Publications by authors named "Stacey A Goodman"

Article Synopsis
  • Systemic immunoglobulin light-chain (AL) amyloidosis involves amyloid fibrils from abnormal plasma cells, with daratumumab showing potential to enhance treatment outcomes.
  • In a study with 388 patients, those receiving daratumumab alongside standard therapy had significantly higher complete hematologic response rates (53.3% vs. 18.1%) and benefits in organ function.
  • Adverse effects were noted, with common severe events including lymphopenia and pneumonia, but overall, daratumumab improved survival metrics and organ responses without drastically increasing mortality from the disease.
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Purpose: Cardiovascular adverse events (CVAEs) can occur during proteasome inhibitor (PI) therapy. We conducted a prospective, observational, multi-institutional study to define risk factors and outcomes in patients with multiple myeloma (MM) receiving PIs.

Patients And Methods: Patients with relapsed MM initiating carfilzomib- or bortezomib-based therapy underwent baseline assessments and repeated assessments at regular intervals over 6 months, including cardiac biomarkers (troponin I or T, brain natriuretic peptide [BNP], and N-terminal proBNP), ECG, and echocardiography.

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Article Synopsis
  • A study compared the effectiveness of lenalidomide and bortezomib as maintenance therapies for multiple myeloma after autologous hematopoietic cell transplantation (AHCT) using data from 156 patients.
  • Both treatments showed similar progression-free survival (PFS) and overall survival (OS) outcomes, with pre-maintenance disease response and staging being better predictors than the choice of maintenance therapy.
  • Toxicity rates were comparable, with slightly higher secondary primary malignancies reported in the lenalidomide group (5.4%) versus the bortezomib group (3%), indicating maintenance therapy choice may be more about managing side effects than effectiveness.
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Reduced-intensity conditioning (RIC) has been used increasingly for allogeneic hematopoietic cell transplantation to minimize transplant-related mortality while maintaining the graft-versus-tumor effect. In B cell lymphoid malignancies, reduced-intensity regimens containing rituximab, an antiCD20 antibody, have been associated with favorable survival; however, the long-term outcomes of rituximab-containing versus nonrituximab-containing regimens for allogeneic hematopoietic cell transplantation in B cell lymphoid malignancies remain to be determined. We retrospectively analyzed 94 patients who received an allogeneic transplant for a B cell lymphoid malignancy.

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Patients with follicular lymphoma (FL) typically experience an indolent course; however, the disease is rarely curable with conventional chemotherapy. Autologous hematopoietic cell transplantation (HCT) can extend progression-free survival (PFS) and overall survival (OS), but relapse is the primary cause of failure. Allogeneic HCT confers lower relapse rates due to a graft-versus-lymphoma effect.

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Between January 1990 and April 2001, 115 patients received high-dose chemotherapy (HDT) followed by autologous stem cell transplantation (ASCT) for relapsed or refractory Hodgkin lymphoma (HL). With a median follow-up of 58 months (range, 1 - 175 months), 5-year progression-free survival (PFS) and overall survival (OS) were 46% and 58%, respectively. Twelve patients with primary refractory disease had a 5-year PFS of 41% and OS of 58%, not significantly different from those of the remaining cohort.

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Reduced levels of human myeloid nuclear differentiation antigen (MNDA) gene transcripts have been detected in both familial and sporadic cases of myelodysplastic syndromes (MDS). Numerous reports implicate elevated apoptosis/programmed cell death and death ligands and their receptors in the pathogenesis of MDS. MNDA and related proteins contain the pyrin domain that functions in signaling associated with programmed cell death and inflammation.

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The purpose of this study was to better define the clinical features and natural history of peripheral T-cell lymphomas (PTCL) entities included in the Revised European American lymphoma (REAL) classification. Cases of PTCL were retrieved from the records of the Department of Pathology and classified according to the REAL classification. In addition, cases of anaplastic large cell lymphoma (ALCL) were divided into classical, small cell, and primary cutaneous subtypes, and immunostaining for the anaplastic large-cell kinase (ALK) protein was performed on all cases of ALCL.

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