Publications by authors named "Benedicte Deau-Fischer"

Article Synopsis
  • This study examined the benefits of intensity-modulated proton therapy (IMPT) over volumetric modulated arc therapy (VMAT) in reducing the effective dose to circulating immune cells (EDIC) in patients with mediastinal Hodgkin lymphoma (mHL) after chemotherapy.! -
  • Ten mHL patients were analyzed, revealing that IMPT significantly lowered the median EDIC from 1.93 Gy with VMAT to 1.08 Gy with IMPT, highlighting a notable reduction in radiation exposure.! -
  • The reduction in EDIC was primarily attributed to decreased integral dose to the body and better lung protection with IMPT, indicating a potential advantage for this treatment in improving patient outcomes in cancer therapy.!
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Immunotherapy (IT) is a major therapeutic strategy for lymphoma, significantly improving patient prognosis. IT remains ineffective for a significant number of patients, however, and exposes them to specific toxicities. The identification predictive factors around efficacy and toxicity would allow better targeting of patients with a higher ratio of benefit to risk.

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2ND AND SUBSEQUENT LINE TREATMENTS. Patients who fail first-line treatment can be cured with salvage chemotherapy followed by intensified therapy and hematopoietic stem cell autotransplantation. This treatment strategy is feasible for patients who are eligible based on their age, with chemosensitive disease and associated comorbidities.

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Article Synopsis
  • Patients with hematological malignancies are at increased risk for severe COVID-19 and may have weakened vaccine responses due to their condition and treatments.
  • A study observed 338 vaccinated patients, finding that 16.9% contracted COVID-19, with those receiving immunotherapy being more affected.
  • Immunotherapy, particularly with anti-CD20 monoclonal antibodies and Bruton's tyrosine kinase inhibitors, is linked to higher rates of infection and hospitalization, while those who received tixagevimab/cilgavimab had lower infection rates.
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Article Synopsis
  • - The study aimed to assess the effects of pharmaceutical care on cancer patients receiving oral treatments, focusing on clinical, economic, and organizational outcomes over a year.
  • - It found that pharmacists made significant interventions, with 1.81 interventions per admission, leading to improved patient outcomes and organizational quality of care, along with substantial cost savings.
  • - The cost-benefit analysis revealed a yearly savings of €539,047, highlighting the importance of integrating multidisciplinary and pharmaceutical care in cancer treatment to enhance patient outcomes and reduce unnecessary costs.
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Axicabtagene ciloleucel (axi-cel) and tisagenlecleucel (tisa-cel) have both demonstrated impressive clinical activity in relapsed/refractory (R/R) diffuse large B cell lymphoma (DLBCL). In this study, we analyzed the outcome of 809 patients with R/R DLBCL after two or more previous lines of treatment who had a commercial chimeric antigen receptor (CAR) T cells order for axi-cel or tisa-cel and were registered in the retrospective French DESCAR-T registry study ( NCT04328298 ). After 1:1 propensity score matching (n = 418), the best overall response rate/complete response rate (ORR/CRR) was 80%/60% versus 66%/42% for patients treated with axi-cel compared to tisa-cel, respectively (P < 0.

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Although anti-CD38 monoclonal antibodies have improved the prognosis of relapsed/refractory multiple myeloma (RRMM), some patients still experience early relapses with poor outcomes. This present study evaluated the predictive value of FDG PET/CT parameters for RRMM prior to initiating anti-CD38 treatment. We included 38 consecutive RRMM patients who underwent a PET/CT scan treated at our institution at relapse.

