Scientific article
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Remission of relapsed/refractory classical Hodgkin lymphoma induced by brentuximab vedotin and pembrolizumab combination after allogeneic hematopoietic stem cell transplantation : a case report

Published inFrontiers in immunology, vol. 15, 1360275
Publication date2024
First online date2024-03-06
Abstract

Allogeneic hematopoietic stem cell transplantation (allo-HSCT) is a potentially curative treatment option for patients with highly chemorefractory Hodgkin lymphoma (HL). The CD30-targeting antibody-drug conjugate Brentuximab-Vedotin (BV) and programmed cell death protein-1 (PD-1) blocking agents have demonstrated clinical activity with durable responses in relapsed/refractory (r/r) HL. However, patients with a history of allo-HSCT were frequently excluded from clinical trials due to concerns about the risk of graft-versus-host disease (GVHD). We report the clinical history of a patient with refractory classical HL who underwent two allo-HSCTs (first from matched unrelated and second from haploidentical donor) after relapsing on BV and nivolumab and for whom durable remission was finally obtained using BV-pembrolizumab combination for relapse after haploidentical HSCT. Such treatment was associated with the onset of GVHD after only two cycles which led to treatment discontinuation. However, the side effects were rapidly controlled, and after 2 years of follow-up, the patient is still in remission. Our data support the feasibility and efficacy of combining PD-1 blockade with BV to enhance the graft-versus-lymphoma effect after allo-HSCT.

Keywords
  • DLI
  • Hodgkin lymphoma
  • Brentuximab-vedotin
  • Haploidentical allogeneic stem cell transplant
  • Pembrolizumab
  • Humans
  • Brentuximab Vedotin / therapeutic use
  • Hodgkin Disease / drug therapy
  • Programmed Cell Death 1 Receptor
  • Neoplasm Recurrence, Local / drug therapy
  • Hematopoietic Stem Cell Transplantation / adverse effects
  • Graft vs Host Disease / etiology
  • Graft vs Host Disease / drug therapy
  • Antibodies, Monoclonal, Humanized
Citation (ISO format)
GIANNOTTI, Federica et al. Remission of relapsed/refractory classical Hodgkin lymphoma induced by brentuximab vedotin and pembrolizumab combination after allogeneic hematopoietic stem cell transplantation : a case report. In: Frontiers in immunology, 2024, vol. 15, p. 1360275. doi: 10.3389/fimmu.2024.1360275
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ISSN of the journal1664-3224
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