- |||||||||| Neupogen (filgrastim) / Kyowa Kirin, Amgen
Cyclophosphamide, Etoposide, and Intermediate-Dose of Carboplatin; An Efficient Preparative Regimen for Autologous Transplantation for Patients with Lymphoma, a Good Alternative to Those Based on Carmustine. Experience with 108 Patients (GWCC - Hall B5, Level 1) - Nov 5, 2021 - Abstract #ASH2021ASH_4564; Thirty-five (32.4%) had HL, 35 (32.4 %) NHL (28 diffuse large B cell, 7 follicular), 29 (26,9%) had MCL, and 9 (8.3%) had other lymphomas. 34% of HL patients and 48% of cases were transplanted in CR1 after being refractory to first line therapy, while 44% and 14% of HL and NHL respectively had active disease at the time of transplantation.
- |||||||||| Adcetris (brentuximab vedotin) / Seagen, Takeda
Evaluation of Pulmonary Toxicities in Lymphoma Patients Receiving Brentuximab Vedotin (GWCC - Hall B5, Level 1) - Nov 5, 2021 - Abstract #ASH2021ASH_4143; This study is an effort to raise awareness of the incidence of Bv-induced pulmonary toxicity and describe the potential risk factors associated with this adverse event. Further real world studies in larger and diverse patient populations are necessary to better characterize the incidence and risk factors associated with Bv-associated pulmonary toxicities.
- |||||||||| methotrexate IV / Generic mfg., ifosfamide / Generic mfg.
Treatment of Patients with Relapsed or Refractory Primary CNS Lymphoma (rrPCNSL) Enrolled in the Randomized Trials of the International Extranodal Lymphoma Study Group (IELSG) (GWCC - Hall B5, Level 1) - Nov 5, 2021 - Abstract #ASH2021ASH_2987; Consolidation was part of first-line treatment in 58 (35%) pts: WBRT in 39 and carmustine-thiotepa/conditioned ASCT in 19; 106 pts did not receive consolidation due to PD during first-line chemo (n=96), pt refusal (2), poor conditions (4) or per protocol (4)...Salvage chemo consisted of HD-ifosfamide-based chemo (R-IE, RICE, DeVIC) in 20 pts, rechallenging with HD-MTX-based chemo (same regimen or ± other drugs) in 25, direct myeloablative chemo and ASCT in 3, single drugs in 10; 17 pts responsive to salvage chemo received consolidative ASCT (n=12) or WBRT...Pts experiencing LR can achieve long-lasting second remission, especially when retreatment with HD-MTX-based chemo is feasible. Efficacy of salvage therapy appears to be independent of the first-line treatment.
- |||||||||| melphalan / Generic mfg., carmustine / Generic mfg.
Clinical Outcomes of Relapsed/Refractory Multiple Myeloma Patients Following Treatment with Bispecific Antibodies (BiAbs) (GWCC - Hall A1) - Nov 5, 2021 - Abstract #ASH2021ASH_2329; Our data suggests that heavily pretreated, predominantly triple-class refractory, patients relapsing after BiAbs may still have good outcomes when sequentially treating with other immunological/T cell-directed therapeutics such as BiAbs and CAR T cells. Studying the appropriate sequence of these treatments is of paramount importance as BiAbs are expected to become part of the standard of care for RRMM patients.
- |||||||||| Epidaza (chidamide) / Chipscreen, Meiji Seika, Eisai, HUYA Bioscience
Autologous Stem Cell Transplantation after Conditioning with Chidamide Plus Carmustine, Etoposide, Cytarabine, and Cyclophosphamide (Chi-BEAC) for Treatment of High-Risk and Relapsed/Refractory Aggressive Lymphoma: Multi-Center, Single-Arm, Open-Label Phase II Clinical Trial (GWCC - B401-B402, Level 4) - Nov 5, 2021 - Abstract #ASH2021ASH_2124; Conclusions : This study showed that inclusion of the HDACi chidamide in conditioning regimen for ASCT greatly increased the PFS and OS, especially in patients with T&NK-NHL, and revealed an acceptable safety profile for refractory and relapsed lymphoma patients. Therefore, chidamide-containing conditioning regimen may be a great choice for patients with refractory and relapsed lymphoma, and awaits further confirmation by additional large-scale multi-center investigations.
- |||||||||| Clinical, Journal: Non-cryopreserved hematopoietic stem cells in autograft patients with lymphoma: a matched-pair analysis comparing a single center experience with the use of cryopreserved stem cells reported to the European Society for Blood and Marrow Transplantation registry. (Pubmed Central) - Oct 20, 2021
This analysis suggests that, in patients with lymphoma receiving pre-transplant regimens such as carmustine, etoposide, cytarabine and melphalan, PBSCs stored at 4°C for up to 6 days can be used safely in centers with no cryopreservation facility. However, the kinetics of hematopoietic recovery showed a significant, albeit small, delay in engraftment for both neutrophils and platelets, which favors the use of cryopreservation if available.
