Publications by authors named "Martina Manni"

Article Synopsis
  • Variations in access to drugs globally make it hard to assess the effectiveness of modern treatments for patients with relapsed and refractory mature T-cell and NK-cell lymphomas in a study of 925 patients.
  • * The study found that relapsed lymphoma patients had better overall survival rates compared to refractory patients after second-line treatment, with several factors identified as predictors of survival.
  • * A new prognostic index (PIRT) categorizes patients based on risk factors into low, intermediate, or high risk, impacting 3-year overall survival rates, and highlights the superior outcomes of novel therapies compared to traditional chemotherapy.
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Background: Certain manufacturing processes confer distinctive rheologic features to hyaluronic acid (HA), ensuring long-lasting effects. Skin quality improvement and the volumizing effects of the DEF CL volumizer filler, a sterile, biodegradable, viscoelastic, transparent, isotonic, and homogenized injectable cross-linked high G' filler for the treatment of moderate-to-severe age-related midface changes, were initially documented at 6 months after the first injection.

Objective: The authors aimed to objectively evaluate the effects of the DEF CL volumizer filler in improving skin density, thickness, and biomechanical properties and on tissue volume augmentation in women with midface volume loss after 12 months.

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Introduction: The histological transformation (HT) of follicular lymphoma (FL) is a crucial biological event. The study aimed to evaluate the incidence, clinicial characteristics, prognosis and impact of HT time on survival of FL transforming to diffuse large B-cell lymphoma in population-based large-scale cohorts.

Methods: A retrospective cohort study of FL with HT was performed in the Surveillance, Epidemiology, and End Results database.

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Peripheral T-cell lymphomas (PTCLs) are a heterogeneous group of haematological cancers with generally poor clinical outcomes. However, a subset of patients experience durable disease control, and little is known regarding long-term outcomes. The International T-cell Lymphoma Project (ITCLP) is the largest prospectively collected cohort of patients with PTCLs, providing insight into clinical outcomes at academic medical centres globally.

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We report the outcome of 563 cases of newly diagnosed lymphoma registered in 2019-2021, including 176 cases (31.2%) of Hodgkin lymphoma (HL), 130 (23.1%) of diffuse large B-cell lymphoma (DLBCL), 28 (5%) of follicular lymphoma (FL), 16 (2.

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Background: Hyaluronic acid-based filler injections with parenteral anesthetics have become the standard in treating midface volume deficits. There are currently limited data on the effects of these types of fillers on skin density, thickness, and firmness.

Objective: This study aimed to assess the efficacy of XTR CL filler in improving skin quality and tissue volume in women with midface volume loss.

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We conducted a post hoc analysis of the FOLL12 trial to determine the impact of different initial immunochemotherapy (ICT) regimens on patient outcomes. Patients were selected from the FOLL12 trial, which included adults with stage II-IV follicular lymphoma (FL) grade 1-3a and high tumor burden. Patients were randomized 1:1 to receive either standard ICT followed by rituximab maintenance (RM) or the same ICT followed by a response-adapted approach.

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Article Synopsis
  • The study examined outcomes and prognostic factors in patients with limited-stage peripheral T-cell lymphomas (PTCLs) using data from the T-Cell Project, involving 211 patients from 2006-2018.
  • A newly developed model identified risk groups based on factors like age, LDH levels, and serum albumin, showing varying 5-year overall survival rates (OS) of 78%, 46%, and 25% for low, intermediate, and high-risk groups, respectively.
  • The SALENTO Model outperformed existing prognostic indices and revealed that high-risk patients have poor outcomes similar to advanced-stage disease, suggesting a need for more aggressive first-line treatments.
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Article Synopsis
  • The T-cell Lymphoma Project is a global study that examined clinical features and treatment outcomes of patients with newly diagnosed peripheral T-cell and NK-cell lymphomas, enrolling 1553 patients from 74 institutions across 14 countries between 2006 and 2018.
  • Among the participants, 131 (8.4%) were identified with anaplastic large cell lymphoma - kinase positive (ALCL, ALK+), mostly in young adults with a median age of 39; many patients had advanced-stage disease but a majority had low-risk scores.
  • Treatment with anthracycline chemotherapy yielded an 81% overall response rate, with 70% achieving complete remission, and three- and five-year overall survival rates
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The Ukrainian Lymphoma Registry (ULR) was established in 2019 with the aim of monitoring the quality of diagnosis, staging, and treatment of lymphoma in Ukraine. Between September 2019 and October 2021, 546 patients with newly diagnosed lymphoma were prospectively registered. All cases were diagnosed according to the 2016 updated WHO lymphoma classification.

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Purpose: We compared 2 years of rituximab maintenance (RM) with a response-adapted postinduction approach in patients with follicular lymphoma who responded to induction immunochemotherapy.

