Hodgkin lymphoma. ASCO, EHA and ASH 2020 news

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The review shows the most interesting and promising studies presented at major international conferences of the American Society of Clinical Oncology, the European Hematology Association, and the American Society of Hematology in 2020. The main aim of the therapy for Hodgkin lymphoma (HL), which have been formulated over the past 20 years, is the highly effective therapy and high quality of life, and the main possibility to solve this task is positron emission tomography (PET). The studies presented at conferences this year have shown that PET-adapted therapy has become the basis of modern HL therapy. The second equally interesting direction presented at the conferences this year is the widespread use of targeted (brentuximab vedotin) therapy and immunotherapy (nivolumab, pembrolizumab) in combination with standard chemotherapy not only in patients with relapsed/refractory HL, but also as first-line therapy, including the patients of an elderly section. The combination of brentuximab vedotin and immunotherapy during all lines of HL treatment, as well as brentuximab vedotin and immunotherapy consolidation after high-dose chemotherapy and autologous stem cell transplantation are another direction to improve the efficacy of therapy in patients with HL.

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Elena Demina

Pirogov National Medical and Surgical Center

编辑信件的主要联系方式.
Email: drdemina@yandex.ru

D. Sci. (Med.), Prof., oncologist

俄罗斯联邦, Moscow

参考

  1. Borchmann P. Positron emission tomography guided omission of radiotherapy in early-stage unfavorable Hodgkin lymphoma: final results of the international, randomized phase III HD17 trial by the GHSG. EHA 25th: p1; abstr. S101.
  2. Fuchs M, Plütschow A, Kobe C, et al. Prognostic Impact of ПЭТ after 2 Циклs of Escalated Beacopp Plus 2 Циклs of ABVD on Progression Free Survival in Early Unfavourable Hodgkin Lymphoma within the Phase 3 GHSG HD17 Trial. ASH 62th 2020; poster 2065.
  3. Park SI, Shea TC, Olajide O, et al. ABVD followed by BV consolidation in risk-stratified patients with limited-stage Hodgkin lymphoma. Blood Advances 2020; 4 (11): 2548–55. doi: 10.1182/bloodadvances.2020001871
  4. Straus DJ, Dlugosz-Danecka M, Connors JM, et al. Brentuximab Vedotin with Chemotherapy for Patients with Previously Untreated, Stage III/IV Classical Hodgkin Lymphoma: 5-Year Update of the ECHELON-1 Study. ASH 62th 2020; poster 2973.
  5. Yasenchak CA, Bordoni R, Patel-Donnelly D, et al. Frontline Brentuximab Vedotin As Monotherapy or in Combination for Older Hodgkin Lymphoma Patients. ASH 62th 2020; poster 471.
  6. Herrera AF, Moskowitz AJ, Bartlett NL, et al. Interim results of brentuximab vedotin in combination with nivolumab in patients with relapsed or refractory Hodgkin lymphoma. Blood 2018; 131: 1183–94.
  7. Herrera A, Moskowitz AJ, Bartlett NL, et al. Brentuximab Vedotin in Combination with Nivolumab in Patients with Relapsed or Refractory Hodgkin Lymphoma: Follow-up Results from the Phase 1/2 Study Presented at the 11th International Symposium on Hodgkin Lymphoma (ISHL); October 27–29 2018; Cologne, Germany; abstr. 0005.
  8. Casasnovas O, Racape J, Dechene J, et al. PET-Guided Strategy Improves the Safety of Beacopp-Based Treatment in Advanced Hodgkin Lymphoma: Prolonged Follow-up of the Lysa AHL 2011 Phase 3 Study. ASH 62th 2020; poster 475.
  9. Bröckelmann PJ, Goergen H, Keller U, et al. Efficacy and Safety of Nivolumab and AVD in Early-Stage Unfavorable Hodgkin Lymphoma: Extended Follow-up from the GHSG Phase II Nivahl Trial. ASH 62th 2020; poster 1153.
  10. Hagenbeek A, Zijlstra JM, Plattel WJ, et al. Combining brentuximab vedotin with DHAP as salvage treatment in relapsed/refractory Hodgkin lymphoma: the phase II HOVON/LLPC transplant BRaVE study. Blood 2018; 132 (Suppl. 1): abstr. 2923. doi: 10.1182/blood-2018-99-112235
  11. Lynch RC, Cassaday RD, Smith SD, et al. Dose-Dense Brentuximab Vedotin Plus Ifosfamide, Carboplatin, and Etoposide (ICE) Is Highly Active for Second Line Treatment in Relapsed/Refractory Classical Hodgkin Lymphoma: Final Results of a Phase I/II Study. ASH 62th 2020; poster 2964.
  12. Moskowitz CH, Nademanee A, Masszi T, et al. Brentuximab vedotin as consolidation therapy after autologous stem-cell transplantation in patients with Hodgkin’s lymphoma at risk of relapse or progression (AETHERA): a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet 2015; 385 (9980): 1853–62. doi: 10.1016/S0140-6736(15)60165-9
  13. Armand P, Chen Y-B, Redd RA, et al. PD-1 blockade with pembrolizumab for classical Hodgkin lymphoma after autologous stem cell transplantation. Blood 2019; 134 (1): 22–9. DOI: 10.1182/ blood.2019000215
  14. Herrera AF, Chen L, Nieto Y, et al. Consolidation with Nivolumab and Brentuximab Vedotin after Autologous Hematopoietic Cell Transplantation in Patients with High-Risk Hodgkin Lymphoma. ASH 62th 2020; poster 472.
  15. Moskowitz AJ, Shah G, Schöder H, et al. Phase II Study of Pembrolizumab Plus GVD As Second-Line Therapy for Relapsed or Refractory Classical Hodgkin Lymphoma. ASH 62th 2020; poster 470.
  16. Kuruvilla J, Ramchandren R, Santoro A, et al. KEYNOTE-204: Randomized, open-label, phase III study of pembrolizumab (pembro) versus brentuximab vedotin (BV) in relapsed or refractory classic Hodgkin lymphoma (R/R cHL). ASCO 2020; abstr. 8005. J Clin Oncol 2020; 38 (15): 8005. doi: 10.1200/JCO.2020.38.15_suppl.8005
  17. Kuruvilla J, Ramchandren R, Santoro A, et al. Effect of Pembrolizumab (Pembro) Monotherapy Versus Brentuximab Vedotin (BV) on Patients (Pts) with Relapsed/Refractory Classical Hodgkin Lymphoma (R/R cHL): Exploratory Analysis of the Randomized, Phase 3 Keynote-204 Study By Prior Lines of Therapy. ASH 62th 2020; poster 1158.
  18. Zinzani PL, Ramchandren R, Santoro A, et al. Effect of Pembrolizumab Monotherapy Versus Brentuximab Vedotin (BV) on Symptoms Associated with Health-Related Quality of Life (HRQoL) in Relapsed/Refractory (R/R) Classical Hodgkin Lymphoma (cHL) in the Randomized, Phase 3, Keynote-204 Study. ASH 62th 2020; abstr. 374.
  19. FDA Approves Expanded Indication for Merck’s Keytruda (pembrolizumab) in Adult Patients With Relapsed or Refractory Classical Hodgkin Lymphoma (cHL). Accessed: 15.01.2021.

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