- |||||||||| Venclexta (venetoclax) / Roche, AbbVie
Trial completion date, Trial primary completion date: OSU-17225: Venetoclax, Carmustine, Etoposide, Cytarabine, and Melphalan Before Stem Cell Transplant in Treating Participants With Relapsed or Refractory Non-Hodgkin Lymphoma (clinicaltrials.gov) - Oct 6, 2021 P1/2, N=19, Active, not recruiting, Trial completion date: Jul 2021 --> Mar 2022 | Trial primary completion date: Oct 2020 --> Mar 2022 Trial completion date: Dec 2021 --> Dec 2022 | Trial primary completion date: Dec 2021 --> Dec 2022
- |||||||||| cisplatin / Generic mfg., methotrexate / Generic mfg.
Clinical, Journal: First-line therapy, autologous stem-cell transplantation, and post-transplantation maintenance in the management of newly diagnosed mantle cell lymphoma. (Pubmed Central) - Sep 26, 2021 Final approval of this guidance document was obtained from the Stem Cell Transplant Advisory Committee. These recommendations apply to all cases of transplantation-eligible newly diagnosed mcl:■ Alternating cycles of r-chop (rituximab plus cyclophosphamide-doxorubicin-vincristine-prednisolone) and r-dhap [rituximab plus dexamethasone-high-dose cytarabine-cisplatin] is the recommended first-line treatment for symptomatic patients newly diagnosed with mcl before autologous stem-cell transplantation (asct).■ Rituximab plus hyperfractionated cyclophosphamide-vincristine-doxorubicin-dexamethasone (r-hypercvad), alternating with methotrexate and cytarabine, is not recommended for the treatment of patients with newly diagnosed mcl.■ beam (carmustine-etoposide-cytarabine-melphalan), beac (carmustine-etoposide-cytarabine-cyclophosphamide), and total-body irradiation-based regimens are reasonable conditioning options for patients with mcl who have responded to first-line therapy and who are undergoing asct.■ Maintenance therapy with rituximab is recommended for patients with newly diagnosed mcl who have undergone asct.
- |||||||||| mycophenolate mofetil / Generic mfg., sirolimus / Generic mfg.
Enrollment change: Sirolimus & Mycophenolate Mofetil as GVHD Prophylaxis in Myeloablative, Matched Related Donor HCT (clinicaltrials.gov) - Sep 23, 2021 P2, N=11, Completed, These recommendations apply to all cases of transplantation-eligible newly diagnosed mcl:■ Alternating cycles of r-chop (rituximab plus cyclophosphamide-doxorubicin-vincristine-prednisolone) and r-dhap [rituximab plus dexamethasone-high-dose cytarabine-cisplatin] is the recommended first-line treatment for symptomatic patients newly diagnosed with mcl before autologous stem-cell transplantation (asct).■ Rituximab plus hyperfractionated cyclophosphamide-vincristine-doxorubicin-dexamethasone (r-hypercvad), alternating with methotrexate and cytarabine, is not recommended for the treatment of patients with newly diagnosed mcl.■ beam (carmustine-etoposide-cytarabine-melphalan), beac (carmustine-etoposide-cytarabine-cyclophosphamide), and total-body irradiation-based regimens are reasonable conditioning options for patients with mcl who have responded to first-line therapy and who are undergoing asct.■ Maintenance therapy with rituximab is recommended for patients with newly diagnosed mcl who have undergone asct. N=38 --> 11
- |||||||||| Rituxan (rituximab) / Biogen, Zenyaku Kogyo, Roche
CNS relapses in young high-risk DLBCL patients - a collaborative analysis of LYSA and GLA (A7) - Sep 20, 2021 - Abstract #DGHO2021DGHO_65; Young hr pts receiving R- (Mega) CHOEP including rituximab and etoposide crossing the blood-brain barrier but no systemic CNS prophylaxis experienced CNS relapse in a significant number of cases. R-ACVBP including consolidation might decrease the rate of CNS relapse and should be discussed for pts at high risk.
- |||||||||| ifosfamide / Generic mfg.
[VIRTUAL] High-Dose Chemotherapy Regimens in Therapy of NHL DLBCL: A SingleCenter Experience () - Sep 6, 2021 - Abstract #SOHO2021SOHO_647; The major adverse event in both groups was myelosuppression with higher but tolerable treatment-related toxicity for patients in the DexaBEAM group. Considering the small sample size, our data suggest that R-ICE salvage chemotherapy is superior to R-Dexa BEAM for patients with R/R NHL DLBCL for remission induction prior to autologous transplantation.
- |||||||||| methotrexate IV / Generic mfg., methotrexate / Generic mfg.
Review, Journal: Consolidation Therapy in Primary Central Nervous System Lymphoma. (Pubmed Central) - Aug 25, 2021 For patients who are not transplant candidates and that do not accept the risk of cognitive decline from the radiotherapy, we typically offer consolidation high-dose cytarabine, provided the patient understands the high risk of relapse. For these patients, a clinical trial is strongly recommended.
