UNI-MB - logo
UMNIK - logo
 
E-resources
Peer reviewed Open access
  • Survival Outcomes of Younge...
    Gerson, James N; Handorf, Elizabeth; Villa, Diego; Gerrie, Alina S; Chapani, Parv; Li, Shaoying; Medeiros, L Jeffrey; Wang, Michael I; Cohen, Jonathon B; Calzada, Oscar; Churnetski, Michael C; Hill, Brian T; Sawalha, Yazeed; Hernandez-Ilizaliturri, Francisco J; Kothari, Shalin; Vose, Julie M; Bast, Martin A; Fenske, Timothy S; Narayana Rao Gari, Swapna; Maddocks, Kami J; Bond, David; Bachanova, Veronika; Kolla, Bhaskar; Chavez, Julio; Shah, Bijal; Lansigan, Frederick; Burns, Timothy F; Donovan, Alexandra M; Wagner-Johnston, Nina; Messmer, Marcus; Mehta, Amitkumar; Anderson, Jennifer K; Reddy, Nishitha; Kovach, Alexandra E; Landsburg, Daniel J; Glenn, Martha; Inwards, David J; Karmali, Reem; Kaplan, Jason B; Caimi, Paolo F; Rajguru, Saurabh; Evens, Andrew; Klein, Andreas; Umyarova, Elvira; Pulluri, Bhargavi; Amengual, Jennifer E; Lue, Jennifer K; Diefenbach, Catherine; Fisher, Richard I; Barta, Stefan K

    Journal of clinical oncology, 02/2019, Volume: 37, Issue: 6
    Journal Article

    Mantle cell lymphoma (MCL) is a B-cell lymphoma characterized by cyclin D1 expression. Autologous hematopoietic cell transplantation (AHCT) consolidation after induction chemotherapy is often used for eligible patients; however, the benefit remains uncertain in the rituximab era. Herein we retrospectively assessed the impact of AHCT consolidation on survival in a large cohort of transplantation-eligible patients age 65 years or younger. We retrospectively studied transplantation-eligible adults age 65 years or younger with newly diagnosed MCL treated between 2000 and 2015. The primary objective was to assess for improved progression-free survival (PFS) with AHCT consolidation and secondarily to assess for improved overall survival (OS). Cox multivariable regression analysis and propensity score-weighted (PSW) analysis were performed. Data were collected from 25 medical centers for 1,254 patients; 1,029 met inclusion criteria. Median follow-up for the cohort was 76 months. Median PFS and OS were 62 and 139 months, respectively. On unadjusted analysis, AHCT was associated with improved PFS (75 v 44 months with v without AHCT, respectively; P < .01) and OS (147 v 115 months with v without AHCT, respectively; P < .05). On multivariable regression analysis, AHCT was associated with improved PFS (hazard ratio HR, 0.54; 95% CI, 0.44 to 0.66; P < .01) and a trend toward improved OS (HR, 0.77; 95% CI, 0.59 to 1.01; P = .06). After PSW analysis, AHCT remained associated with improved PFS (HR, 0.70; 95% CI, 0.59 to 0.84; P < .05) but not improved OS (HR, 0.87; 95% CI, 0.69 to 1.1; P = .2). In this large cohort of younger, transplantation-eligible patients with MCL, AHCT consolidation after induction was associated with significantly improved PFS but not OS after PSW analysis. Within the limitations of a retrospective analysis, our findings suggest that in younger, fit patients, AHCT consolidation may improve PFS.