Methods: We randomly assigned treatment-naïve, advanced-stage, high-tumor burden follicular lymphoma patients to receive standard RM or a response-adapted postinduction approach on the basis of metabolic response and molecular assessment of minimal residual disease (MRD). The experimental arm used three types of postinduction therapies: for complete metabolic response (CMR) and MRD-negative patients, observation; for CMR and MRD-positive (end of induction or follow-up) patients, four doses of rituximab (one per week, maximum three courses) until MRD-negative; and for non-CMR patients, one dose of ibritumomab tiuxetan followed by standard RM.

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Background: Primary refractory (PREF) follicular lymphoma (FL) has a completely different clinical course from that of FL that responds to front-line treatments. In addition to having poor responses to salvage therapies, it seems that patients with PREF are at increased risk of histological transformation (HT). The Aristotle consortium presented the opportunity of investigating the risk of HT in a very large series of cases.

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Article Synopsis
  • Angioimmunoblastic T-cell lymphoma (AITL) is a serious subtype of peripheral T-cell lymphoma with distinct characteristics and a generally poor prognosis, affecting mostly older patients with advanced disease.
  • A study analyzed data from 282 AITL patients over 12 years, finding a 5-year overall survival rate of 44% and a progression-free survival rate of 32%, with improved outcomes for those who received stem cell transplants.
  • Key factors influencing survival included age, performance status, and specific lab markers, leading to the development of a new prognostic score that better distinguishes risk levels and highlights the need for more effective treatments.
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Article Synopsis
  • Anaplastic lymphoma kinase-negative anaplastic large cell lymphoma (ALK- ALCL) is a type of aggressive cancer affecting T-cells, with a median diagnosis age of 54 and a majority of male patients (62%).
  • Out of 1,553 cases studied globally, 71% were at advanced stages (III-IV), and 85% received multiagent chemotherapy, showing initial response rates of 77% overall and 63% complete.
  • After a median follow-up of 52 months, progression-free survival was 41 months, and overall survival was 55 months, with treatments including anthracycline and etoposide yielding better overall survival outcomes.
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Mantle cell lymphoma is a rare and incurable lymphoproliferative disorder. In the MCL01 trial, patients were treated with the R-HCVAD regimen [rituximab plus HyperCVAD (hyperfractionated cyclophosphamide, vincristine, doxorubicin, dexamethasone; R-CVAD) alternating with high-dose methotrexate and cytarabine (AM)] for four cycles followed by autologous stem cell transplantation (ASCT) for those who reached only a partial response. After a median follow-up of 10·5 years, we reported 10-year progression-free and overall survival rates of 35% and 61% respectively, with a 10-years cumulative incidence rate of second malignancies of 10·6%.

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Article Synopsis
  • Extranodal natural killer (NK) T-cell lymphoma (ENKTL) is a rare cancer associated with poor survival rates, predominantly studied in East Asian populations, leaving a gap in international data on treatment outcomes.
  • This research is part of the T-cell Project, which tracked newly diagnosed NK and T-cell lymphoma patients from 13 countries, enrolling 1,695 participants and focusing on patient characteristics and survival rates over time.
  • The study found that 5-year overall survival rates were 54% for patients with nasal ENKTL and 34% for those with extranasal disease, representing the largest global dataset on ENKTL and highlighting significant improvements in patient survival with routine treatment practices.
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Background: Histological transformation of follicular lymphoma to aggressive lymphoma is a serious event with a substantial effect on patient outcome. The aim of the Aristotle study was to assess the effect of rituximab on the risk of histological transformation and its outcome.

Methods: 11 cooperative groups or institutions across Europe contributed data to this study.

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Different models to investigate the prognosis of peripheral T cell lymphoma not otherwise specified (PTCL-NOS) have been developed by means of retrospective analyses. Here we report on a new model designed on data from the prospective T Cell Project. Twelve covariates collected by the T Cell Project were analysed and a new model (T cell score), based on four covariates (serum albumin, performance status, stage and absolute neutrophil count) that maintained their prognostic value in multiple Cox proportional hazards regression analysis was proposed.

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This analysis explored factors influencing survival of patients with primary refractory and relapsed peripheral T-cell lymphomas enrolled in the prospective International T-cell Project. We analyzed data from 1020 patients with newly diagnosed disease, enrolled between September 2006 and December 2015. Out of 937 patients who received first-line treatment, 436 (47%) were identified as refractory and 197 (21%) as relapsed.

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Purpose The FOLL05 trial compared R-CVP (rituximab plus cyclophosphamide, vincristine, and prednisone) with R-CHOP (rituximab plus cyclophosphamide, doxorubicin, vincristine, and prednisone) and R-FM (rituximab plus fludarabine and mitoxantrone) regimens without rituximab maintenance as initial therapy for patients with advanced-stage follicular lymphoma (FL). A previous analysis with a median follow-up of 34 months showed a superior 3-year time to treatment failure, the primary study end point, with R-CHOP and R-FM versus R-CVP and showed R-CHOP to have a better risk-benefit ratio in terms of toxicity than R-FM. We report a post hoc analysis of this trial after a median follow-up of 7 years.

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