Outcomes and Utilization Trends of Front-Line Autologous Hematopoietic Cell Transplantation for Mantle Cell Lymphoma

Peter A. Riedell; Mehdi Hamadani; Kwang W. Ahn; Carlos Litovich; Guru Subramanian Guru Murthy; Frederick L. Locke; Claudio G. Brunstein; Reid W. Merryman; Patrick J. Stiff; Attaphol Pawarode; Taiga Nishihori; Mohamed A. Kharfan-Dabaja; Alex F. Herrera; Craig S. Sauter; Sonali M. Smith

doi:10.1016/j.jtct.2021.08.014

Outcomes and Utilization Trends of Front-Line Autologous Hematopoietic Cell Transplantation for Mantle Cell Lymphoma

Peter A. Riedell, Mehdi Hamadani, Kwang W. Ahn, Carlos Litovich, Guru Subramanian Guru Murthy, Frederick L. Locke, Claudio G. Brunstein, Reid W. Merryman, Patrick J. Stiff, Attaphol Pawarode, Taiga Nishihori, Mohamed A. Kharfan-Dabaja, Alex F. Herrera, Craig S. Sauter, Sonali M. Smith

Medicine - Hematology, Oncology, Transplant

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

Abstract

Although autologous hematopoietic cell transplantation (auto-HCT) has become a common practice for eligible patients in the front-line setting with mantle cell lymphoma (MCL), there are limited data regarding trends in auto-HCT utilization and associated outcomes. This study used the Center for International Blood and Marrow Transplant Research (CIBMTR) database to evaluate survival outcomes and auto-HCT utilization in adults age ≥18 years who underwent auto-HCT within 12 months of diagnosis of MCL between January 2000 and December 2018. The 19-year period from 2000 to 2018 was divided into 4 separate intervals—2000 to 2004, 2005 to 2009, 2010 to 2014, and 2015 to 2018—and encompassed 5082 patients. To evaluate transplantation utilization patterns, we combined MCL incidence derived from the SEER 21 database with CIBMTR- reported auto-HCT activity within 12 months of diagnosis of MCL. Primary outcomes included overall survival (OS) along with the auto-HCT utilization rate. The cumulative incidence of nonrelapse mortality at 1 year decreased from 7% in the earliest cohort (2000 to 2004) to 2% in the latest cohort (2015 to 2018). Mirroring this trend, OS outcomes improved continually with time, with a 3-year OS of 72% in the earliest cohort improving to 86% in the latest cohort. In addition, we noted an increase in auto-HCT utilization from 2001 to 2018, particularly in patients age ≤65 years. This large retrospective analysis highlights trends in auto-HCT utilization and outcomes in patients with MCL and emphasizes the need to optimize pretransplantation and post-transplantation treatment strategies to enhance survival outcomes.

Original language	English (US)
Pages (from-to)	911.e1-911.e7
Journal	Transplantation and Cellular Therapy
Volume	27
Issue number	11
DOIs	https://doi.org/10.1016/j.jtct.2021.08.014
State	Published - Nov 2021