- |||||||||| Valchlor (mechlorethamine gel) / Helsinn, Recordati
Review, Journal: Topical treatments for early-stage mycosis fungoides using Grading Recommendations Assessment, Development and Evaluation (GRADE) criteria: A systematic review. (Pubmed Central) - Aug 20, 2021 Two searches yielded 1252 references; 26 met the inclusion criteria and included literature on nitrogen mustard, retinoids, corticosteroids, carmustine, fluorouracil, methotrexate-laurocapram, hexadecylphosphocholine, peldesine, ingenol mebutate, topical methotrexate with oxygen flow-assisted LP3 carrier, and resiquimod...For most outcomes of interest, the GRADE certainty for topical therapies for early-stage MF was low. Further randomized controlled trials and inclusion of quality of life indicators are needed.
- |||||||||| Rituxan (rituximab) / Biogen, Zenyaku Kogyo, Roche
Enrollment closed, Preclinical, Trial completion date, Trial primary completion date: Umbilical Cord Blood NK Cells, Rituximab, High-Dose Chemotherapy, and Stem Cell Transplant in Treating Patients With Recurrent or Refractory B-Cell Non-Hodgkin's Lymphoma (clinicaltrials.gov) - Aug 16, 2021 P2, N=40, Active, not recruiting, Further randomized controlled trials and inclusion of quality of life indicators are needed. Recruiting --> Active, not recruiting | Trial completion date: Mar 2021 --> Mar 2022 | Trial primary completion date: Mar 2021 --> Mar 2022
- |||||||||| carmustine / Generic mfg.
Journal: Effect of Superparamagnetic DMSO@γ-Fe₂O₃ Combined with Carmustine on Cervical Cancer. (Pubmed Central) - Aug 8, 2021 For the control, gamma-Fe₂O₃ hyperthermia, chemotherapy, and DMSO@γ-Fe₂O₃ combined chemotherapy groups, the apoptosis rates of the cervical cancer cells were 1.4%, 18.6%, 24.12%, and 38.97%, respectively. DMSO@γ-Fe₂O₃ nanomagnetic fluid thermotherapy combined with the chemotherapeutic drug carmustine exerted a noticeable toxic effect on the cervical cancer cells, and DMSO@γ-Fe₂O₃ significantly enhanced the killing effect of carmustine on cervical cancer cells.
- |||||||||| isotretinoin oral / Generic mfg., carmustine / Generic mfg.
Clinical, Journal: Pilot Study of a Novel Therapeutic Approach for Refractory Advanced Stage Folliculotropic Mycosis Fungoides. (Pubmed Central) - Jun 24, 2021 We report here a high response rate using a novel therapeutic regimen combining interferon gamma, isotretinoin in low dose and topical carmustine, and in some cases concomitant skin-directed therapies, among 6 consecutive patients with refractory folliculotropic mycosis fungoides with stages IB through IIIB who had previously failed both topical and systemic therapies. The potential mechanisms of this multimodality approach are discussed.
- |||||||||| methotrexate / Generic mfg.
Journal: Outcomes of Autologous Stem Cell Transplant Consolidation in Primary CNS Lymphoma: A Mayo Clinic Experience. (Pubmed Central) - Jun 24, 2021 All patients received high-dose methotrexate-based induction therapy...Disease response status before transplant significantly impacted the outcomes as those in complete remission(CR) had an OS at 2 years post-transplant of 94.7% (68.1-99.2) in BEAM group and 90.5% (67.0-97.5) in BCNU/TT group as compared to those in partial response (PR), 57.1% (17.2-83.7) in BCNU/TT group, and 50.0% (11.1-80.4) in the BEAM group, respectively (p <0.0001). Our retrospective cohort adds to the currently available literature and identifies the disease status before transplant as a significant factor impacting survival.
- |||||||||| carmustine / Generic mfg.
Journal: Cell Models for Birth Defects Caused by Chloroethyl Nitrosourea-Induced DNA Lesions. (Pubmed Central) - Jun 24, 2021 Here we generate DNA lesions in NIH/3T3 cells to mimic defects in fetus triggered by 3-Bis(2-chloroethyl)-1-nitrosourea (BCNU, carmustine)...Taken together, all these experiments demonstrate we have successfully established normal cell models for birth defects caused by BCNU-mediated DNA damages. The model can not only guide the development of effective and low-toxicity anticancer drugs, but also be of great significance for the study of neonatal malformation triggered by BCNUs.
- |||||||||| temozolomide / Generic mfg.
Journal: Chemotherapy for Glioma (Pubmed Central) - Jun 8, 2021 Although temozolomide administered orally or intravenously represents the standard of care for malignant gliomas, its efficacy is unsatisfactory...Carmustine wafers are clinically available local chemotherapeutic agents...In addition, recent progress in convection-enhanced delivery of chemotherapeutics against gliomas has also been reported. Development of an alternative strategy to effectively deliver drugs to the tumor site may improve the efficacy of chemotherapy against gliomas in the near future.
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