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001-es BibID:	BIBFORM080196
035-os BibID:	(PMID)31392600
Első szerző:	Lovas Szilvia (általános orvos)
Cím:	Real-world data on the efficacy and safety of daratumumab treatment in Hungarian relapsed/refractory multiple myeloma patients / Szilvia Lovas, Gergely Varga, Péter Farkas, Tamás Masszi, Nikolett Wohner, Ágnes Bereczki, Nóra Adamkovich, Zita Borbényi, Árpád Szomor, Hussain Alizadeh, Erika Szaleczky, Krisztina Wolf, Tamás Schneider, Márk Plander, Tamás Szendrei, Ottó Csacsovszki, Zoltán Csukly, Péter Rajnics, Miklós Egyed, Zsolt Nagy, László Rejtő, Árpád Illés, Gábor Mikala, László Váróczy
Dátum:	2019
ISSN:	0925-5710 1865-3774
Megjegyzések:	Daratumumab is a human anti-CD38 monoclonal antibody used in the treatment of refractory and relapsed multiple myeloma. We investigated the efficacy and safety of daratumumab therapy in a real-world setting. Ninety-nine Hungarian patients were included; 48 received monotherapy, while lenalidomide and bortezomib combinations were administered in 29 and 19 cases, respectively. Overall response rate was assessable in 88 patients, with 12 complete, 10 very good partial, 34 partial, and seven minor responses. At a median duration of follow-up of 18.6 months, median progression-free survival (PFS) among all patients was 17.0 months. These values were inferior in the bortezomib combination and monotherapy groups. Patients with early-stage disease (ISS1) had better survival results than those with stage 2 or 3 myeloma (p?=?0.009). Heavily pretreated patients had inferior PFS compared to those with 1-3 therapies (p?=?0.035). Patients with impaired renal function had PFS results comparable with those having no kidney involvement. There were 10 fatal infections, and the most frequent adverse events were mild infusion-associated reactions and hematologic toxicities. Our results confirm that daratumumab is an effective treatment option for relapsed/refractory MM with an acceptable safety profile in patients with normal and impaired renal function.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk Daratumumab Multiple myeloma Survival Toxicity Treatment response
Megjelenés:	International Journal of Hematology. - 110 : 5 (2019), p. 559-565. -
További szerzők:	Varga Gergely Farkas Péter Masszi Tamás Wohner Nikolett Bereczki Ágnes Adamkovich Nóra Borbényi Zita Szomor Árpád Alizadeh, Hussain Szaleczky Erika Wolf Krisztina Schneider Tamás (onkológus) Plander Márk Szendrei Tamás Csacsovszki Ottó Csukly Zoltán Rajnics Péter Egyed Miklós Nagy Zsolt Rejtő László (1963-) (belgyógyász, haematológus) Illés Árpád (1959-) (belgyógyász, haematológus, onkológus) Mikala Gábor Váróczy László (1974-) (belgyógyász, haematológus)
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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001-es BibID:	BIBFORM094247
Első szerző:	Pinczés László Imre (általános orvos)
Cím:	The impact of autoimmune cytopenias on the clinical course and survival of Hodgkin lymphoma / Pinczés László Imre, Szabó Roxána, Miltényi Zsófia, Illés Árpád
Dátum:	2021
ISSN:	0925-5710 1865-3774
Megjegyzések:	The characteristics of autoimmune cytopenias (AICP) associated with Hodgkin lymphoma (HL) are not thoroughly defined. We retrospectively assessed the clinical features of HL-associated AICPs in 563 HL patients diagnosed over a period of 28 years. We identified 8 cases of autoimmune hemolytic anemia (AIHA) and 8 cases of autoimmune thrombocytopenia among 14 patients altogether. Four (26%) AICPs were present at lymphoma diagnosis, while 11 (74%) cytopenias occurred during follow-up after first-line therapy. The overall incidence of HL-associated AICPs was 2.8%. Nine (75%) cytopenias responded to intravenous steroids. Seven (46%) AICPs led to the diagnosis of HL, indicated a relapse, or revealed secondary malignancies. AIHAs and AICPs altogether were more likely to develop in patients with advanced-stage HL (p = 0.010 and p < 0.004, respectively). HL patients experiencing AICPs had an increased short-term (1-year) mortality compared to the general HL population (p < 0.022). The 5-year OS of HL patients with concurrent AICPs at diagnosis was inferior compared to HL patients developing AICPs during follow-up (p = 0.005), and to HL patients without AICPs (p < 0.001). Patients with HL-associated AICPs appear to have a particular disease-related profile. The association of HL and AICPs may increase short-term mortality, while patients with concurrent AICPs at HL diagnosis have a dismal prognosis.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk Autoimmune hemolytic anemia Autoimmune thrombocytopenia Evans syndrome Hodgkin lymphoma Overall survival
Megjelenés:	International Journal Of Hematology. - 113 : 2 (2021), p. 175-182. -
További szerzők:	Szabó Roxána Miltényi Zsófia (1975-) (belgyógyász, haematológus) Illés Árpád (1959-) (belgyógyász, haematológus, onkológus)
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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