Bibliographical note

Funding Information:
Financial disclosure: The CIBMTR is supported primarily by Public Health Service Grant U24CA076518 from the National Cancer Institute (NCI), the National Heart, Lung and Blood Institute (NHLBI), and the National Institute of Allergy and Infectious Diseases (NIAID); Grant HHSH250201700006C from the Health Resources and Services Administration (HRSA); and Awards N00014-20-1-2705 and N00014-20-1-2832 from the Office of Naval Research. Additional federal support is provided by NIH Grants R01 AI128775 and R01 HL130388 and BARDA. Support is also provided by Be the Match Foundation, the Medical College of Wisconsin the National Marrow Donor Program, and from the following commercial entities: Actinium Pharmaceuticals, Adienne SA, Allovir, Amgen, Angiocrine Bioscience, Astellas Pharma US, bluebird bio, Bristol Myers Squibb, Celgene, CSL Behring, CytoSen Therapeutics, Daiichi Sankyo, ExcellThera, Fate Therapeutics, Gamida Cell, Genentech, Incyte, Janssen/Johnson & Johnson, Jazz Pharmaceuticals, Kiadis Pharma, Kite Pharma, Kyowa Kirin, Legend Biotech, Magenta Therapeutics, Merck Sharp & Dohme, Millennium, Miltenyi Biotec, Novartis Pharmaceuticals, Omeros, Oncoimmune, Orca Biosystems, Pfizer, Pharmacyclics, Sanofi Genzyme, Stemcyte, Takeda Pharma, Vor Biopharma, and Xenikos BV. The views expressed in this article do not reflect the official policy or position of the NIH, Department of the Navy, Department of Defense, HRSA, or any other agency of the US Government. P.A.R. reports research support/funding from Celgene/BMS, Kite Pharma, MorphoSys, Calibr, and Novartis Pharmaceuticals; speaker's bureau for Kite Pharma and Bayer; consultancy on advisory boards for Verastem Oncology, Novartis Pharmaceuticals, Celgene/BMS, BeiGene, Karyopharm Therapeutics, Takeda Pharmaceutical, and Bayer; and honoraria from Novartis Pharmaceuticals. M.H. reports research support/funding from Takeda Pharmaceutical, and Astellas Pharma; consultancy for Incyte, ADC Therapeutics, Celgene, Pharmacyclics, Magenta Therapeutics, Omeros, AbGenomics, Verastem, and TeneoBio; and speaker's bureau for Sanofi Genzyme and AstraZeneca. F.L. reports research support/funding from Kite Pharma; scientific advisor for Allogene, Amgen, bluebird bio, BMS/Celgene, Calibr, Celgene, GammaDelta Therapeutics, Iovance, Kite Pharma, Legend Biotech, Novartis, and Wugen; and consultancy for Cellular Biomedicine Group, Cowen Consulting, Gerson Lehrman Group, EcoR1, and Emerging Therapies. C.G.B. reports research support from Nant, BlueRock, and Fate Therapeutics and consulting for Allovir. T.N. reports research support from Karyopharm and Novartis. M.A.K.-D. reports consultancy for Daiichi Sankyo and Pharmacyclics. A.H. reports a consulting or advisory role for Bristol-Myers Squibb, Genentech/Roche, Merck, Seattle Genetics, and Karyopharm; research funding from Bristol-Myers Squibb, Genentech/Roche, Merck, Pharmacyclics, Seattle Genetics, and ADCT Therapeutics (all institutional); and travel, accommodations, and expenses from Bristol-Myers Squibb. C.S.S. reports research support/funding from Juno Therapeutics, Celgene, Bristol-Myers Squibb, Precision Biosciences, and Sanofi-Genzyme and consultancy on advisory boards for Juno Therapeutics, Sanofi-Genzyme, Spectrum Pharmaceuticals, Novartis, Genmab, Precision Biosciences, Kite Pharma, Celgene, Gamida Cell, Karyopharm Therapeutics, and GlaxoSmithKline. The other authors report no conflicts of interest. Conception and design: P.A.R. S.M.S. and M.H. Collection and assembly of data: K.W.A. C.L. and M.H. Data analysis: K.W.A. C.L. and M.H. Interpretation: all authors. Manuscript first draft: P.A.R. and S.M.S. Manuscript revision: all authors. Final manuscript approval: all authors.

Funding Information:
Financial disclosure: The CIBMTR is supported primarily by Public Health Service Grant U24CA076518 from the National Cancer Institute (NCI), the National Heart, Lung and Blood Institute (NHLBI), and the National Institute of Allergy and Infectious Diseases (NIAID); Grant HHSH250201700006C from the Health Resources and Services Administration (HRSA); and Awards N00014-20-1-2705 and N00014-20-1-2832 from the Office of Naval Research. Additional federal support is provided by NIH Grants R01 AI128775 and R01 HL130388 and BARDA. Support is also provided by Be the Match Foundation, the Medical College of Wisconsin the National Marrow Donor Program, and from the following commercial entities: Actinium Pharmaceuticals, Adienne SA, Allovir, Amgen, Angiocrine Bioscience, Astellas Pharma US, bluebird bio, Bristol Myers Squibb, Celgene, CSL Behring, CytoSen Therapeutics, Daiichi Sankyo, ExcellThera, Fate Therapeutics, Gamida Cell, Genentech, Incyte, Janssen/Johnson & Johnson, Jazz Pharmaceuticals, Kiadis Pharma, Kite Pharma, Kyowa Kirin, Legend Biotech, Magenta Therapeutics, Merck Sharp & Dohme, Millennium, Miltenyi Biotec, Novartis Pharmaceuticals, Omeros, Oncoimmune, Orca Biosystems, Pfizer, Pharmacyclics, Sanofi Genzyme, Stemcyte, Takeda Pharma, Vor Biopharma, and Xenikos BV. The views expressed in this article do not reflect the official policy or position of the NIH, Department of the Navy, Department of Defense, HRSA, or any other agency of the US Government.

