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Autologous hematopoietic stem cell transplantation improves survival outcomes in peripheral T-cell lymphomas: a multicenter retrospective real-world study

The aim of this study is to evaluate the survival benefit of consolidative autologous hematopoietic stem cell transplantation (ASCT) in patients with peripheral T-cell lymphomas (PTCL). In this retrospective study, the ASCT group underwent consolidative ASCT after first-line therapy at 14 transplant...

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Published in:Annals of hematology 2023-11, Vol.102 (11), p.3185-3193
Main Authors: Wu, Meng, Wang, Fengrong, Zhao, Shihua, Li, Yajun, Huang, Wenrong, Nie, Bo, Liu, Haisheng, Liu, Xiaoqian, Li, Wei, Yu, Haifeng, Yi, Kun, Dong, Fei, Dong, Yujun, Yuan, Chenglu, Ran, Xuehong, Xiao, Xiubin, Liu, Weiping, Zhu, Jun
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container_end_page 3193
container_issue 11
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container_title Annals of hematology
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creator Wu, Meng
Wang, Fengrong
Zhao, Shihua
Li, Yajun
Huang, Wenrong
Nie, Bo
Liu, Haisheng
Liu, Xiaoqian
Li, Wei
Yu, Haifeng
Yi, Kun
Dong, Fei
Dong, Yujun
Yuan, Chenglu
Ran, Xuehong
Xiao, Xiubin
Liu, Weiping
Zhu, Jun
description The aim of this study is to evaluate the survival benefit of consolidative autologous hematopoietic stem cell transplantation (ASCT) in patients with peripheral T-cell lymphomas (PTCL). In this retrospective study, the ASCT group underwent consolidative ASCT after first-line therapy at 14 transplantation centers in China between January 2001 and December 2019. Data were collected over the same time frame for the non-ASCT group from the database of lymphoma patient records at Peking University Cancer Hospital & Institute. A total of 120 and 317 patients were enrolled in the ASCT and non-ASCT groups, respectively, and their median ages were 43 years and 51 years, respectively. In the ASCT group, 101 patients had achieved complete remission (CR) and 19 patients had achieved partial remission at the time of ASCT. The median follow-up time was 40.2 months and 68 months, and the 3-year overall survival (OS) rate was 80.6% and 48.9% ( p  
doi_str_mv 10.1007/s00277-023-05416-x
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In this retrospective study, the ASCT group underwent consolidative ASCT after first-line therapy at 14 transplantation centers in China between January 2001 and December 2019. Data were collected over the same time frame for the non-ASCT group from the database of lymphoma patient records at Peking University Cancer Hospital &amp; Institute. A total of 120 and 317 patients were enrolled in the ASCT and non-ASCT groups, respectively, and their median ages were 43 years and 51 years, respectively. In the ASCT group, 101 patients had achieved complete remission (CR) and 19 patients had achieved partial remission at the time of ASCT. The median follow-up time was 40.2 months and 68 months, and the 3-year overall survival (OS) rate was 80.6% and 48.9% ( p  &lt; 0.001) for the ASCT and non-ASCT groups, respectively. The beneficial effect of ASCT for OS remained even after propensity score-matched (PSM) analysis (81.6% vs 68.3%, p  = 0.001). Among the 203 patients who were aged ≤ 65 years and achieved CR, ASCT conferred a significant survival benefit (3-year progression-free survival [PFS]: 67.4% vs 47.0%, p  = 0.004; 3-year OS: 84.0% vs 74.1%, p  = 0.010), and this was also maintained after PSM analysis (3-year PFS: 66.6% vs 48.4%, p  = 0.042; 3-year OS: 84.8% vs 70.5%, p  = 0.011). Consolidative ASCT improved the survival outcome of PTCL patients, even those who achieved CR after first-line therapy.</description><identifier>ISSN: 0939-5555</identifier><identifier>ISSN: 1432-0584</identifier><identifier>EISSN: 1432-0584</identifier><identifier>DOI: 10.1007/s00277-023-05416-x</identifier><identifier>PMID: 37700194</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; China - epidemiology ; Female ; Follow-Up Studies ; Hematology ; Hematopoietic Stem Cell Transplantation ; Humans ; Lymphoma ; Lymphoma, T-Cell, Peripheral - mortality ; Lymphoma, T-Cell, Peripheral - therapy ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Oncology ; Original ; Original Article ; Remission Induction ; Retrospective Studies ; Stem cell transplantation ; Survival Rate ; Transplantation, Autologous ; Treatment Outcome ; Young Adult</subject><ispartof>Annals of hematology, 2023-11, Vol.102 (11), p.3185-3193</ispartof><rights>The Author(s) 2023</rights><rights>2023. The Author(s).</rights><rights>The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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Among the 203 patients who were aged ≤ 65 years and achieved CR, ASCT conferred a significant survival benefit (3-year progression-free survival [PFS]: 67.4% vs 47.0%, p  = 0.004; 3-year OS: 84.0% vs 74.1%, p  = 0.010), and this was also maintained after PSM analysis (3-year PFS: 66.6% vs 48.4%, p  = 0.042; 3-year OS: 84.8% vs 70.5%, p  = 0.011). Consolidative ASCT improved the survival outcome of PTCL patients, even those who achieved CR after first-line therapy.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>37700194</pmid><doi>10.1007/s00277-023-05416-x</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-3479-2547</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
China - epidemiology
Female
Follow-Up Studies
Hematology
Hematopoietic Stem Cell Transplantation
Humans
Lymphoma
Lymphoma, T-Cell, Peripheral - mortality
Lymphoma, T-Cell, Peripheral - therapy
Male
Medicine
Medicine & Public Health
Middle Aged
Oncology
Original
Original Article
Remission Induction
Retrospective Studies
Stem cell transplantation
Survival Rate
Transplantation, Autologous
Treatment Outcome
Young Adult
title Autologous hematopoietic stem cell transplantation improves survival outcomes in peripheral T-cell lymphomas: a multicenter retrospective real-world study
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