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Key Paper Evaluation

Treatment for relapsed Hodgkin lymphoma: refinement of chemotherapy or targeted treatment?

Evaluation of Josting A, Müller H, Borchmann P, Baars JW, et al. Dose intensity of chemotherapy in patients with relapses Hodgkin's Lymphoma. J Clin Oncol 2010;28:5074-80, and Younes A, Bartlett N, Leonard JP, et al. Brentuximab vedotin (SGN-35) for relapsed CD30-positive lymphoma. N Engl J Med 2010;363:1812-21.

, PhD DSc
Pages 991-994 | Published online: 15 Mar 2011
 

Abstract

The prognosis for those with relapsed Hodgkin lymphoma is poor. This evaluation is of two new approaches to the treatment of relapsed Hodgkin lymphoma. First, is a refinement of the chemotherapy for the relapsed condition, which showed that adding SHDCT (sequential high-dose chemotherapy of cyclophosphamine, uromitexane, granulocyte colony-stimulating factor, methotrexate, vincristine, etoposide) did not improve outcome. Second, is new targeted treatment for relapsed Hodgkin disease – brentuximab vedotin, which has an antitubulin agent (monomethylauristatin E) attached to a CD30-specific antibody. This agent gave promising results in a Phase I clinical trial in subjects with relapsed Hodgkin lymphoma. Brentuximab vedotin has produced good initial findings in the treatment of Hodgkin lymphoma and needs to be tested more widely.

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