Publications by authors named "Caroline Regny"

Background: Autoimmune conditions in B-cell lymphomas are frequent. Steroids are standard of care, but many patients require other immunosuppressive agents. Ibrutinib is a Bruton Tyrosine Kinase inhibitor that is approved for B-cell indolent lymphoma treatment.

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Angioimmunoblastic T-cell lymphoma (AITL) is a frequent T-cell lymphoma in the elderly population that has a poor prognosis when treated with cyclophosphamide, doxorubicin, vincristine, and prednisone  (CHOP) therapy. Lenalidomide, which has been safely combined with CHOP to treat B-cell lymphoma, has shown efficacy as a single agent in AITL treatment. We performed a multicentric phase 2 trial combining 25 mg lenalidomide daily for 14 days per cycle with 8 cycles of CHOP21 in previously untreated AITL patients aged 60 to 80 years.

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Article Synopsis
  • Composite and sequential lymphomas involving classical Hodgkin lymphoma (CHL) and primary mediastinal B-cell lymphoma (PMBCL) are rare and not well-studied, with this analysis focusing on 25 cases (10 composite and 15 sequential).
  • The research found that 70% of composite lymphomas were advanced at diagnosis, and sequential lymphomas were categorized based on the timing of the second diagnosis—early (within a year) or late (after a long remission).
  • The study highlighted that while early sequential lymphomas had poor outcomes (average survival less than a year), late cases responded well to treatment, underscoring the need for more research into the biology of these complex lymphomas.
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Introduction: Long-term efficacy of anti-PD1 therapy and the need for a consolidation with allogenic haematopoietic stem cell transplantation (allo-HSCT) remain unclear in patients with relapsed/refractory (R/R) Hodgkin lymphoma (HL).

Methods: We retrospectively analysed 78 patients with R/R HL treated with nivolumab in the French Early Access Program and compared their outcomes according to subsequent allo-HSCT.

Results: After a median follow-up of 34.

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The question of the best donor type between haploidentical (HAPLO) and matched-related donors (MRD) for patients with advanced HL receiving an allogeneic hematopoietic cell transplantation (allo-HCT) is still debated. Given the lack of data comparing these two types of donor in the setting of non-myeloablative (NMA) or reduced-intensity (RIC) allo-HCT, we performed a multicentre retrospective study using graft-vs.-host disease-free relapse-free survival (GRFS) as our primary endpoint.

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Article Synopsis
  • * Most patients (91%) exhibit extranodal involvement, often affecting the central nervous system, skin, or testicles, and the majority of cases analyzed showed a non-germinal center B-cell phenotype.
  • * First-line treatment typically involves an R-CHOP regimen, achieving a 61% response rate, but the overall survival after transformation is only 16 months, with worse outcomes linked to delayed transformation and elevated LDH levels.
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Article Synopsis
  • * A multicenter phase II trial examined a regimen using fludarabine, intravenous busulfan, and rabbit antithymocyte globulins in patients over 55 years, finding low rates of serious graft-versus-host disease and non-relapse mortality.
  • * Results indicated that over 75% of patients maintained their quality of life, with good survival rates and high rates of being progression-free at the one-year mark.
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The impact of consolidation on response rates and PFS has recently been demonstrated after induction and autotransplantation upfront in Multiple Myeloma (MM). We further showed that patients in ≥VGPR following the intensification procedure benefited most from consolidation. Question remains as to the benefit of consolidation for patients in PR at completion of induction - feature of partial resistance to the induction regimen.

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