1. Allogeneic Stem Cell Transplantation in Mantle Cell Lymphoma in the Era of New Drugs and CAR-T Cell Therapy
- Author
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Miriam Marangon, Gerardo Musuraca, Sara Galimberti, Simone Ferrero, Alberto Fabbri, Stefano Luminari, Annalisa Chiappella, Anna Maria Barbui, Carlo Visco, Alessandro Re, Vittorio Ruggero Zilioli, and Marco Ladetto
- Subjects
Oncology ,Cancer Research ,medicine.medical_specialty ,Allogeneic transplantation ,mantle cell lymphoma ,Car-T cell therapy ,Review ,lcsh:RC254-282 ,03 medical and health sciences ,0302 clinical medicine ,immune system diseases ,allogeneic stem cell transplantation ,hemic and lymphatic diseases ,Internal medicine ,medicine ,Mantle cell lymphoma ,business.industry ,Allogeneic stem cell transplantation ,lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,medicine.disease ,Transplantation ,030220 oncology & carcinogenesis ,CAR T-cell therapy ,Stem cell ,business ,030215 immunology - Abstract
Simple Summary Mantle Cell Lymphoma (MCL) is a lymphoproliferative disorder which represents less than 10% of all non-Hodgkin Lymphomas. The typical course of MCL is characterized by several relapses (“remitting-relapsing” course), and since its identification it has been considered an incurable disease. Allogeneic stem cell transplantation (allo-SCT) has represented in the past years the only treatment which could ensure prolonged remissions, at least in younger patients. In our paper, we critically revised the available data on the use of allo-SCT in MCL. The aim of our review is to identify the subgroups of patients who could best benefit from this therapeutic strategy, the optimal timing for transplantation and the best ways to bridge patients to allo-SCT, in an era in which many novel agents have been developed. Abstract MCL is an uncommon lymphoproliferative disorder that has been regarded as incurable since its identification as a distinct entity. Allogeneic transplantation for two decades has represented the only option capable of ensuring prolonged remissions and possibly cure. Despite its efficacy, its application has been limited by feasibility limitations and substantial toxicity, particularly in elderly patients. Nevertheless, the experience accumulated over time has been wide though often scattered among retrospective and small prospective studies. In this review, we aimed at critically revise and discuss available evidence on allogeneic transplantation in MCL, trying to put available evidence into the 2020 perspective, characterized by unprecedented development of novel promising therapeutic agents and regimens.
- Published
- 2021