Case reports in oncology · 2022
Hodgkin Lymphoma on Hemodialysis Successfully Treated with Extended Courses of Brentuximab Vedotin.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Uchimura Ayana, Yasuda Hajime, Ando Jun, Ota Yasunori, Sasaki Makoto, Takaku Tomoiku, Tsukune Yutaka, Tsutsui Miyuki, Edahiro Yoko, Watanabe Naoki, Ochiai Tomonori, Komatsu Norio, Ando Miki
Аннотация
Chemotherapy for hemodialysis (HD) patients is a challenging situation because HD patients are generally frail, and the pharmacokinetics and pharmacodynamics of most chemotherapeutics in HD patients are unknown. We report a classical Hodgkin lymphoma (cHL) patient successfully treated with 34 courses of brentuximab vedotin (BV) monotherapy, of which 30 courses were carried out during HD. Although grade 2 peripheral sensory neuropathy and one occasion of febrile neutropenia were observed, treatment was well-tolerated overall and effective. This is the first report of successful BV administration in a cHL patient on HD, and also the first to report efficacy and safety of extended courses of BV in an HD patient. Treatment options for cHL in the HD patient are limited, and extended courses of BV monotherapy may be an optimal treatment approach for some patients.