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A new conditioning regimen with chidamide, cladribine, gemcitabine, and busulfan significantly improve the outcome of high‐risk or relapsed/refractory non‐Hodgkin's lymphomas

International Journal of Cancer Aug 20, 2021

Ji J, Liu Z, Kuang P, et al. - The proposed chidamide-cladribine-gemcitabine-busulfan combination therapy is a safe and valid new conditioning therapy for high-risk and refractory/relapsed lymphomas.

  • This phase II trial involved 105 patients: 60 with B-cell non-Hodgkin lymphomas (B-NHL), and 45 with T-cell, or natural killer/T-cell lymphoma (NK/T).

  • Patients with high-risk, relapsed/refractory lymphomas were administered chidamide, cladribine, gemcitabine, and busulfan as conditioning therapy, following transplantation with autologous peripheral stem cells.

  • Full hematopoietic recovery was gained in all cases.

  • Non-hematologic toxicities included neutropenic fever, mucositis, and atopic dermatitis.

  • A median follow-up of 35.4 months revealed no tumor progression in 80.6% of the patients, and overall survival was as high as 86.1%.

  • Patients who survived included 94.5% of patients with B-NHL and 75.4% of patients with T-cell or NK/T lymphomas.

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