Table 1.
Summary of results from reported trials evaluating autologous stem-cell transplantation in patients with HIV-related lymphoma
| Author, year of publication | Nature of study | No. patients enrolled, |
No. received AuSCT/histology |
Dz status at AuSCT |
Regimen | HAART | CR rate, % | Median DFS | TRM |
|---|---|---|---|---|---|---|---|---|---|
| Re et al. 2003 [11] | Multicenter prospective | 16 | 4 HL | 1 PR | BEAM | Yes | 89%* | 67% at 8 mos.* | 0% |
| 6 NHL | 2 1st relapse 3 2nd relapse 4 refractory |
||||||||
| Gabarre et al. 2004 [14] | Retrospective review | 14 | 6 HL | 9 1st relapse | Various regimens of chemotherapy±TBI |
Yes | 71% | 29% at 25 mos. | 0% |
| 8 NHL | 1 2nd relapse 1 3rd relapse 1 4th relapse 2 refractory |
||||||||
| Krishnan et al. 2005 [12••] | Single institution prospective | 2 HL | 4 CR1 | BEC (n=17) | Yes | 90% | 85% at 32 mos. | 5% | |
| 20 | 18 NHL | 1 CR2 1 CR3 3 PR 9 1st relapse 2 2nd relapse |
fTBI +VP16/Cy (n=3) | ||||||
| Serrano et al. 2005 [13•] | Multicenter prospective | 14 | 3 HL | 6 CR1 | BEAM (n=10) | Yes | 73% | 65% at 30 mos. | 0% |
| 11 NHL | 4 CR2 4 PR |
BEAC (n=1) | |||||||
| Spitzer et al. (in press) [15] | Multicenter prospective | 27 | 5 HL | 6 CR | Dose-adjusted Bu/Cy | Yes | 53% | 50% at 6 mos. | 5% |
| 15 NHL | 2 PR 12 CS |
AuSCT, autologous stem-cell transplantation; BEAC, carmustine, etoposide, cytarabine, cyclophosphamide; BEAM, carmustine, etoposide, cytarabine, melphalan; BEC, carmustine, etoposide, cyclophosphamide; BusuBu/CY, busulfan, cyclophosphamide; CR, complete response; CS, chemosensitive disease (improvement of at least 25% in bidimensional tumor measurements or an improvement in evaluable disease sustained over 4 weeks); DFS, disease-free survival; Dz, disease; fTBI + VP-16/Cy, fractionated total body irradiation, etoposide, cyclophosphamide; HL, Hodgkin’s lymphoma; mos, months; NHL, non-Hodgkin’s lymphoma; PR, partial response; TRM, transplant related mortality.
Response is based on eight patients, so it is too early to assess response in one patient.