Multicentric EORTC retrospective study shows efficacy of brentuximab vedotin in patients who have mycosis fungoides and Sézary syndrome with variable CD30 positivity

Publication

Multicentric EORTC retrospective study shows efficacy of brentuximab vedotin in patients who have mycosis fungoides and Sézary syndrome with variable CD30 positivity

Journal Paper/Review - Aug 17, 2021

Papadavid E, Bagot M, Hodak E, Guenova E, Guiron R, Dimitriou F, Cozzio Antonio, Vico C, Ortiz-Romero P L, Quaglino P, Engelina S, Porkert S, Jonak C, Dalamaga M, Iliakis T, Nikolaou V, Pappa V, Kapniari E, Scarisbrick J

Citation

Papadavid E, Bagot M, Hodak E, Guenova E, Guiron R, Dimitriou F, Cozzio A, Vico C, Ortiz-Romero P, Quaglino P, Engelina S, Porkert S, Jonak C, Dalamaga M, Iliakis T, Nikolaou V, Pappa V, Kapniari E, Scarisbrick J. Multicentric EORTC retrospective study shows efficacy of brentuximab vedotin in patients who have mycosis fungoides and Sézary syndrome with variable CD30 positivity. Br J Dermatol 2021; 185:1035-1044.

Type

Journal Paper/Review (English)

Journal

Br J Dermatol 2021; 185

Publication Date

Aug 17, 2021

Issn Electronic

1365-2133

Pages

1035-1044

Brief description/objective

BACKGROUND
Brentuximab vedotin (BV) was approved as a therapy for mycosis fungoides (MF) based on the ALCANZA trial. Little real-world data, however, are available.

OBJECTIVES
To evaluate the efficacy and safety of BV in patients with MF/Sézary Syndrome (SS) with variable CD30 positivity in a real-world cohort and to explore potential predictors of response.

METHODS
Data from 72 patients with MF/SS across nine EORTC (European Organization for Research and Treatment of Cancer) centres were included. The primary endpoint was to evaluate the proportion of patients with: overall response (ORR), ORR lasting over 4 months (ORR4), time to response (TTR), response duration (RD), progression-free survival (PFS) and time to next treatment (TTNT). Secondary aims included a safety evaluation and the association of clinicopathological features with ORR, RD and TTNT.

RESULTS
All 72 patients had received at least one systemic treatment. ORR was achieved in 45 of 67; ORR4 in 28 of 67 with a median TTR of 8 weeks [interquartile range (IQR) 5·5-14] and with a median RD of 9 months (IQR 3·4-14). Median PFS was 7 months (IQR 2-12) and median TTNT was 30 days (6-157·5). Patient response, RD, PFS and TTNT were not associated with any clinicopathological characteristics. In the MF group, patients with stage IIB/III vs. IV achieved longer PFS and had a higher percentage of ORR4. There was a statistically significant association between large-cell transformation and skin ORR (P = 0·03). ORR4 was more frequently achieved in patients without lymph node involvement (P = 0·04).

CONCLUSIONS
BV is an effective option for patients with MF/SS, including those with variable CD30 positivity, large-cell transformation, SS, longer disease duration and who have been treated previously with several therapies.