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2020, Número 4

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Rev Hematol Mex 2020; 21 (4)


Administración de brentuximab vedotin en el mundo real en el linfoma de Hodgkin clásico y el linfoma anaplásico de células grandes sistémico en Argentina

Miodosky M, Cruset S, Beligoy LE, Freitas MJ, García-Lombardi M, Alfonso G, Cerutti A, Cordini G, De Stefano G, Gil M, Gómez S, Marull M, Zabaljauregui S, Agra M, Basso A, Beccacece M, Canosa V, Cugliari S, Devecchi C, Fragapane P, Funes ME, Gabriel A, Garate G, Giannini ME, Giordano L; Godoy MV, Golubizky V, Guanchiale L, Jarchum S, Mari LS, Márquez M, Nieto R, Noviello V, Plaza I, Premoli MS, Rodríguez A, Shanley C, Stemmelin G, Stivel M, Streitenberger D, Sturich AG, Ventriglia MV, Verón D, Viudez ML, Lis C, Rodger J, Hovsepian E, Bordone J
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Idioma: Español
Referencias bibliográficas: 31
Paginas: 179-194
Archivo PDF: 432.74 Kb.


PALABRAS CLAVE

Brentuximab vedotin, linfoma de Hodgkin, linfoma anaplásico de células grandes sistémico, células progenitoras hematopoyéticas.

RESUMEN

Antecedentes: Brentuximab vedotin es una nueva opción terapéutica contra el linfoma de Hodgkin (LH) CD30+ y el linfoma anaplásico de células grandes sistémico.
Objetivo: Evaluar los criterios de respuesta y los eventos adversos a tres y seis meses del inicio del tratamiento con brentuximab vedotin en el linfoma de Hodgkin clásico y el linfoma anaplásico de células grandes sistémico en Argentina.
Material y Método: Análisis observacional, retrospectivo, multicéntrico dentro del Plan de Monitoreo de Eficacia y Seguridad Clínica de poscomercialización.
Resultados: Se incluyeron 89 pacientes con linfoma de Hodgkin clásico y 5 con linfoma anaplásico de células grandes sistémico con enfermedad en recaída o resistente. Se dispuso de datos de 71 (mediana: 3 ciclos de brentuximab vedotin, tasa de respuesta global: 78%, remisión completa: 37%) y 51 (mediana acumulativa: 6 ciclos de brentuximab vedotin, tasa de respuesta global: 74.5%, remisión completa: 45%) pacientes con linfoma de Hodgkin clásico a tres y seis meses, respectivamente. En general, el tratamiento con brentuximab vedotin fue bien tolerado.
Conclusiones: La administración de brentuximab vedotin puede generar respuestas favorables en pacientes con linfoma de Hodgkin clásico/linfoma anaplásico de células grandes sistémico con enfermedad en recaída o resistente y permitir que los sujetos con linfoma quimiorresistente accedan al trasplante autólogo de células progenitoras hematopoyéticas (TACPH) o al trasplante alogénico.


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