Treatment of classical Hodgkin lymphoma in the era of brentuximab vedotin and immune checkpoint inhibitors

Ann Hematol. 2018 Aug;97(8):1301-1315. doi: 10.1007/s00277-018-3366-x. Epub 2018 May 25.

Abstract

The majority of Hodgkin lymphoma patients are now cured with conventional first-line therapy; however, 10-15% of early-stage disease and less than 30% of advanced-stage patients are refractory(rare) or relapsed. Salvage second-line therapy combined with high-dose therapy and autologous stem-cell transplantation can cure 40-50% of patients. Recently novel agents (Brentuximab Vedotin and Immune Checkpoint inhibitors) have demonstrated evidence of therapeutic activity and are potential bridge to an allogeneic stem-cell transplantation. The review is aimed to present not only salvage strategies; indeed, the paper contains paragraphs about therapy and new treatment options at diagnosis.

Keywords: Allografting; New salvage treatments; Relapsed/refractory Hodgkin lymphoma.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents, Immunological / administration & dosage
  • Antineoplastic Agents, Immunological / adverse effects
  • Antineoplastic Agents, Immunological / therapeutic use*
  • Antineoplastic Combined Chemotherapy Protocols / adverse effects
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Bleomycin / adverse effects
  • Bleomycin / therapeutic use
  • Brentuximab Vedotin
  • Combined Modality Therapy
  • Dacarbazine / adverse effects
  • Dacarbazine / therapeutic use
  • Doxorubicin / adverse effects
  • Doxorubicin / therapeutic use
  • Drug Resistance, Neoplasm
  • Hodgkin Disease / diagnosis
  • Hodgkin Disease / drug therapy*
  • Hodgkin Disease / immunology
  • Hodgkin Disease / mortality
  • Humans
  • Immunoconjugates / administration & dosage
  • Immunoconjugates / adverse effects
  • Immunoconjugates / therapeutic use*
  • Immunomodulation / drug effects*
  • Molecular Targeted Therapy*
  • Neoplasm Staging
  • Positron-Emission Tomography
  • Retreatment
  • Salvage Therapy
  • Treatment Outcome
  • Vinblastine / adverse effects
  • Vinblastine / therapeutic use

Substances

  • Antineoplastic Agents, Immunological
  • Immunoconjugates
  • Bleomycin
  • Vinblastine
  • Dacarbazine
  • Brentuximab Vedotin
  • Doxorubicin

Supplementary concepts

  • ABVD protocol