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Keytruda and chemotherapy improve Hodgkin lymphoma survival

Keytruda and chemotherapy improve Hodgkin lymphoma survival

 


Administration of Keytruda (pembrolizumab) in combination with chemotherapy improved overall survival in patients with previously untreated classical Hodgkin lymphoma (CHL), the study authors said. This is the first study.

Participating adult patients with CHL received a combination of doxorubicin, vinblastine, and dacarbazine chemotherapy (AVD) combined with Keytruda (a combination called APVD) during a single-arm study sponsored by the University of Washington, and the results were reported in May. was published in an academic journal. journal, blood.

2-year overall survival (percentage of patients still alive at a given time point) of 100% and progression-free survival (time after treatment without disease spread or worsening) of 97% was. According to this study, of 29 response-evaluable patients with a median follow-up of 2.1 years,

The study began in January 2019 and is estimated to be completed by July 2029, according to the Clinicaltrials.gov listing. During the study period, patients (median age 33 years, 60% female) received intravenous doxorubicin hydrochloride, vinblastine, and dacarbazine on days 1 and 15 after Cycle 1 and on days 1 and 22. The eye received an intravenous dose of Keytruda. Her day 15 of cycle 2, according to the Clinicaltrials.gov listing. In the absence of disease progression or unacceptable side effects, treatment will be repeated every 28 days for a maximum of 2 cycles. The patient will then receive a total of six treatment cycles of her quadruple combination.

Clearance of circulating tumor DNA (ctDNA), the cancerous DNA found in the bloodstream, was associated with superior progression-free survival when measured at the end of the second cycle and at the end of treatment, the authors noted. bottom. Patients whose cancer DNA was undetectable by blood test tended to live longer without their disease getting worse.

read more: ctDNA may help predict outcomes and guide treatment in lung cancer

The study authors noted that the study enrolled 30 patients, observed no significant treatment delays during the first two cycles, and met the primary safety endpoint.

According to the authors, moderate to severe (grade 3 or 4) nonhematologic side effects, most typically febrile neutropenia (a decrease in the number of a type of white blood cell known as neutrophils) and infections / There were 12 participants who experienced sepsis. Three patients experienced grade 3 or 4 immune-related side effects, including elevated alanine aminotransferase and elevated aspartate aminotransferase (enzyme levels indicative of liver damage); I have had arthritis.

Six patients missed at least one dose of Keytruda because of side effects, particularly grade 2 or greater transaminitis.

“To date, no patient withheld or discontinued pembrolizumab because of toxicity has progressed,” the authors write.

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2/ https://www.curetoday.com/view/keytruda-plus-chemotherapy-improved-survival-in-hodgkin-lymphoma

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