A complete response with daratumumab, venetoclax, azacitidine and dexamethasone in a heavily pre-treated, chemo-refractory early T-precursor acute lymphoblastic leukemia/lymphoma patient.

IF 2.4 3区 医学 Q2 HEMATOLOGY Annals of Hematology Pub Date : 2025-01-01 Epub Date: 2025-01-23 DOI:10.1007/s00277-024-06118-8
Süreyya Yiğit Kaya, Mehrad Vatani, Rima Akil, Tansel Cakir, Senem Maral, Leylagül Kaynar, Ömür Gökmen Sevindik
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Abstract

Early T-precursor acute lymphoblastic leukemia/lymphoma (ETP-ALL/LBL) is a rare and aggressive subtype of T-cell leukemia with poor prognosis and resistance to standard treatments. We report a 21-year-old male with ETP-ALL/LBL who, after an initial complete remission with the HOELZER protocol, experienced early relapse and was refractory to subsequent FLEND and BFM protocols. Following disease progression and complications, he was treated with a combination of daratumumab, venetoclax, azacitidine, and dexamethasone. This regimen achieved complete remission after one cycle. This case highlights the potential of this combination therapy as an effective treatment for refractory ETP-ALL/LBL, suggesting further research is warranted to validate its efficacy and safety.

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daratumumab、venetoclax、阿扎胞苷和地塞米松治疗一名化疗难治的早期t前体急性淋巴细胞白血病/淋巴瘤患者的完全缓解
早期t前体急性淋巴细胞白血病/淋巴瘤(ETP-ALL/LBL)是一种罕见的侵袭性t细胞白血病亚型,预后差,对标准治疗有耐药性。我们报告了一位21岁的ETP-ALL/LBL男性患者,在HOELZER方案最初完全缓解后,经历了早期复发,并且对随后的FLEND和BFM方案难以耐受。随着疾病进展和并发症的出现,患者接受了达拉单抗、维尼托克拉、阿扎胞苷和地塞米松联合治疗。该方案在一个周期后达到完全缓解。该病例强调了该联合疗法作为难治性ETP-ALL/LBL有效治疗的潜力,表明有必要进一步研究以验证其有效性和安全性。
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来源期刊
Annals of Hematology
Annals of Hematology 医学-血液学
CiteScore
5.60
自引率
2.90%
发文量
304
审稿时长
2 months
期刊介绍: Annals of Hematology covers the whole spectrum of clinical and experimental hematology, hemostaseology, blood transfusion, and related aspects of medical oncology, including diagnosis and treatment of leukemias, lymphatic neoplasias and solid tumors, and transplantation of hematopoietic stem cells. Coverage includes general aspects of oncology, molecular biology and immunology as pertinent to problems of human blood disease. The journal is associated with the German Society for Hematology and Medical Oncology, and the Austrian Society for Hematology and Oncology.
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