CIBMTR淋巴瘤工作委员会研究组合的淋巴瘤移植进展:五年报告(2013-2018)

Mehdi Hamadani
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摘要

国际血液和骨髓移植研究中心(CIBMTR)是国家骨髓捐赠计划(NMDP)/Be The Match和威斯康星医学院(MCW)之间的研究合作。CIBMTR与全球科学界合作,在全球范围内推进造血细胞移植(HCT)和细胞治疗,以提高患者的生存率和丰富患者的生活质量。观测研究项目由15个工作委员会组成。本综述旨在强调CIBMTR淋巴瘤工作委员会在过去5年(2013-18年)发表的观察性研究,并总结这些研究如何在高质量随机试验无法获得前瞻性数据或由于特定移植适应症罕见而不太可能产生此类数据的情况下,通过帮助告知临床实践,影响该领域。在大型观察性研究数据库的设置之外。审查的突出发现包括;(a)研究支持自体HCT在诊断后1年内敏感复发的弥漫性大b细胞淋巴瘤(DLBCL)患者中的作用,(b)自体HCT与异体HCT在早期治疗失败的滤泡性淋巴瘤患者中的作用,(c)经典霍奇金淋巴瘤和既往自体移植失败的DLBCL患者预后评分系统的发展,(d)确定替代供体移植在淋巴瘤中的作用。(e)评估HCT治疗淋巴瘤的适当调理方案,以及(f) HCT治疗罕见淋巴样恶性肿瘤的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Advances in transplantation for lymphomas resulting from CIBMTR lymphoma working committee's research portfolio: A five-year report (2013-2018)

The Center for International Blood and Marrow Transplant Research (CIBMTR) is a research collaboration between the National Marrow Donor Program (NMDP)/Be The Match and the Medical College of Wisconsin (MCW). The CIBMTR collaborates with the global scientific community to advance hematopoietic cell transplantation (HCT) and cellular therapy worldwide to increase survival and enrich quality of life for patients. The observation research program within CIBMTR is organized into 15 working committees. This review is aiming to highlight the observational research studies published by the CIBMTR Lymphoma Working committee over the last 5 years (2013-18) and to summarize how these studies have impacted the field by helping inform clinical practice in scenarios where prospective data from high quality randomized trials were not available or where owing to the rarity of a particular transplant indication such data were unlikely to be generated, outside the setting of a large observational research database. The salient findings reviewed include; (a) studies supporting role of autologous HCT in diffuse large B-cell lymphoma (DLBCL) patients with sensitive relapse of disease within 1 year of diagnosis, (b) role of autologous HCT vs allogeneic HCT in follicular lymphoma patients with early therapy failure, (c) prognostic scoring system development for classical Hodgkin lymphoma and DLBCL patients with prior autograft failure, (d) defining the role of alternative donor transplantation in lymphomas, (e) evaluating appropriate conditioning regimens for HCT in lymphoma, and (f) outcomes of HCT in rare lymphoid malignancies.

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