to patients with advanced disease resistant to multiple treatments. Retrospective registry-based studies have shown increased Non-relapse Mortality (NRM) rates in patients with poor performance status, as well as in patients treated with myeloablative conditioning regimens. Another major limitation of allo-SCT is the increased relapse rate which occurs in nearly 50% of the cases, and is probably due to the fact that only heavily pretreated patients with advanced disease are referred for allo-SCT. Due to the paucity of data, the ideal conditioning regimen which will provide the maximum therapeutic benefit without the cost of increased NRM is not currently known. In this article we present our experience with a novel regimen in the treatment of patients with advanced MF/SS. © International Academy for Clinical Hematology 2021 |
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Initial response to treatment is almost always followed by relapse and, finally, most of patients enter a phase of advanced multi-drug resistant disease with a short life expectancy after multiple lines of treatment. Allogeneic stem cell transplantation (allo-SCT) is usually limited to patients with advanced disease resistant to multiple treatments. Retrospective registry-based studies have shown increased Non-relapse Mortality (NRM) rates in patients with poor performance status, as well as in patients treated with myeloablative conditioning regimens. Another major limitation of allo-SCT is the increased relapse rate which occurs in nearly 50% of the cases, and is probably due to the fact that only heavily pretreated patients with advanced disease are referred for allo-SCT. Due to the paucity of data, the ideal conditioning regimen which will provide the maximum therapeutic benefit without the cost of increased NRM is not currently known. 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