- |||||||||| Autologous Stem Cell Transplantation for Treatment with Curative Intent in Adult Patients with Acute Lymphoblastic Lymphoma (ENMCC - Hall D) - Nov 4, 2022 - Abstract #ASH2022ASH_4824;
The majority of patients (30/32, 94%) received induction chemotherapy on the NHL 98-01 protocol (consisting of doxorubicin, cyclophosphamide, vincristine, prednisone, and asparaginase)...Two received BEAM (carmustine, etoposide, cytarabine, melphalan); both died from disease relapse post-AutoSCT...It also offers the advantage of a shorter treatment course compared to ALL-type chemotherapy. Further research is required to make direct comparison between these two distinct therapeutic approaches and provide guidance on the best practice.
- |||||||||| Tecam (Thiotepa, Etoposide, cyclophosphamide, Cytarabine and Melphalan) Is an Effective and Safe Conditioning Regimen for Autologous Transplant in Lymphoma (ENMCC - Hall D) - Nov 4, 2022 - Abstract #ASH2022ASH_2994;
BEAM (carmustine, cytarabine, etoposide and melphalan) is the most commonly used conditioning regimen; however, due to limited availability and toxicity of carmustine, thiotepa-containing regimens have been suggested. TECAM is a safe, effective, CNS-penetrating conditioning regimen for ASCT, in HL and various NHL's.
- |||||||||| Hematopoietic Stem Cell Transplantation in Bangladesh : Activity and Outcome Update (ENMCC - Hall D) - Nov 4, 2022 - Abstract #ASH2022ASH_2991;
Some leukemia patients received total body irradiation( TBI), thiotepa and Fludarabine based conditioning chemotherapy...National transplant registry and national donor registry both are yet to be developed. Comparing the cost difference with developed countries the overall outcome of stem cell transplantation is not inferior in Bangladesh.
- |||||||||| methotrexate IV / Generic mfg.
Consolidation Improves Survival in Primary Central Nervous System Lymphoma without Preference for Type of High-Dose Methotrexate-Based Induction Treatment Regimen (ENMCC - New Orleans Theater C) - Nov 4, 2022 - Abstract #ASH2022ASH_1534; The current treatment strategies of PCNSL are governed by high-dose methotrexate (HD-MTX)-based (immuno)chemotherapies, and in young and fit patients combined with high-dose cytarabine (HD-AraC)...Patients receiving two other combination regimens of HD-MTX (intended =12g/m2) with procarbazine or teniposide and carmustine as standard first-line therapeutic strategy were assigned to the ‘moderate’ treatment group...Sequential consolidation with WBRT or autoSCT was significantly associated with improved OS, regardless of type of HD-MTX-based induction regimens. Disregarding assessment of toxicity, these results together with other studies call for induction therapy with HD-MTX-based (immuno)polychemotherapy irrespective of type of regimen and sequential consolidation therapy with either WBRT or autoSCT, thereby shaping next treatment algorithms.
- |||||||||| carmustine / Generic mfg.
Journal: Brain targeted delivery of carmustine using chitosan coated nanoparticles via nasal route for glioblastoma treatment. (Pubmed Central) - Nov 3, 2022 The AUC of brain obtained with carmustine-loaded nanoparticles via nasal administration in Albino Wistar rats was 2.8 and 14.7 times that of intranasal carmustine suspension and intravenous carmustine, respectively. The MTT assay on U87 MG cell line showed a significant decrease (P < 0.05) in the IC50 value of the formulation (71.23 μg mL) as compared to drug suspension (90.02 μg mL).These findings suggest chitosan coated nanoparticles could be used to deliver carmustine via intranasal administration to treat Glioblastoma multiforme.
- |||||||||| temozolomide / Generic mfg., carmustine / Generic mfg.
Preclinical, Journal: Hydrogel-based microfluidic device with multiplexed 3D in vitro cell culture. (Pubmed Central) - Oct 30, 2022 Hydrogels are efficiently and reproducibly loaded in all wells and cells are evenly distributed throughout the hydrogel, maintaining > 90% viability for up to 4 days. In a drug screening assay, diffusion of temozolomide and carmustine to hydrogel-encapsulated U87 cells from the perfusion solution is measured, and dose-response curves are generated, demonstrating utility as an in vitro mimic of the glioblastoma microenvironment.
- |||||||||| Cerebrolysin (porcine brain-derived proteolytic peptide fraction) / Novartis, EVER Pharma
Preclinical, Journal: Protective effects of cerebrolysin against chemotherapy (carmustine) induced cognitive impairment in Albino mice. (Pubmed Central) - Oct 21, 2022 However, mice treated with CBN (44 and 88 mg/kg, i.p.) significantly and dose-dependently improved cognitive functions, reduced oxidative stress markers, inflammatory cytokines and restored neurotransmitters concentration as compared to BCNU administered mice (p < 0.05). The finding of current study suggested that CBN could be the promising compound to reverse cognitive impairment associated with use of chemotherapy.
- |||||||||| Rituxan (rituximab) / Biogen, Zenyaku Kogyo, Roche
MATRix regimen for newly diagnosed primary CNS diffuse B-cell lymphoma (West/Central Hall) - Sep 28, 2022 - Abstract #SNO2022SNO_491; Patients without disease progression received carmustine 400 mg/sq m and thiotepa 5 mg/kg followed by autologous bone marrow transplantation...These preliminary data suggest that the MATRix regimen in safe and highly effective in the newly diagnosed setting. However, the high incidence of early death in patients over 65 y suggests that the regimen may be too toxic for older individuals.
