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Research ArticleClinical Investigations

Radioimmunotherapy Confers Long-Term Survival to Lymphoma Patients with Acceptable Toxicity: Registry Analysis by the International Radioimmunotherapy Network

Karin Hohloch, Angelika Bischof Delaloye, Christiane Windemuth-Kieselbach, Jose Gómez-Codina, Werner Linkesch, Woijciech Jurczak, Roberto Cacchione, Cheolwon Suh, Pier Luigi Zinzani and Lorenz Trümper
Journal of Nuclear Medicine September 2011, 52 (9) 1354-1360; DOI: https://doi.org/10.2967/jnumed.111.089920
Karin Hohloch
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Angelika Bischof Delaloye
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Christiane Windemuth-Kieselbach
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Jose Gómez-Codina
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Werner Linkesch
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Woijciech Jurczak
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Roberto Cacchione
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Cheolwon Suh
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Pier Luigi Zinzani
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Lorenz Trümper
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  • FIGURE 1.
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    FIGURE 1.

    Between December 2006 and November 2009, there were 1,075 registered patients, for which 467 were complete datasets, with documentation for at least 12 mo.

  • FIGURE 2.
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    FIGURE 2.

    Time to progression according to indication (first line, consolidation after first-line and primary therapy vs. recurrence and therapy refractory, other) for patients with FL (log-rank test, P = 0.052) (A) and with other lymphoma subtypes (log-rank test, P = 0.18) (B).

  • FIGURE 3.
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    FIGURE 3.

    Use of radioimmunotherapy by line of treatment.

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    FIGURE 4.

    OS (A) and PFS (B) according to lymphoma subtype.

Tables

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    TABLE 1

    Patient Characteristics

    Characteristicn
    No. of patients467
    Sex
     Men250
     Women217
    Age (y)
     Median59
     Range17–88
    No. of patients older than 60 y210 (45)
    Lymphoma subtype
     FL I–III a271 (58)
     Diffuse large B-cell lymphoma94 (20)
     Mantle cell lymphoma65 (14)
     B-chronic lymphatic leukemia24 (5.1)
     Marginal zone lymphoma13 (2.8)
    Stage
     I24 (5.2)
     II63 (13.5)
     III104 (22.3)
     IV268 (57.4)
     E4 (0.9)
     Not determined4 (0.9)
    Previous therapies
     Chemotherapy445
      1–3342 (77)
      4–689 (20)
      >714 (3)
     Radioimmunotherapy22 (4.7)
     Autologous stem cell transplantation
      163 (13.4)
      23 (0.6)
     Radiotherapy88
      167 (76)
      216 (18)
      ≥35 (6)
    Bone marrow infiltration before radioimmunotherapy
     No. of patients467
     Infiltration72 (15)
     <20%59 (13)
     >20%13 (3)
    • Data in parentheses are percentages.

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    TABLE 2

    Indication for Radioimmunotherapy

    Follicular lymphoma, line (n = 236)Other lymphoma subtypes, line (n = 172)
    IndicationAllFirstSecondThird through eighthAllFirstSecondThird through eighth
    Consolidation107 (45)622124119 (69)792119
    Conditioning3 (1.3)0215 (2.9)212
    Primary therapy3 (1.3)3005 (2.9)500
    Recurrence89 (37.7)0305923 (13)0716
    Therapy refractory28 (11.8)13246 (3.4)015
    Other6 (2.5)03314 (8)644
    • Data in parentheses are percentages.

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    TABLE 3

    Response to Radioimmunotherapy

    FLOther lymphoma
    ResponseAllFirst line*Relapse†No line available‡First line*Relapse†No line available‡
    CR336 (75)57 (87.7)101 (58.4)32 (91)71 (84.5)58 (66)17 (77)
    Partial remission70 (16)5 (7.7)36 (21)1 (2.9)11 (13)15 (17)2 (9)
    Stable disease17 (4)2 (3)10 (5.8)1 (2.9)0 (0)2 (2.3)2 (9)
    Progressive disease20 (4)0 (0)12 (7)1 (2.9)0 (0)6 (6.8)1 (4)
    ND5 (1)1 (1.5)14 (8.1)0 (0)2 (2.3)7 (8)10 (3)
    • * Consolidation first line or primary therapy.

    • † Recurrence or therapy-refractory.

    • ‡ Line of therapy was not documented.

    • ND = not done.

    • Data in parentheses are percentages.

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    TABLE 4

    Hematotoxicity After Radioimmunotherapy

    FLOther lymphoma
    ParameternMedian nadirnMedian nadir
    Hemoglobin24310.8 g/dL1739.7 g/dL
    Leukocytes1792.0 μL1292.2 μL
    Platelets245194 μL17413.000 μL
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Journal of Nuclear Medicine: 52 (9)
Journal of Nuclear Medicine
Vol. 52, Issue 9
September 1, 2011
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Radioimmunotherapy Confers Long-Term Survival to Lymphoma Patients with Acceptable Toxicity: Registry Analysis by the International Radioimmunotherapy Network
Karin Hohloch, Angelika Bischof Delaloye, Christiane Windemuth-Kieselbach, Jose Gómez-Codina, Werner Linkesch, Woijciech Jurczak, Roberto Cacchione, Cheolwon Suh, Pier Luigi Zinzani, Lorenz Trümper
Journal of Nuclear Medicine Sep 2011, 52 (9) 1354-1360; DOI: 10.2967/jnumed.111.089920

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Radioimmunotherapy Confers Long-Term Survival to Lymphoma Patients with Acceptable Toxicity: Registry Analysis by the International Radioimmunotherapy Network
Karin Hohloch, Angelika Bischof Delaloye, Christiane Windemuth-Kieselbach, Jose Gómez-Codina, Werner Linkesch, Woijciech Jurczak, Roberto Cacchione, Cheolwon Suh, Pier Luigi Zinzani, Lorenz Trümper
Journal of Nuclear Medicine Sep 2011, 52 (9) 1354-1360; DOI: 10.2967/jnumed.111.089920
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