Radioimmunotherapy in relapsed follicular lymphoma previously treated by autologous bone marrow transplant: a report of eight new cases and literature review

Leuk Lymphoma. 2008 Sep;49(9):1762-8. doi: 10.1080/10428190802273278.

Abstract

Multicenter, retrospective study of standard-dose RIT in eight heavily pre-treated patients with CD20-positive follicular lymphoma who had relapsed after previous autologous bone marrow transplantation (ABMT). Patients underwent nine courses of (90)Y-ibritumomab tiuxetan (0.3 or 0.4 mCi/kg body weight). Responses included five CR, two PR, one SD and one PD. Median DFS was 12 months with median follow-up of 17 months and 1-year OS was 83% (7/8 patients). Grade 4 thrombocytopenia occurred in 7/9 treatments, with no episodes of bleeding, and only two patients received a platelet transfusion. One patient, who had 20% bone marrow involvement at the time of relapse diagnosis, presented with Grade 4 thrombocytopenia and Grade 4 neutropenia and died of septic shock 6 months after RIT. One other case of Grade 4 neutropenia, without a serious infectious syndrome, was observed. Standard-dose RIT seems feasible and potentially effective after ABMT in correctly selected patients with follicular lymphoma.

Publication types

  • Case Reports
  • Evaluation Study
  • Multicenter Study
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Aged
  • Antibodies, Monoclonal / administration & dosage*
  • Bone Marrow Transplantation / adverse effects
  • Bone Marrow Transplantation / methods*
  • Female
  • Humans
  • Lymphoma, Follicular / complications
  • Lymphoma, Follicular / therapy*
  • Male
  • Middle Aged
  • Neutropenia / etiology
  • Radioimmunotherapy / adverse effects
  • Radioimmunotherapy / methods*
  • Retrospective Studies
  • Salvage Therapy / methods
  • Shock, Septic / etiology
  • Thrombocytopenia / etiology
  • Transplantation, Autologous
  • Treatment Outcome
  • Yttrium Radioisotopes / therapeutic use

Substances

  • Antibodies, Monoclonal
  • Yttrium Radioisotopes
  • ibritumomab tiuxetan