Conference Coverage

Are single agents better than chemo for relapsed/refractory PTCL?


 

REPORTING FROM TCLF 2019

Survival

The median progression-free survival (PFS) and overall survival (OS) were significantly better among patients who received single-agent therapy. The median PFS was 11.7 months in the single-agent group and 6.7 months in the combination group (P = .0197). The median OS was 38.9 months and 17.1 months, respectively (P = .0170).

A factor that may have affected survival is that patients were more likely to undergo stem cell transplant after single-agent therapy (25.8%, 8/31), compared with those who had received combination therapy (7.7%, 2/26).

Another factor that may have affected the survival differences is the enrichment of patients treated with BV.

The researchers found the median PFS was 11.9 months among BV recipients, 10.4 months among patients who received other single agents, and 6.7 months in the combination-therapy group. The median OS was 44.5 months, 19.1 months, and 17.1 months, respectively.

Dr. Stuver said these results suggest there is a role for single agents as first retreatment in the salvage setting. However, this analysis was limited by the small sample size and the enrichment of patients treated with BV.

Larger, randomized studies are needed to identify the “truly superior” treatment strategy for relapsed/refractory PTCL, Dr. Stuver said.

The COMPLETE registry is sponsored by Spectrum Pharmaceuticals. Dr. Stuver did not declare any conflicts of interest.

The T-cell Lymphoma Forum is organized by Jonathan Wood & Associates, which is owned by the same company as this news organization.

Pages

Recommended Reading

Checkmate 436: Two-drug combo is ‘promising’ for PMBCL
MDedge Hematology and Oncology
Frailty-adjusted treatment strategy emerges in myeloma
MDedge Hematology and Oncology
Lenalidomide maintenance improves MCL survival after ASCT
MDedge Hematology and Oncology
Armored CAR protects T cells, induces remissions
MDedge Hematology and Oncology
CMT provides survival benefit in young HL patients
MDedge Hematology and Oncology
Group proposes new grading systems for CRS, neurotoxicity
MDedge Hematology and Oncology
Risk of second cancers in Hodgkin lymphoma survivors
MDedge Hematology and Oncology
Chidamide may be more effective in PTCL than previously thought
MDedge Hematology and Oncology
Zanubrutinib receives breakthrough designation for MCL
MDedge Hematology and Oncology
With RRMM and renal impairment, carfilzomib improves survival
MDedge Hematology and Oncology