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HEMATOLOGY
ISSN 2053-6631 July 2014 • emjreviews.com
INSIDE
Review of
EHA 2014
Milan, Italy
Local Prescribing Information and full name
and address of disclosing Takeda entity to
be inserted according to local regulations
ADCETRIS: DE
INNOVATIVE CD30-TARGETED THERAPY
Adcetris, a novel cd30-targeted antibody-drug conjugate, provides antitumour
efficacy for relapsed or refractory Hodgkin lymphoma and sALcL patients5
• For the treatment of adult patients with relapsed or refractory CD30+ Hodgkin lymphoma:
1. following autologous stem cell transplant (ASCT) or
2. following at least two prior therapies when ASCT or multi-agent chemotherapy is not a treatment option
• For the treatment of adult patients with relapsed or
HEMATOLOGY ISSN 2053-6631
Local Prescribing Information and full name and
In relapsed or refractory Hodgkin lymphoma
CONTENTS EDITORIAL BOARD.......................
HEMATOLOGY AUTOLOGOUS STEM CELL TRANSPLANTATIO
Editorial Board Hematology Editor-in-Chief: Pr
Welcome Welcome to the European Medical Journal –
SUBSCRIBE TO THE EMJ NEWSLETTER www.news.emjre
Foreword Prof Emili Montserrat CLL and Lymphoma P
EHA ANNUAL CONGRESS 2014 MICO MILANO CONGRESSI, M
Welcome to the European Medical Journal review of
EHA ANNUAL CONGRESS 2014 MICO MILANO CONGRESSI, M
well as impressive response rates. In many ways t
EHA ANNUAL CONGRESS 2014 MICO MILANO CONGRESSI, M
Minimal residual disease will reside no longer
EHA ANNUAL CONGRESS 2014 MICO MILANO CONGRESSI, M
Defitelio® fighting severe hepatic veno-occlusive d
EHA ANNUAL CONGRESS 2014 MICO MILANO CONGRESSI, M
Velcade® reinforces its role as the backbone of m
EHA ANNUAL CONGRESS 2014 MICO MILANO CONGRESSI, M
Eltrombopag safe and successful for all ages Th
EHA ANNUAL CONGRESS 2014 MICO MILANO CONGRESSI, M
New drug multiplies survival chances for multiple
EHA ANNUAL CONGRESS 2014 MICO MILANO CONGRESSI, M
Mutation determining evolution of leukaemia MUTAT
EHA ANNUAL CONGRESS 2014 MICO MILANO CONGRESSI, M
Hematopoietic stem cell reprogramming: a vice ver
EHA ANNUAL CONGRESS 2014 MICO MILANO CONGRESSI, M
BIOSIMILARS IN HEMATOLOGY: INCREASING
the development of biosimilars while Prof Steffen
and, as with product purity, this can potentially
Table 1: Proposal for a more precise terminology.
All biologicals will regularly undergo manufactur
will expire soon in both the EU and USA.2
Moreover, deaths from cancer in the G7 countries
the UK (Figure 2). This suggests that much of the
17. Lucio SD et al. Biosimilars: implications for
use to reduce febrile neutropenia in patient
NEXT STEPS IN FRONT-LINE TREATMENT OF
Front-line Therapy for FL: a Shift towards C
Table 1: Response rates of lenalidamide. All Pati
can be performed in <36 hours, and is economicall
Update on Current Trends in MCL Front
<65 years MCL younger: R-CH
Current problems with PTCL include the rarity of
antibody) plus rituximab (CALGB 50402): Follicula
Cancer. 2011;117:5058–66. 38. Yang Y et al. Explo
lymphomas. J Clin Oncol. 2014;32:44–50. 70. Horwi
THE MULTIPLE FACETS OF THROMBOTIC MICROANGIOPATHI
a young girl who suddenly presented with fever, c
The type of mutation impacts the prognosis of the
aHUS and the Role of Complement Professor Javier
In aHUS patients, once an environmental trigger i
Management of HUS in 2014 Professor Thorsten Feld
eGFR rate and CKD Stage. The improvements were no
If eculizumab treatment is to be init
31. Licht C et al. Eculizumab (ECU) safety and ef
Would you like to write for the EMJ blog? Intera
SUBSCRIBE FREE TO OUR YOUTUBE CHANNEL www.youtube
Bre wit Exclusive Interviews from the Europe
THE STANDARD OF CARE IN RELAPSED REFRACTORY
HL HL is a relatively common and highly curable B
targeted apoptosis.21 MMAE has also been found to
after ABVD and 15-20% after BEACOPPesc) will pres
Relapsed or refractory HL Second-line chemother
Management of relapsing or refractory sALCL To da
REFERENCES 1. Falini B et al. CD30 (Ki-1) molecu
42. Nathwani N et al. Persistence of CD30 e
OVERCOMING IMMUNODEFICIENCY IN CHRONIC LYMPHOC
might overcome the issues associated wi
have normal serum concentrations of man
BCL-2 inhibitors sorafenib CLL cell Anti-ap
with Clb alone. Treatment with Clb-O compared wit
severe toxicities occurring in 40% and 35%
REFERENCES 1. Chiorazzi N et al. Chronic lymphoc
cells induce expression of B7/BB1 on normal
directed T-cell motility by altering Rho GTPase s
Transl Med. 2011;3(95):95ra73.
