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A phase 2 study of inotuzumab ozogamicin and rituximab, followed by autologous stem cell transplant in patients with relapsed/refractory diffuse large B-cell lymphoma

  • Nina D. Wagner-Johnston
  • , Andrè Goy
  • , Maria A. Rodriguez
  • , W. Christopher Ehmann
  • , Paul A. Hamlin
  • , John Radford
  • , Catherine Thieblemont
  • , Cheolwon Suh
  • , John Sweetenham
  • , Yifan Huang
  • , Sharon T. Sullivan
  • , Erik R. Vandendries
  • , Christian Gisselbrecht

Research output: Contribution to journal › Article › peer-review

Abstract

This study evaluated the safety and efficacy of inotuzumab ozogamicin (INO), a targeted humanized anti-CD22 antibody conjugated to calicheamicin, plus rituximab (R-INO) every 3 weeks, up to six cycles, followed by high dose therapy and autologous stem cell transplant (HDT-aSCT) in patients with high-risk relapsed/refractory diffuse large B-cell lymphoma (DLBCL). The primary endpoint was overall response (OR) rate after three cycles of R-INO. Sixty-three patients were enrolled. Common grade 3/4 adverse events during R-INO treatment were thrombocytopenia, lymphopenia and neutropenia. OR rate after three cycles of R-INO was 28.6% (95% confidence interval: 17.9-41.4). Eighteen patients underwent HDT-aSCT; 2-year progression-free survival (PFS) for these patients was 61.1%. Serious infections and hepatic toxicity following aSCT occurred in 33% and 22%, respectively. One- and 2-year PFS rates for all enrolled patients were 28.9% and 25.3%, respectively (median, 3.0 months). R-INO had lower than expected activity as a salvage regimen for transplant eligible patients with DLBCL.

Original languageEnglish
Pages (from-to)2863-2869
Number of pages7
JournalLeukemia and Lymphoma
Volume56
Issue number10
DOIs
StatePublished - Oct 3 2015

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

ASJC Scopus subject areas

  • Hematology
  • Oncology
  • Cancer Research

Keywords

  • DLBCL
  • Inotuzumab ozogamicin
  • autologous
  • immunotherapy
  • rituximab
  • transplant

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