Comparable survival between HIV+ and HIV- non-Hodgkin and Hodgkin lymphoma patients undergoing autologous peripheral blood stem cell transplantation.
Autologous stem cell transplantation (ASCT) has been successfully used in HIV-related lymphoma (HIV-Ly) patients on highly active antiretroviral therapy. We report the first comparative analysis between HIV-Ly and a matched cohort of HIV(-) lymphoma patients. This retrospective European Group for Blood and Marrow Transplantation study included 53 patients (66% non-Hodgkin and 34% Hodgkin lymphoma) within each cohort. Both groups were comparable except for the higher proportion of males, mixed-cellularity Hodgkin lymphoma and patients receiving granulocyte colony-stimulating factor before engraftment and a smaller proportion receiving total body irradiation-based conditioning within the HIV-Ly cohort. Incidence of relapse, overall survival, and progression-free survival were similar in both cohorts. A higher nonrelapse mortality within the first year after ASCT was observed in the HIV-Ly group (8% vs 2%), predominantly because of early bacterial infections, although this was not statistically significant and did not influence survival. Thus, within the highly active antiretroviral therapy era, HIV patients should be considered for ASCT according to the same criteria adopted for HIV(-) lymphoma patients.
Díez-Martín
José L
JL
Hematology Department, Hospital General Universitario Gregorio Marañon, Madrid, Spain. jdiez.hgugm@salud.madrid.org
Balsalobre
Pascual
P
Re
Alessandro
A
Michieli
Mariagrazia
M
Ribera
José M
JM
Canals
Carmen
C
Conde
Eulogio
E
Rosselet
Anne
A
Gabriel
Ian
I
Varela
Rosario
R
Allione
Bernardino
B
Cwynarski
Kate
K
Genet
Philippe
P
Espigado
Ildefonso
I
Biron
Pierre
P
Schmitz
Norbert
N
Hunter
Anne E
AE
Ferrant
Augustin
A
Guillerm
Gaelle
G
Hentrich
Mark
M
Jurado
Manuel
M
Fernández
Pascual
P
Serrano
David
D
Rossi
Giuseppe
G
Sureda
Anna
A
D000328:Adult; D005260:Female; D015658:HIV Infections / Q000150:complications / Q000601:surgery*; D006689:Hodgkin Disease / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D036102:Peripheral Blood Stem Cell Transplantation; D015996:Survival Rate; D014182:Transplantation, Autologous