Publisher Copyright:
© 2021 The American Society for Transplantation and Cellular Therapy

Keywords

Autologous transplantation
Chemoimmunotherapy
Mantle cell lymphoma
Transplantation outcomes
Transplantation utilization

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Journal Article

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10.1016/j.jtct.2021.08.014

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Riedell, P. A., Hamadani, M., Ahn, K. W., Litovich, C., Murthy, G. S. G., Locke, F. L., Brunstein, C. G., Merryman, R. W., Stiff, P. J., Pawarode, A., Nishihori, T., Kharfan-Dabaja, M. A., Herrera, A. F., Sauter, C. S., & Smith, S. M. (2021). Outcomes and Utilization Trends of Front-Line Autologous Hematopoietic Cell Transplantation for Mantle Cell Lymphoma. Transplantation and Cellular Therapy, 27(11), 911.e1-911.e7. https://doi.org/10.1016/j.jtct.2021.08.014

Riedell, PA, Hamadani, M, Ahn, KW, Litovich, C, Murthy, GSG, Locke, FL, Brunstein, CG, Merryman, RW, Stiff, PJ, Pawarode, A, Nishihori, T, Kharfan-Dabaja, MA, Herrera, AF, Sauter, CS & Smith, SM 2021, 'Outcomes and Utilization Trends of Front-Line Autologous Hematopoietic Cell Transplantation for Mantle Cell Lymphoma', Transplantation and Cellular Therapy, vol. 27, no. 11, pp. 911.e1-911.e7. https://doi.org/10.1016/j.jtct.2021.08.014

@article{6754952ed613404ba08a96408c57b397,

title = "Outcomes and Utilization Trends of Front-Line Autologous Hematopoietic Cell Transplantation for Mantle Cell Lymphoma",

abstract = "Although autologous hematopoietic cell transplantation (auto-HCT) has become a common practice for eligible patients in the front-line setting with mantle cell lymphoma (MCL), there are limited data regarding trends in auto-HCT utilization and associated outcomes. This study used the Center for International Blood and Marrow Transplant Research (CIBMTR) database to evaluate survival outcomes and auto-HCT utilization in adults age ≥18 years who underwent auto-HCT within 12 months of diagnosis of MCL between January 2000 and December 2018. The 19-year period from 2000 to 2018 was divided into 4 separate intervals—2000 to 2004, 2005 to 2009, 2010 to 2014, and 2015 to 2018—and encompassed 5082 patients. To evaluate transplantation utilization patterns, we combined MCL incidence derived from the SEER 21 database with CIBMTR- reported auto-HCT activity within 12 months of diagnosis of MCL. Primary outcomes included overall survival (OS) along with the auto-HCT utilization rate. The cumulative incidence of nonrelapse mortality at 1 year decreased from 7% in the earliest cohort (2000 to 2004) to 2% in the latest cohort (2015 to 2018). Mirroring this trend, OS outcomes improved continually with time, with a 3-year OS of 72% in the earliest cohort improving to 86% in the latest cohort. In addition, we noted an increase in auto-HCT utilization from 2001 to 2018, particularly in patients age ≤65 years. This large retrospective analysis highlights trends in auto-HCT utilization and outcomes in patients with MCL and emphasizes the need to optimize pretransplantation and post-transplantation treatment strategies to enhance survival outcomes.",

keywords = "Autologous transplantation, Chemoimmunotherapy, Mantle cell lymphoma, Transplantation outcomes, Transplantation utilization",

author = "Riedell, {Peter A.} and Mehdi Hamadani and Ahn, {Kwang W.} and Carlos Litovich and Murthy, {Guru Subramanian Guru} and Locke, {Frederick L.} and Brunstein, {Claudio G.} and Merryman, {Reid W.} and Stiff, {Patrick J.} and Attaphol Pawarode and Taiga Nishihori and Kharfan-Dabaja, {Mohamed A.} and Herrera, {Alex F.} and Sauter, {Craig S.} and Smith, {Sonali M.}",

