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Efficacy of Pharmacokinetics-Directed Busulfan, Cyclophosphamide, and Etoposide Conditioning and Autologous Stem Cell Transplantation for Lymphoma: Comparison.

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Presentation on theme: "Efficacy of Pharmacokinetics-Directed Busulfan, Cyclophosphamide, and Etoposide Conditioning and Autologous Stem Cell Transplantation for Lymphoma: Comparison."— Presentation transcript:

1 Efficacy of Pharmacokinetics-Directed Busulfan, Cyclophosphamide, and Etoposide Conditioning and Autologous Stem Cell Transplantation for Lymphoma: Comparison of a Multicenter Phase II Study and CIBMTR Outcomes  Christopher R. Flowers, Luciano J. Costa, Marcelo C. Pasquini, Jennifer Le-Rademacher, Michael Lill, Tsiporah B. Shore, William Vaughan, Michael Craig, Cesar O. Freytes, Thomas C. Shea, Mitchell E. Horwitz, Joseph W. Fay, Shin Mineishi, Damiano Rondelli, James Mason, Ira Braunschweig, Weiyun Ai, Rosa F. Yeh, Tulio E. Rodriguez, Ian Flinn, Terrance Comeau, Andrew M. Yeager, Michael A. Pulsipher, Isabelle Bence-Bruckler, Pierre Laneuville, Philip Bierman, Andy I. Chen, Kazunobu Kato, Yanlin Wang, Cong Xu, Angela J. Smith, Edmund K. Waller  Biology of Blood and Marrow Transplantation  Volume 22, Issue 7, Pages (July 2016) DOI: /j.bbmt Copyright © 2016 American Society for Blood and Marrow Transplantation Terms and Conditions

2 Figure 1 Measured AUC from .8 mg/kg of i.v. Bu as a preconditioning test PK on of the days, day −14 to day −11 (n = 204). Dotted line represents ± 20% range of the target AUC (  μM·min). Biology of Blood and Marrow Transplantation  , DOI: ( /j.bbmt ) Copyright © 2016 American Society for Blood and Marrow Transplantation Terms and Conditions

3 Figure 2 Histograms of estimated total AUC from test PK and confirmatory PK results (n = 199). Dotted line represents the ± 20% range of the target AUC (16,000-24,000 μM·min). Biology of Blood and Marrow Transplantation  , DOI: ( /j.bbmt ) Copyright © 2016 American Society for Blood and Marrow Transplantation Terms and Conditions

4 Figure 3 Scatter plot of total estimated Bu AUC for all patients and of actual Bu AUC for patients with AEs of TRM and mucositis/stomatitis (M/S). Scatter plots represent subjects with no M/S and grades (GR) 1, 2, and 3 M/S. There were no cases of GR 4 M/S. Biology of Blood and Marrow Transplantation  , DOI: ( /j.bbmt ) Copyright © 2016 American Society for Blood and Marrow Transplantation Terms and Conditions

5 Figure 4 OS for the phase II study of PK-directed BuCyE conditioning and ASCT for lymphoma. (A) HL/NHL. (B) NHL subtypes. Biology of Blood and Marrow Transplantation  , DOI: ( /j.bbmt ) Copyright © 2016 American Society for Blood and Marrow Transplantation Terms and Conditions

6 Figure 5 PFS for the phase II study of PK-directed BuCyE conditioning and ASCT for lymphoma. (A) HL/NHL. (B) NHL subtypes. Biology of Blood and Marrow Transplantation  , DOI: ( /j.bbmt ) Copyright © 2016 American Society for Blood and Marrow Transplantation Terms and Conditions

7 Figure 6 Comparison of survival for NHL patients in the matched analysis of phase II BuCyE and contemporary lymphoma patients treated with BEAM from CIBMTR. (A) OS. (B) PFS. Biology of Blood and Marrow Transplantation  , DOI: ( /j.bbmt ) Copyright © 2016 American Society for Blood and Marrow Transplantation Terms and Conditions

8 Figure 7 Comparison of survival for HL patients in the matched analysis of phase II BuCyE and contemporary lymphoma patients treated with BEAM from CIBMTR. (A) OS. (B) PFS. Biology of Blood and Marrow Transplantation  , DOI: ( /j.bbmt ) Copyright © 2016 American Society for Blood and Marrow Transplantation Terms and Conditions


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