Safe prolonged use of brentuximab vedotin in a patient with Classical Hodgkin Lymphoma on hemodialysis

Aimee Schad , Abhinandan R Pakanati , Susan Woelich , Abhishek Chilkulwar
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Abstract

Classical Hodgkin Lymphoma (cHL) is a B-cell derived lymphoma with excellent cure rates, however poor functional status or co-morbid conditions limit treatment options. Brentuximab vedotin (BV), a CD30 antibody drug conjugate, has an expanding role in cHL treatment. A 53-year-old man with multiple co-morbidities including end stage renal disease (ESRD) presenting with pancytopenia was found to have cHL. Not a candidate for intensive chemotherapy, he was safely maintained on intermittent BV for three years. Literature on prolonged BV use in hemodialysis is extremely limited. This case suggests BV as a safe treatment option for CD30 positive cHL in patients with ESRD on hemodialysis.

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布伦妥昔单抗韦多汀在血液透析中长期安全应用于一例经典霍奇金淋巴瘤患者
经典霍奇金淋巴瘤(cHL)是一种b细胞源性淋巴瘤,治愈率很高,但不良的功能状态或合并症限制了治疗选择。Brentuximab vedotin (BV)是一种CD30抗体药物偶联物,在cHL治疗中的作用越来越大。一名53岁男性合并多种合并症,包括终末期肾病(ESRD),并伴有全血细胞减少症,被发现患有cHL。由于不适合强化化疗,他接受了3年的间歇性BV治疗。关于血液透析长期使用BV的文献非常有限。本病例提示BV是血液透析ESRD患者CD30阳性cHL的安全治疗选择。
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