note = "Funding Information: Financial disclosure: The CIBMTR is supported primarily by Public Health Service Grant U24CA076518 from the National Cancer Institute (NCI), the National Heart, Lung and Blood Institute (NHLBI), and the National Institute of Allergy and Infectious Diseases (NIAID); Grant HHSH250201700006C from the Health Resources and Services Administration (HRSA); and Awards N00014-20-1-2705 and N00014-20-1-2832 from the Office of Naval Research. Additional federal support is provided by NIH Grants R01 AI128775 and R01 HL130388 and BARDA. Support is also provided by Be the Match Foundation, the Medical College of Wisconsin the National Marrow Donor Program, and from the following commercial entities: Actinium Pharmaceuticals, Adienne SA, Allovir, Amgen, Angiocrine Bioscience, Astellas Pharma US, bluebird bio, Bristol Myers Squibb, Celgene, CSL Behring, CytoSen Therapeutics, Daiichi Sankyo, ExcellThera, Fate Therapeutics, Gamida Cell, Genentech, Incyte, Janssen/Johnson & Johnson, Jazz Pharmaceuticals, Kiadis Pharma, Kite Pharma, Kyowa Kirin, Legend Biotech, Magenta Therapeutics, Merck Sharp & Dohme, Millennium, Miltenyi Biotec, Novartis Pharmaceuticals, Omeros, Oncoimmune, Orca Biosystems, Pfizer, Pharmacyclics, Sanofi Genzyme, Stemcyte, Takeda Pharma, Vor Biopharma, and Xenikos BV. The views expressed in this article do not reflect the official policy or position of the NIH, Department of the Navy, Department of Defense, HRSA, or any other agency of the US Government. P.A.R. reports research support/funding from Celgene/BMS, Kite Pharma, MorphoSys, Calibr, and Novartis Pharmaceuticals; speaker's bureau for Kite Pharma and Bayer; consultancy on advisory boards for Verastem Oncology, Novartis Pharmaceuticals, Celgene/BMS, BeiGene, Karyopharm Therapeutics, Takeda Pharmaceutical, and Bayer; and honoraria from Novartis Pharmaceuticals. M.H. reports research support/funding from Takeda Pharmaceutical, and Astellas Pharma; consultancy for Incyte, ADC Therapeutics, Celgene, Pharmacyclics, Magenta Therapeutics, Omeros, AbGenomics, Verastem, and TeneoBio; and speaker's bureau for Sanofi Genzyme and AstraZeneca. F.L. reports research support/funding from Kite Pharma; scientific advisor for Allogene, Amgen, bluebird bio, BMS/Celgene, Calibr, Celgene, GammaDelta Therapeutics, Iovance, Kite Pharma, Legend Biotech, Novartis, and Wugen; and consultancy for Cellular Biomedicine Group, Cowen Consulting, Gerson Lehrman Group, EcoR1, and Emerging Therapies. C.G.B. reports research support from Nant, BlueRock, and Fate Therapeutics and consulting for Allovir. T.N. reports research support from Karyopharm and Novartis. M.A.K.-D. reports consultancy for Daiichi Sankyo and Pharmacyclics. A.H. reports a consulting or advisory role for Bristol-Myers Squibb, Genentech/Roche, Merck, Seattle Genetics, and Karyopharm; research funding from Bristol-Myers Squibb, Genentech/Roche, Merck, Pharmacyclics, Seattle Genetics, and ADCT Therapeutics (all institutional); and travel, accommodations, and expenses from Bristol-Myers Squibb. C.S.S. reports research support/funding from Juno Therapeutics, Celgene, Bristol-Myers Squibb, Precision Biosciences, and Sanofi-Genzyme and consultancy on advisory boards for Juno Therapeutics, Sanofi-Genzyme, Spectrum Pharmaceuticals, Novartis, Genmab, Precision Biosciences, Kite Pharma, Celgene, Gamida Cell, Karyopharm Therapeutics, and GlaxoSmithKline. The other authors report no conflicts of interest. Conception and design: P.A.R. S.M.S. and M.H. Collection and assembly of data: K.W.A. C.L. and M.H. Data analysis: K.W.A. C.L. and M.H. Interpretation: all authors. Manuscript first draft: P.A.R. and S.M.S. Manuscript revision: all authors. Final manuscript approval: all authors. Funding Information: Financial disclosure: The CIBMTR is supported primarily by Public Health Service Grant U24CA076518 from the National Cancer Institute (NCI), the National Heart, Lung and Blood Institute (NHLBI), and the National Institute of Allergy and Infectious Diseases (NIAID); Grant HHSH250201700006C from the Health Resources and Services Administration (HRSA); and Awards N00014-20-1-2705 and N00014-20-1-2832 from the Office of Naval Research. Additional federal support is provided by NIH Grants R01 AI128775 and R01 HL130388 and BARDA. Support is also provided by Be the Match Foundation, the Medical College of Wisconsin the National Marrow Donor Program, and from the following commercial entities: Actinium Pharmaceuticals, Adienne SA, Allovir, Amgen, Angiocrine Bioscience, Astellas Pharma US, bluebird bio, Bristol Myers Squibb, Celgene, CSL Behring, CytoSen Therapeutics, Daiichi Sankyo, ExcellThera, Fate Therapeutics, Gamida Cell, Genentech, Incyte, Janssen/Johnson & Johnson, Jazz Pharmaceuticals, Kiadis Pharma, Kite Pharma, Kyowa Kirin, Legend Biotech, Magenta Therapeutics, Merck Sharp & Dohme, Millennium, Miltenyi Biotec, Novartis Pharmaceuticals, Omeros, Oncoimmune, Orca Biosystems, Pfizer, Pharmacyclics, Sanofi Genzyme, Stemcyte, Takeda Pharma, Vor Biopharma, and Xenikos BV. The views expressed in this article do not reflect the official policy or position of the NIH, Department of the Navy, Department of Defense, HRSA, or any other agency of the US Government. Publisher Copyright: {\textcopyright} 2021 The American Society for Transplantation and Cellular Therapy",

