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001-es BibID:BIBFORM099465
Első szerző:Jóna Ádám (orvos)
Cím:Pulmonary Toxicity of Hodgkin Lymphoma Treatment : a Prospective Single-Center Study / Jona Adam, Miltenyi Zsofia, Pinczes Laszlo, Kerek Patricia, Bittner Nora, Szilasi Maria, Barna Sandor, Illes Arpad
Dátum:2021
ISSN:1927-1212 1927-1220
Megjegyzések:Background: Standard bleomycin-containing first-line therapy and/or irradiation may cause pulmonary toxicity in Hodgkin lymphoma (HL) patients. Our aim was to prospectively assess effects of chest irradiation, bleomycin administration, and other factors on lung function in the treatment of patients with HL.Methods: Pulmonary function of newly diagnosed HL patients was assessed via a St. George Respiratory Questionnaire, dynamic inhalation lung scintigraphy, spirometry, and an assessment of the diffusion capacity of the lung for carbon monoxide (DLCO) before, during, and after treatment.Results: This prospective study was conducted at the University of Debrecen. The study included 84 patients with classical HL. Most patients received standard doxorubicin, bleomycin, vinblastine, and dacarbazine chemotherapy. Both intramuscular and intravenous administrations of bleomycin were used. Brentuximab vedotin combination chemotherapy was administered to 12 patients. Mediastinal involved-field irradiation therapy (IFRT) was used to treat 16 patients. Lung scintigraphy revealed pulmonary toxicity more sensitively than DLCO. Intravenous bleomycin administration decreased diethylenetriamine pentaacetic acid clearance. Intramuscular bleomycin had the lowest level of pulmonary toxicity among considered treatments. Currently used, mediastinal IFRT had a lower level of pulmonary toxicity than bleomycin. The current prospec-tive evaluation confirmed previous results that determined that cumulative bleomycin dose and administration are major risk factors for pulmonary toxicity, while the currently used treatment method, mediastinal irradiation, was determined to be relatively safe for treating for HL patients.Conclusion: We agree with decreasing bleomycin dosage and number of cycles administered and we do not recommend avoiding mediastinal IFRT, unless multiple pulmonary risk factors are present.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Hodgkin lymphoma
Pulmonary toxicity
Bleomycin
Irradiation
Brentuximab vedotin
Scintigraphy
Pulmonary fibrosis
Combination therapy
Megjelenés:Journal of Hematology. - 10 : 6 (2021), p. 266-273. -
További szerzők:Miltényi Zsófia (1975-) (belgyógyász, haematológus) Pinczés László Imre (1990-) (általános orvos) Kerek Patrícia (1996-) (Orvos) Bittner Nóra (1963-) (orvos) Szilasi Mária (1953-) (tüdőgyógyász, klinikai immunológus, allergológus, belgyógyász) Barna Sándor (1982-) (kutató orvos) Illés Árpád (1959-) (belgyógyász, haematológus, onkológus)
Pályázati támogatás:UNKP-20-4
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2.

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)
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3.

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)
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