Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions
Auto-HCT in People with FL, Early Therapy Failure
Biol Blood Marrow Transplant; ePub 2017 Dec 11; Casulo, et al
People with follicular lymphoma whose treatment failed were apt to survive longer if they received autologous hematopoietic cell transplantation (auto-HCT) within 1 year of such failure, according to a study involving nearly 350 individuals. Participants were from the Center for International Blood and Marrow Transplant Research program or the National LymphoCare Study. They had received rituximab-based chemotherapy as frontline treatment, and then either underwent (n=175) or did not undergo (n=174) auto-HCT. Among the results:
- 5-year overall survival rates were statistically similar (67% and 60%, respectively).
- Among those with early treatment failure, patients who received transplant <1 year after such failure had a 73% overall survival rate, compared with 60% in the contingent who did not receive transplant.
- Patients receiving early transplant saw their mortality risk reduced by 37%.
Casulo C, Friedberg J, Ahn K, et al. Autologous transplantation in follicular lymphoma with early therapy failure: A NLCS and CIBMTR analysis. [Published online ahead of print December 11, 2017]. Biol Blood Marrow Transplant. doi:10.1016/j.bbmt.2017.12.771.