year = "2021",

month = nov,

doi = "10.1016/j.jtct.2021.08.014",

language = "English (US)",

volume = "27",

pages = "911.e1--911.e7",

journal = "Transplantation and Cellular Therapy",

issn = "2666-6375",

publisher = "Elsevier BV",

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TY - JOUR

T1 - Outcomes and Utilization Trends of Front-Line Autologous Hematopoietic Cell Transplantation for Mantle Cell Lymphoma

AU - Riedell, Peter A.

AU - Hamadani, Mehdi

AU - Ahn, Kwang W.

AU - Litovich, Carlos

AU - Murthy, Guru Subramanian Guru

AU - Locke, Frederick L.

AU - Brunstein, Claudio G.

AU - Merryman, Reid W.

AU - Stiff, Patrick J.

AU - Pawarode, Attaphol

AU - Nishihori, Taiga

AU - Kharfan-Dabaja, Mohamed A.

AU - Herrera, Alex F.

AU - Sauter, Craig S.

AU - Smith, Sonali M.

N1 - Funding Information: Financial disclosure: The CIBMTR is supported primarily by Public Health Service Grant U24CA076518 from the National Cancer Institute (NCI), the National Heart, Lung and Blood Institute (NHLBI), and the National Institute of Allergy and Infectious Diseases (NIAID); Grant HHSH250201700006C from the Health Resources and Services Administration (HRSA); and Awards N00014-20-1-2705 and N00014-20-1-2832 from the Office of Naval Research. Additional federal support is provided by NIH Grants R01 AI128775 and R01 HL130388 and BARDA. Support is also provided by Be the Match Foundation, the Medical College of Wisconsin the National Marrow Donor Program, and from the following commercial entities: Actinium Pharmaceuticals, Adienne SA, Allovir, Amgen, Angiocrine Bioscience, Astellas Pharma US, bluebird bio, Bristol Myers Squibb, Celgene, CSL Behring, CytoSen Therapeutics, Daiichi Sankyo, ExcellThera, Fate Therapeutics, Gamida Cell, Genentech, Incyte, Janssen/Johnson & Johnson, Jazz Pharmaceuticals, Kiadis Pharma, Kite Pharma, Kyowa Kirin, Legend Biotech, Magenta Therapeutics, Merck Sharp & Dohme, Millennium, Miltenyi Biotec, Novartis Pharmaceuticals, Omeros, Oncoimmune, Orca Biosystems, Pfizer, Pharmacyclics, Sanofi Genzyme, Stemcyte, Takeda Pharma, Vor Biopharma, and Xenikos BV. The views expressed in this article do not reflect the official policy or position of the NIH, Department of the Navy, Department of Defense, HRSA, or any other agency of the US Government. P.A.R. reports research support/funding from Celgene/BMS, Kite Pharma, MorphoSys, Calibr, and Novartis Pharmaceuticals; speaker's bureau for Kite Pharma and Bayer; consultancy on advisory boards for Verastem Oncology, Novartis Pharmaceuticals, Celgene/BMS, BeiGene, Karyopharm Therapeutics, Takeda Pharmaceutical, and Bayer; and honoraria from Novartis Pharmaceuticals. M.H. reports research support/funding from Takeda Pharmaceutical, and Astellas Pharma; consultancy for Incyte, ADC Therapeutics, Celgene, Pharmacyclics, Magenta Therapeutics, Omeros, AbGenomics, Verastem, and TeneoBio; and speaker's bureau for Sanofi Genzyme and AstraZeneca. F.L. reports research support/funding from Kite Pharma; scientific advisor for Allogene, Amgen, bluebird bio, BMS/Celgene, Calibr, Celgene, GammaDelta Therapeutics, Iovance, Kite Pharma, Legend Biotech, Novartis, and Wugen; and consultancy for Cellular Biomedicine Group, Cowen Consulting, Gerson Lehrman Group, EcoR1, and Emerging Therapies. C.G.B. reports research support from Nant, BlueRock, and Fate Therapeutics and consulting for Allovir. T.N. reports research support from Karyopharm and Novartis. M.A.K.