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Article Synopsis
  • Prolonged Covid-19 poses significant challenges for patients with lymphoma or immune deficiencies, as shown in a study of 111 adults hospitalized in France during March-April 2020.
  • The research found that factors like age over 70, having relapsed/refractory lymphoma, and recent treatment with anti-CD20 therapy are linked to longer hospital stays and higher mortality rates.
  • The study highlights the need for tailored management and vaccination strategies for lymphoma patients during the pandemic, given that the 6-month overall survival rate following hospitalization was only 69%.
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  • The study examines the outcomes for patients with double or triple hit lymphoma (DHL and THL) treated with conventional R-CHOP chemotherapy versus more intensive chemotherapy.* -
  • Among 160 patients followed for a median of 32 months, those receiving intensive chemotherapy had better progression-free survival (PFS) rates compared to those on R-CHOP, particularly in advanced stages, although overall survival (OS) showed no significant difference.* -
  • The study highlights that elevated International Prognostic Index (IPI) scores and central nervous system (CNS) involvement are linked to worse survival outcomes, supporting the need for more prospective trials to establish treatment guidelines.*
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Article Synopsis
  • Patients with lymphoma are highly vulnerable to severe outcomes from Covid-19 due to their weakened immune systems caused by both the disease and its treatments.
  • In a study of 89 lymphoma patients hospitalized for Covid-19, the median age was 67, with a significant portion having comorbidities; overall survival at 30 days post-admission was 71%.
  • Key factors linked to increased mortality included being 70 years or older and having relapsed/refractory lymphoma, while younger patients without these risk factors showed survival rates similar to the general population.
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Purpose: To assess the treatment and outcomes of patients with relapsed, refractory, or advanced Hodgkin lymphoma treated with consolidation or salvage radiotherapy.

Patients And Methods: We studied all patients diagnosed with this profile treated by radiotherapy in our center between 2006 and 2019.

Results: A total of 33 patients who received external-beam radiotherapy for advanced (21%), relapsed (52%), or refractory (24%) Hodgkin lymphoma were studied.

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Background: Crystal storing histiocytosis is a rare disorder associated with monoclonal gammopathy. In this disease, monoclonal heavy and light chains accumulate in the lysosome of macrophages, leading to histiocytic reaction in different organs. It is secondary to the presence of a small B-cell clone, responsible for monoclonal immunoglobulin production.

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Article Synopsis
  • - The study investigates the effectiveness of CT and PET/CT imaging in predicting patient outcomes after nivolumab therapy in individuals with relapsed or refractory Hodgkin lymphoma, focusing on the early response evaluation after treatment.
  • - Researchers analyzed data from 45 patients and found that both CT and PET/CT response classifications were significantly associated with overall survival, underscoring the prognostic value of early imaging.
  • - A notable finding is that 44% of patients had their CT response categories reclassified when using PET, with many classified as having a complete metabolic response, leading to a very high 2-year survival rate for these patients.
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Monoclonal antibodies (mAbs) against programmed cell death 1 (PD-1), such as nivolumab and pembrolizumab, are associated with high response rates in patients with relapsed or refractory classic Hodgkin lymphoma (HL). To date, no prognostic factor for overall survival (OS) has been established with these agents in HL. We examined whether the first early response assessment evaluated using F-FDG PET/CT may be associated with OS in this setting.

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Primary intravascular large B cell lymphoma (IVL) remains a diagnostic challenge because of non-specific clinical, laboratory and imaging findings. The aim of the study was to analyse the major characteristics of IVL with uterine involvement. We retrospectively collected features of IVL with uterine involvement that was proven histologically or demonstrated by significant FDG uptake on FDG-PET/CT.

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Hepatitis C Virus (HCV) infection is associated with the B-cell non-Hodgkin lymphomas (NHL), preferentially marginal zone lymphomas (MZL) and diffuse large B-cell lymphomas (DLBCL). While chronic antigenic stimulation is a main determinant of lymphomagenesis in marginal zone lymphomas (MZL), a putative role of HCV infection of B-cells is supported by in vitro studies. We performed a pathological study within the "ANRS HC-13 LymphoC" observational study focusing on in situ expression of the oncogenic HCV non structural 3 (NS3) protein.

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We assessed the long-term results of autologous stem-cell transplantation for patients with first-relapsed or refractory Hodgkin lymphoma included in the prospective Lymphoma Study Association/Société Française de Greffe de Moelle H96 trial. This large multicenter phase II trial evaluated a risk-adapted strategy with single or tandem autologous stem-cell transplantation for 245 Hodgkin lymphoma patients. Poor-risk patients (n=150) had primary refractory Hodgkin lymphoma (n=77) or ≥2 risk factors at first relapse (n=73) and were eligible for tandem autologous stem-cell transplantation.

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