First-Line Use of Daratumumab in Patients with Multiple Myeloma Shows Delayed Neutrophil and Platelet Engraftment after Autologous Stem Cell Transplantation: Results from a Real-Life Single-Center Study.

autologous stem cell transplantation daratumumab multiple myeloma neutrophil and platelet engraftment

Journal

Cancers
ISSN: 2072-6694
Titre abrégé: Cancers (Basel)
Pays: Switzerland
ID NLM: 101526829

Informations de publication

Date de publication:
27 Sep 2024
Historique:
received: 20 08 2024
revised: 20 09 2024
accepted: 25 09 2024
medline: 16 10 2024
pubmed: 16 10 2024
entrez: 16 10 2024
Statut: epublish

Résumé

This real-life study aimed to investigate the possible impact of D-VTd induction therapy on hematopoietic engraftment after autologous stem cell transplantation (auto-SCT). Sixty consecutive NDMM patients received four cycles of induction therapy with D-VTd. The conditioning regimen consisted of melphalan 200 mg/m The median days to reach neutrophil and platelet engraftment significantly differed between patients treated with D-VTd (11 and 13 days, respectively) and VTd (10 and 12 days). Univariate Cox analyses show that patients treated with D-VTd had a hazard ratio of neutrophil engraftment that was 42% significantly lower than those in the VTd arm (HR: 0.58, Our real-life study showed that a four-drug induction therapy containing DARA does not impact transplant safety outcomes.

Sections du résumé

BACKGROUND BACKGROUND
This real-life study aimed to investigate the possible impact of D-VTd induction therapy on hematopoietic engraftment after autologous stem cell transplantation (auto-SCT).
METHODS METHODS
Sixty consecutive NDMM patients received four cycles of induction therapy with D-VTd. The conditioning regimen consisted of melphalan 200 mg/m
RESULTS RESULTS
The median days to reach neutrophil and platelet engraftment significantly differed between patients treated with D-VTd (11 and 13 days, respectively) and VTd (10 and 12 days). Univariate Cox analyses show that patients treated with D-VTd had a hazard ratio of neutrophil engraftment that was 42% significantly lower than those in the VTd arm (HR: 0.58,
CONCLUSIONS CONCLUSIONS
Our real-life study showed that a four-drug induction therapy containing DARA does not impact transplant safety outcomes.

Identifiants

pubmed: 39409927
pii: cancers16193307
doi: 10.3390/cancers16193307
pii:
doi:

Types de publication

Journal Article

Langues

eng

Auteurs

Massimo Martino (M)

Hematology and Stem Cell Transplantation and Cellular Therapies Unit (CTMO), Department of Hemato-Oncology and Radiotherapy, Grande OspedaleMetropolitano"Bianchi-Melacrino-Morelli", 89133 Reggio Calabria, Italy.
Stem Cell Transplant Program CIC587, 89124 Reggio Calabria, Italy.

Mercedes Gori (M)

Institute of Clinical Physiology (IFC-CNR), Section of Rome, 00185 Rome, Italy.

Gaetana Porto (G)

Hematology and Stem Cell Transplantation and Cellular Therapies Unit (CTMO), Department of Hemato-Oncology and Radiotherapy, Grande OspedaleMetropolitano"Bianchi-Melacrino-Morelli", 89133 Reggio Calabria, Italy.
Stem Cell Transplant Program CIC587, 89124 Reggio Calabria, Italy.

Giorgia Policastro (G)

Hematology and Stem Cell Transplantation and Cellular Therapies Unit (CTMO), Department of Hemato-Oncology and Radiotherapy, Grande OspedaleMetropolitano"Bianchi-Melacrino-Morelli", 89133 Reggio Calabria, Italy.
Stem Cell Transplant Program CIC587, 89124 Reggio Calabria, Italy.

Martina Pitea (M)

Hematology and Stem Cell Transplantation and Cellular Therapies Unit (CTMO), Department of Hemato-Oncology and Radiotherapy, Grande OspedaleMetropolitano"Bianchi-Melacrino-Morelli", 89133 Reggio Calabria, Italy.
Stem Cell Transplant Program CIC587, 89124 Reggio Calabria, Italy.

Annalisa Sgarlata (A)

Hematology and Stem Cell Transplantation and Cellular Therapies Unit (CTMO), Department of Hemato-Oncology and Radiotherapy, Grande OspedaleMetropolitano"Bianchi-Melacrino-Morelli", 89133 Reggio Calabria, Italy.
Stem Cell Transplant Program CIC587, 89124 Reggio Calabria, Italy.