-D. reports consultancy for Daiichi Sankyo and Pharmacyclics. A.H. reports a consulting or advisory role for Bristol-Myers Squibb, Genentech/Roche, Merck, Seattle Genetics, and Karyopharm; research funding from Bristol-Myers Squibb, Genentech/Roche, Merck, Pharmacyclics, Seattle Genetics, and ADCT Therapeutics (all institutional); and travel, accommodations, and expenses from Bristol-Myers Squibb. C.S.S. reports research support/funding from Juno Therapeutics, Celgene, Bristol-Myers Squibb, Precision Biosciences, and Sanofi-Genzyme and consultancy on advisory boards for Juno Therapeutics, Sanofi-Genzyme, Spectrum Pharmaceuticals, Novartis, Genmab, Precision Biosciences, Kite Pharma, Celgene, Gamida Cell, Karyopharm Therapeutics, and GlaxoSmithKline. The other authors report no conflicts of interest. Conception and design: P.A.R. S.M.S. and M.H. Collection and assembly of data: K.W.A. C.L. and M.H. Data analysis: K.W.A. C.L. and M.H. Interpretation: all authors. Manuscript first draft: P.A.R. and S.M.S. Manuscript revision: all authors. Final manuscript approval: all authors. Funding Information: Financial disclosure: The CIBMTR is supported primarily by Public Health Service Grant U24CA076518 from the National Cancer Institute (NCI), the National Heart, Lung and Blood Institute (NHLBI), and the National Institute of Allergy and Infectious Diseases (NIAID); Grant HHSH250201700006C from the Health Resources and Services Administration (HRSA); and Awards N00014-20-1-2705 and N00014-20-1-2832 from the Office of Naval Research. Additional federal support is provided by NIH Grants R01 AI128775 and R01 HL130388 and BARDA. Support is also provided by Be the Match Foundation, the Medical College of Wisconsin the National Marrow Donor Program, and from the following commercial entities: Actinium Pharmaceuticals, Adienne SA, Allovir, Amgen, Angiocrine Bioscience, Astellas Pharma US, bluebird bio, Bristol Myers Squibb, Celgene, CSL Behring, CytoSen Therapeutics, Daiichi Sankyo, ExcellThera, Fate Therapeutics, Gamida Cell, Genentech, Incyte, Janssen/Johnson & Johnson, Jazz Pharmaceuticals, Kiadis Pharma, Kite Pharma, Kyowa Kirin, Legend Biotech, Magenta Therapeutics, Merck Sharp & Dohme, Millennium, Miltenyi Biotec, Novartis Pharmaceuticals, Omeros, Oncoimmune, Orca Biosystems, Pfizer, Pharmacyclics, Sanofi Genzyme, Stemcyte, Takeda Pharma, Vor Biopharma, and Xenikos BV. The views expressed in this article do not reflect the official policy or position of the NIH, Department of the Navy, Department of Defense, HRSA, or any other agency of the US Government. Publisher Copyright: © 2021 The American Society for Transplantation and Cellular Therapy

