Analysis of data collected in the European Society for Blood and Marrow Transplantation (EBMT) Registry on a cohort of lymphoma patients receiving plerixafor
Language English Country England, Great Britain Media print-electronic
Document type Journal Article, Multicenter Study, Research Support, Non-U.S. Gov't
PubMed
31570781
PubMed Central
PMC7051902
DOI
10.1038/s41409-019-0693-z
PII: 10.1038/s41409-019-0693-z
Knihovny.cz E-resources
- MeSH
- Benzylamines MeSH
- Cyclams MeSH
- Heterocyclic Compounds * MeSH
- Bone Marrow MeSH
- Humans MeSH
- Neoplasm Recurrence, Local MeSH
- Lymphoma * therapy MeSH
- Hematopoietic Stem Cell Mobilization MeSH
- Registries MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Multicenter Study MeSH
- Research Support, Non-U.S. Gov't MeSH
- Geographicals
- Europe MeSH
- Names of Substances
- Benzylamines MeSH
- Cyclams MeSH
- Heterocyclic Compounds * MeSH
- plerixafor MeSH Browser
Plerixafor + granulocyte-colony stimulating factor (G-CSF) is administered to patients with lymphoma who are poor mobilizers of hematopoietic stem cells (HSCs) in Europe. This international, multicenter, non-interventional registry study (NCT01362972) evaluated long-term follow-up of patients with lymphoma who received plerixafor for HSC mobilization versus other mobilization methods. Propensity score matching was conducted to balance baseline characteristics between comparison groups. The following mobilization regimens were compared: G-CSF + plerixafor (G + P) versus G-CSF alone; G + P versus G-CSF + chemotherapy (G + C); and G-CSF + plerixafor + chemotherapy (G + P + C) versus G + C. The primary outcomes were progression-free survival (PFS), overall survival (OS), and cumulative incidence of relapse (CIR). Overall, 313/3749 (8.3%) eligible patients were mobilized with plerixafor-containing regimens. After propensity score matching, 70 versus 36 patients were matched in the G + P versus G-CSF alone cohort, 124 versus 124 in the G + P versus G + C cohort, and 130 versus 130 in the G + P + C versus G + C cohort. For both PFS and OS, the upper bound of confidence interval for the hazard ratio was >1.3 for all comparisons, implying that non-inferiority was not demonstrated. No major differences in PFS, OS, and CIR were observed between the plerixafor and comparison groups.
Charles University Hospital Prague Czech Republic
EBMT Data Office Leiden Netherlands
EBMT Statistical Unit Paris France
George Papanicolaou General Hospital Thessaloniki Greece
Hospital de la Santa Creu Sant Pau Barcelona Spain
Institut Català d'Oncologia Hospital Duran i Reynals Barcelona Spain
Institut Paoli Calmettes Marseille France
Karolinska University Hospital Stockholm Sweden
Maria Sklodowska Curie Institute Oncology Center Warsaw Poland
Nottingham University Hospital Nottingham UK
Sanofi Genzyme Cambridge MA USA
Semmelweis University Budapest Hungary
St Bartholomew's Hospital Barts Health NHS Trust London UK
University Hospital Brno Brno Czech Republic
University of Cologne Cologne Germany
University of Eastern Finland and Kuopio University Hospital Kuopio Finland
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ClinicalTrials.gov
NCT01362972