Persistence of minimal residual disease in bone marrow predicts outcome in follicular lymphomas treated with a rituximab-intensive program

Author:

Ladetto Marco1,Lobetti-Bodoni Chiara1,Mantoan Barbara1,Ceccarelli Manuela2,Boccomini Carola3,Genuardi Elisa1,Chiappella Annalisa3,Baldini Luca4,Rossi Giuseppe5,Pulsoni Alessandro6,Di Raimondo Francesco7,Rigacci Luigi8,Pinto Antonello9,Galimberti Sara10,Bari Alessia11,Rota-Scalabrini Delia12,Ferrari Angela13,Zaja Francesco14,Gallamini Andrea15,Specchia Giorgina16,Musto Pellegrino17,Rossi Francesca Gaia4,Gamba Enrica18,Evangelista Andrea2,Vitolo Umberto3

Affiliation:

1. Division of Hematology, Department of Molecular Biotechnologies and Health Sciences, University of Turin, Turin, Italy;

2. Unit of Cancer Epidemiology, Azienda Ospedaliera Città della Salute e della Scienza, Turin, Italy;

3. Division of Hematology 2, Azienda Ospedaliera Città della Salute e della Scienza, Turin, Italy;

4. Division of Hematology, Fondazione IRCCS Cà Granda OM Policlinico, University of Milan, Milan, Italy;

5. Division of Hematology, Spedali Civili Spedali Civili Hospital and University, Brescia, Italy;

6. Division of Hematology, Department of Cellular Biotechnologies and Hematology, Sapienza University, Rome, Italy;

7. Division of Hematology, Oncology, and Clinical Pathology and Department of Clinical and Molecular Biomedicine, University of Catania, Catania, Italy;

8. Hematology Functional Unit, Azienda Ospedaliera Universitaria Careggi, Firenze, Italy;

9. Istituto Nazionale Tumori, Fondazione “G. Pascale,” Istituto Di Ricovero e Cura a Carattere Scientifico, Naples, Italy;

10. Department of Oncology, Transplants and Advanced Technologies, Section of Haematology, Pisa University, Pisa, Italy;

11. Department of Diagnostic, Clinical and Public Health Medicine, University of Modena and Reggio Emilia, Modena, Italy;

12. Universitary Division of Medical Oncology, “Fondazione del Piemonte per l’Oncologia-Istituto per la ricerca e la Cura del Cancro,” Candiolo, Turin, Italy;

13. Haematology Unit, Arcispedale Santa Maria Nuova, Istituto di Ricovero e Cura a Carattere Scientifico, Reggio Emilia, Italy;

14. Division of Hematology and Bone Marrow Transplantation, Azienda Ospedaliero-Universitaria Udine, Udine, Italy;

15. Hematology Department and Bone Marrow Transplantation Unit, Azienda Ospedaliera S. Croce e Carle, Cuneo, Italy;

16. Division of Hematology, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy;

17. Direzione Scientifica, Istituto di Ricovero e Cura a Carattere Scientifico Centro di Riferimento Oncologico della Basilicata, Rionero in Vulture, Italy; and

18. Roche, S.p.A., Monza, Italy

Abstract

Key Points PCR negativity is a strong outcome predictor after rituximab-intensive immunochemotherapy at multiple posttreatment times. PCR is predictive even when maintenance is delivered, and accumulation of PCR-negative results further reduces the likelihood of relapse.

Publisher

American Society of Hematology

Subject

Cell Biology,Hematology,Immunology,Biochemistry

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