PY - 2021/11

Y1 - 2021/11

N2 - Although autologous hematopoietic cell transplantation (auto-HCT) has become a common practice for eligible patients in the front-line setting with mantle cell lymphoma (MCL), there are limited data regarding trends in auto-HCT utilization and associated outcomes. This study used the Center for International Blood and Marrow Transplant Research (CIBMTR) database to evaluate survival outcomes and auto-HCT utilization in adults age ≥18 years who underwent auto-HCT within 12 months of diagnosis of MCL between January 2000 and December 2018. The 19-year period from 2000 to 2018 was divided into 4 separate intervals—2000 to 2004, 2005 to 2009, 2010 to 2014, and 2015 to 2018—and encompassed 5082 patients. To evaluate transplantation utilization patterns, we combined MCL incidence derived from the SEER 21 database with CIBMTR- reported auto-HCT activity within 12 months of diagnosis of MCL. Primary outcomes included overall survival (OS) along with the auto-HCT utilization rate. The cumulative incidence of nonrelapse mortality at 1 year decreased from 7% in the earliest cohort (2000 to 2004) to 2% in the latest cohort (2015 to 2018). Mirroring this trend, OS outcomes improved continually with time, with a 3-year OS of 72% in the earliest cohort improving to 86% in the latest cohort. In addition, we noted an increase in auto-HCT utilization from 2001 to 2018, particularly in patients age ≤65 years. This large retrospective analysis highlights trends in auto-HCT utilization and outcomes in patients with MCL and emphasizes the need to optimize pretransplantation and post-transplantation treatment strategies to enhance survival outcomes.

AB - Although autologous hematopoietic cell transplantation (auto-HCT) has become a common practice for eligible patients in the front-line setting with mantle cell lymphoma (MCL), there are limited data regarding trends in auto-HCT utilization and associated outcomes. This study used the Center for International Blood and Marrow Transplant Research (CIBMTR) database to evaluate survival outcomes and auto-HCT utilization in adults age ≥18 years who underwent auto-HCT within 12 months of diagnosis of MCL between January 2000 and December 2018. The 19-year period from 2000 to 2018 was divided into 4 separate intervals—2000 to 2004, 2005 to 2009, 2010 to 2014, and 2015 to 2018—and encompassed 5082 patients. To evaluate transplantation utilization patterns, we combined MCL incidence derived from the SEER 21 database with CIBMTR- reported auto-HCT activity within 12 months of diagnosis of MCL. Primary outcomes included overall survival (OS) along with the auto-HCT utilization rate. The cumulative incidence of nonrelapse mortality at 1 year decreased from 7% in the earliest cohort (2000 to 2004) to 2% in the latest cohort (2015 to 2018). Mirroring this trend, OS outcomes improved continually with time, with a 3-year OS of 72% in the earliest cohort improving to 86% in the latest cohort. In addition, we noted an increase in auto-HCT utilization from 2001 to 2018, particularly in patients age ≤65 years. This large retrospective analysis highlights trends in auto-HCT utilization and outcomes in patients with MCL and emphasizes the need to optimize pretransplantation and post-transplantation treatment strategies to enhance survival outcomes.

KW - Autologous transplantation

KW - Chemoimmunotherapy

KW - Mantle cell lymphoma

KW - Transplantation outcomes

KW - Transplantation utilization

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UR - http://www.scopus.com/inward/citedby.url?scp=85116436482&partnerID=8YFLogxK

U2 - 10.1016/j.jtct.2021.08.014

DO - 10.1016/j.jtct.2021.08.014

M3 - Article

C2 - 34450333

AN - SCOPUS:85116436482

SN - 2666-6375

VL - 27

SP - 911.e1-911.e7

JO - Transplantation and Cellular Therapy

JF - Transplantation and Cellular Therapy

IS - 11

ER -

Outcomes and Utilization Trends of Front-Line Autologous Hematopoietic Cell Transplantation for Mantle Cell Lymphoma

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