Ilaria Maria Delfino (IM)

Hematology and Stem Cell Transplantation and Cellular Therapies Unit (CTMO), Department of Hemato-Oncology and Radiotherapy, Grande OspedaleMetropolitano"Bianchi-Melacrino-Morelli", 89133 Reggio Calabria, Italy.
Stem Cell Transplant Program CIC587, 89124 Reggio Calabria, Italy.

Francesca Cogliandro (F)

Hematology and Stem Cell Transplantation and Cellular Therapies Unit (CTMO), Department of Hemato-Oncology and Radiotherapy, Grande OspedaleMetropolitano"Bianchi-Melacrino-Morelli", 89133 Reggio Calabria, Italy.
Stem Cell Transplant Program CIC587, 89124 Reggio Calabria, Italy.

Anna Scopelliti (A)

Stem Cell Transplant Program CIC587, 89124 Reggio Calabria, Italy.

Giovanna Utano (G)

Hematology and Stem Cell Transplantation and Cellular Therapies Unit (CTMO), Department of Hemato-Oncology and Radiotherapy, Grande OspedaleMetropolitano"Bianchi-Melacrino-Morelli", 89133 Reggio Calabria, Italy.
Stem Cell Transplant Program CIC587, 89124 Reggio Calabria, Italy.

Maria Pellicano (M)

Stem Cell Transplant Program CIC587, 89124 Reggio Calabria, Italy.

Aurora Idato (A)

Hematology and Stem Cell Transplantation and Cellular Therapies Unit (CTMO), Department of Hemato-Oncology and Radiotherapy, Grande OspedaleMetropolitano"Bianchi-Melacrino-Morelli", 89133 Reggio Calabria, Italy.
Stem Cell Transplant Program CIC587, 89124 Reggio Calabria, Italy.

Iolanda Donatella Vincelli (ID)

Hematology and Stem Cell Transplantation and Cellular Therapies Unit (CTMO), Department of Hemato-Oncology and Radiotherapy, Grande OspedaleMetropolitano"Bianchi-Melacrino-Morelli", 89133 Reggio Calabria, Italy.
Stem Cell Transplant Program CIC587, 89124 Reggio Calabria, Italy.

Violetta Marafioti (V)

Hematology and Stem Cell Transplantation and Cellular Therapies Unit (CTMO), Department of Hemato-Oncology and Radiotherapy, Grande OspedaleMetropolitano"Bianchi-Melacrino-Morelli", 89133 Reggio Calabria, Italy.
Stem Cell Transplant Program CIC587, 89124 Reggio Calabria, Italy.

Maria Caterina Micò (MC)

Hematology and Stem Cell Transplantation and Cellular Therapies Unit (CTMO), Department of Hemato-Oncology and Radiotherapy, Grande OspedaleMetropolitano"Bianchi-Melacrino-Morelli", 89133 Reggio Calabria, Italy.
Stem Cell Transplant Program CIC587, 89124 Reggio Calabria, Italy.

Giuseppe Lazzaro (G)

Hematology and Stem Cell Transplantation and Cellular Therapies Unit (CTMO), Department of Hemato-Oncology and Radiotherapy, Grande OspedaleMetropolitano"Bianchi-Melacrino-Morelli", 89133 Reggio Calabria, Italy.
Stem Cell Transplant Program CIC587, 89124 Reggio Calabria, Italy.

Barbara Loteta (B)

Hematology and Stem Cell Transplantation and Cellular Therapies Unit (CTMO), Department of Hemato-Oncology and Radiotherapy, Grande OspedaleMetropolitano"Bianchi-Melacrino-Morelli", 89133 Reggio Calabria, Italy.
Stem Cell Transplant Program CIC587, 89124 Reggio Calabria, Italy.

Caterina Alati (C)

Hematology and Stem Cell Transplantation and Cellular Therapies Unit (CTMO), Department of Hemato-Oncology and Radiotherapy, Grande OspedaleMetropolitano"Bianchi-Melacrino-Morelli", 89133 Reggio Calabria, Italy.
Stem Cell Transplant Program CIC587, 89124 Reggio Calabria, Italy.

Giovanni Leanza (G)

Pharmacy Unit, Grande Ospedale Metropolitano "Bianchi-Melacrino-Morelli", 89133 Reggio Calabria, Italy.

Graziella D'Arrigo (G)

Institute of Clinical Physiology (IFC-CNR), Section of Reggio Calabria, 89124 Reggio Calabria, Italy.

Giovanni Luigi Tripepi (GL)

Institute of Clinical Physiology (IFC-CNR), Section of Reggio Calabria, 89124 Reggio Calabria, Italy.

Annalisa Pitino (A)

Institute of Clinical Physiology (IFC-CNR), Section of Rome, 00185 Rome, Italy.

Classifications MeSH