- |||||||||| Rituxan (rituximab) / Biogen, Zenyaku Kogyo, Roche
MATRix regimen for newly diagnosed primary CNS diffuse B-cell lymphoma (West/Central Hall) - Sep 28, 2022 - Abstract #SNO2022SNO_224; Patients without disease progression received carmustine 400 mg/sq m and thiotepa 5 mg/kg followed by autologous bone marrow transplantation...These preliminary data suggest that the MATRix regimen in safe and highly effective in the newly diagnosed setting. However, the high incidence of early death in patients over 65 y suggests that the regimen may be too toxic for older individuals.
- |||||||||| Review, Journal: Folliculotropic Mycosis Fungoides: Current Guidance and Experience from Clinical Practice. (Pubmed Central) - Sep 22, 2022
The most widely-used treatment was psoralen ultra-violet A (PUVA) in monotherapy or in association with other drugs...Other therapy reported were based on Brentuximab Vedotin, Mogamulizumab, Carmustine, topical steroids, tazarotene and excimer laser, interferon, nitrogen mustard, imiquimod, systemic chemotherapy, extracorporeal photopheresis and stem cell transplantation...Retinoids, although widely used, appear to be poorly effective in monotherapy, particularly acitretin...Ionizing treatments, such as radiotherapy and TSEBT, appear effective, at least in the short term. Overall, an integrated approach is mandatory for the inconstant course of the disease and its multidisciplinary nature.
- |||||||||| lomustine / Generic mfg.
A CASE OF LOMUSTINE-INDUCED PNEUMONITIS (Convention Center Exhibit Hall: Rapid Area 2D) - Sep 11, 2022 - Abstract #CHEST2022CHEST_3774; Toxicities such as pneumonitis have been rarely demonstrated. Timely recognition of pneumonitis features is key to treat this complication, improve quality of life, and prevent permanent lung compromise.
- |||||||||| Matulane (procarbazine hydrochloride) / Leadiant Biosci
Journal: Molecular characteristics of incidental lower-grade glioma for treatment decision-making. (Pubmed Central) - Aug 25, 2022 Patients with high PIT score and non-CR early after ASCT had worse outcomes. The new insights regarding the different molecular features of iLGG and sLGG indicated that the immediate management of iLGG could result in better prognosis than the wait-and-see strategy.
- |||||||||| Venclexta (venetoclax) / Roche, AbbVie, Walter and Eliza Hall Institute
Enrollment open, Trial completion date, Trial primary completion date, Combination therapy: Venetoclax in Combination With BEAM Conditioning Regimen for ASCT in Non-Hodgkin Lymphoma (clinicaltrials.gov) - Aug 16, 2022 P1, N=30, Recruiting, The new insights regarding the different molecular features of iLGG and sLGG indicated that the immediate management of iLGG could result in better prognosis than the wait-and-see strategy. Trial completion date: Aug 2023 --> Feb 2023 | Trial primary completion date: Aug 2022 --> Dec 2022 | Suspended --> Recruiting
- |||||||||| carmustine / Generic mfg.
Journal: Regulation of water access, storage, separation and release of drugs from the carbon nanotube functionalized by cytosine rich DNA fragments. (Pubmed Central) - Aug 13, 2022 We found that carmustine can be stored in the carbon nanotube (CNT) interior for a long time due to hydrophobic interactions...The latter process is likely to occur spontaneously at acidic pH when intercalation of doxorubicin within the DNA fragments becomes ineffective. The features of the proposed molecular model, obtained from molecular dynamics simulations, can be beneficial in design of novel smart drugs carriers to a tumor microenvironment revealing the reduced extracellular pH.
- |||||||||| 7-Hydroxystaurosporine (UCN-01) / National Cancer Institute, Alecensa (alectinib) / Roche
Journal, IO biomarker, Pan tumor: Comprehensive Bioinformatics Analysis of Toll-Like Receptors (TLRs) in Pan-Cancer. (Pubmed Central) - Aug 10, 2022 TLR7 was significantly positively correlated with the drug sensitivity of alectinib. Our study reveals the significant role of TLRs family in pan-cancer and provides potential therapeutic strategies of cancer.
- |||||||||| Calquence (acalabrutinib) / AstraZeneca
Trial completion date, Trial primary completion date: Acalabrutinib Plus RICE for Relapsed/Refractory DLBCL (clinicaltrials.gov) - Jul 23, 2022 P2, N=47, Recruiting, Outpatient autografts may save healthcare resources without compromising patient outcomes. Trial completion date: Sep 2022 --> Sep 2023 | Trial primary completion date: Sep 2021 --> Sep 2023
- |||||||||| carmustine / Generic mfg.
Journal: Cerebral Edema Due to Chemotherapeutic Wafer Implantation for Malignant Glioma: Registry Study of Correlation with Perioperative Epileptic Seizures. (Pubmed Central) - Jul 23, 2022 Factors predicting adverse events following implantation with wafers containing 1,3-bis(2-chloroethyl)-1-nitrosourea (carmustine, BCNU), which is used in local chemotherapy for malignant gliomas (MGs), are unknown...Factors predictive of postoperative seizures were WHO grade III MGs (p = 0.0026), increased postoperative CE (p = 0.0272), and history of preoperative seizures (p = 0.0316). Postoperative CE, WHO grade III MGs, and a history of preoperative seizures might predict the postoperative occurrence of seizures, necessitating stringent management of seizures and CE in the affected patients.
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