THE ROLE OF CD49d IN CHRONIC LYMPHOCYTIC
well as a mutated configuration of the TP53
Adhesion of CLL cells via CD49d also upregulates
inhibitor idelalisib,60 are promising alt
ASSOCIATION OF CD49d WITH TRISOMY 12 In a recent
stromal/endothelial cells MICROENVIRONMENT FIBR
of novel gene mutations in poor- progno
45. Brachtl G et al. Differential bone marr
CURRENT DEVELOPMENTS AND PERSPECTIVES
ethnicity, with a 2-3-fold higher incidence
observed with lenalidomide maintenance,35,37 whil
65 often present concurrent diseases, which
and prednisone versus BTZ plus melphalan and pred
Table 1 continued. Class Compound Study T
Preliminary reported adverse events inclu
also announced a high-priority Phase III registra
22. Hoering A et al. Complete remission in multip
Clin Oncol. 2007;25(25):3892-901. 58. Kropff M
MLN9708 against multiple myeloma cells. Clin Canc
AUTOLOGOUS STEM CELL TRANSPLANTATION IN MULTIP
double ASCT is still matter of debate, from the l
Table 1: Results obtained with novel drug combina
Should ASCT be Performed Upfront or After First R
or novel agents are presently proposed for high-r
dexamethasone as induction before, and cons
57. Avet-Loiseau H et al. Long-term analysis
THE ROLE OF JAK2 MUTATION IN THROMBOTI
risk compared with JAK2 negative patients.7-
Pathogenesis of thrombosis JAK2 mutation MPN pati
chronic MPNs, but also in acute MPNs as well. Def
of leuko-platelet aggregates CD11bCD4
Selectins are also present on endothelial c
REFERENCES 1. Falanga A, Marchetti M. Thrombotic
thromboembolism and myeloproliferative neoplasms.
CALRETICULIN IN MYELOPROLIFERATIVE NEOPLASMS:
Ph-positive MPN that harbour one primary lesion,
such as ruxolitinib, currently used to treat pati
ND PV STAT5 G
High affinity/
Nucleus GRα GRα P hsp90 G
Epo-R JAK2 STAT5 GRα-STAT5 GRβ (JAK2-mutated
that did not express GRβ but probably expressed t
can be a late event in the progression of myelopr
IRON SUPPLEMENTATION FOR PERIOPERATIVE ANAEMIA
In this paper, we will review the diagnosis and t
TSAT <20% ANAEMIA TSAT ≥20% Ferritin <30 μg/
Table 1: Some characteristics of the different in
Similarly, IV iron therapy is recommended f
• All prescribers should inform patients of the r
consumption or reducing tissue oxygen debt in sel
REFERENCES 1. Leal-Noval SR et al. Spanish conse
outcome in major orthopedic surgery: a pool
82. Carson JL et al. Transfusion thresholds and o
LOOKING BACK TO OUR ROOTS: 80 YEARS
history, Dr Wintrobe realised that he could never
the width of the distribution.12 Other technologi
In summary, technological advances be
Am J Clin Pathol. 2008;130(1):104-16. 10. Lemelso
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