Allogeneic stem cell transplantation for patients with mantle cell lymphoma who failed autologous stem cell transplantation: a national survey of the SFGM-TC

Poly-chemotherapy plus rituximab followed by autologous stem cell transplantation (auto-SCT) is standard care for untreated young patients with mantle cell lymphoma (MCL). Despite this intensive treatment, transplant patients remain highly susceptible to relapse over time. The French SFGM-TC performed a national survey on reduced-intensity conditioning allogeneic stem cell transplantation (RIC-allo-SCT) for fit relapsed/refractory patients who failed after auto-SCT (n=106). Median times of relapse after auto-SCT, and from auto-SCT to RIC-allo-SCT were 28 months and 3.6 years, respectively. Sixty per cent of patients received at least three lines of treatment before RIC-allo-SCT. Conditioning regimens for RIC-allo-SCT were heterogeneous. Twenty patients experienced grade III/IV aGvHD, extensive cGvHD was reported in 28 cases. Median follow-up after RIC-allo-SCT was 45 months. Median PFS after RIC-allo-SCT was 30.1 months and median overall survival was 62 months. Treatment-related mortality (TRM) at 1 year and 3 years were estimated at 28% and 32%, respectively. A total of 52 patients died; major causes of death were related to toxicity (n=34) and MCL (n=11). Patients in good response before RIC-allo-SCT experienced a better PFS and OS. Our work highlights the need for new RIC-allo-SCT MCL-tailored approaches to reduce TRM, and early and late relapse.

Extracorporeal photopheresis as a curative treatment strategy in non epidermotropic T-cell lymphoma and large granular lymphocyte leukemia

BACKGROUND

To evaluate the efficacy of extracorporeal photopheresis (ECP) in noncutaneous T-cell lymphoma and large granular lymphocytes leukemia (LGL).

PATIENTS AND METHODS

We have treated 12 refractory/relapsed patients. Six peripheral T-cell lymphoma (PTCL), one T-lymphoblastic lymphoma and five LGL with blood involvement received six biweekly leukapheresis as induction phase, followed by one course a week for 4 weeks as consolidation and one course of maintenance per month for responders until progression/relapse or disappearance of the peripheral clone.

RESULTS

Six patients responded to phototherapy. Two PTCL and two LGL achieved a complete response (CR) and two other PTCL a partial response. The median duration of CR was 117 months (45-150 months) for these four patients. The peripheral clone followed by flow cytometry decreased in all six responders. Two patients with a complete disappearance of the peripheral clone have not relapsed.

CONCLUSIONS

As for cutaneous T-cell lymphoma, ECP therefore to be efficient for PTCL and LGL. Early decrease and disappearance of the peripheral clone were the indicators of clinical response and nonrelapse, respectively.

Dynamics of contact line motion during the wetting of rough surfaces and correlation with topographical surface parameters

Dynamics of contact line motion and wettability is essential in many industrial applications such as liquid coating, lubrication, printing, painting, condensation, etc. However, the wettability of surfaces depends not only on liquid-solid chemical properties but also can be strongly affected by surface roughness. As a practical application of controlled wettability, we can mention the self-cleaning surfaces, protective clothing, microfluidics devices, electro wetting, etc. In this article, we experimentally investigate the spreading of droplets deposited onto rough surfaces. Anisotropic surfaces were prepared by abrasive polishing on the following materials: aluminium alloy AA7064, titanium alloy Ti-6Al-4V, steel AISI 8630, copper alloy UNS C17000, machinable glass ceramic, and poly-methylmethacrylate. Topographical 2D parameters were calculated according to the following standards, defining Geometrical Product Specifications (GPS): ISO 4287, ISO 12085, ISO 13565, ISO 12780, and ISO 12181. The influence of topographical parameters on wettability and spreading phenomenon has been evaluated by statistical covariance analysis. The following parameters have strong influence on fluid spreading on rough surfaces: R(mr) is the relative material ratio of the roughness profile, T(rc) is the microgeometric material ratio, P(mr) is the relative material ratio of the raw profile, K(r) is the mean slope of the roughness motifs, RON(t) is the peak to valley roundness deviation, and P(sk) is the Skewness of the raw profile. The physical meaning of selected parameters is discussed, and K(r) (the mean slope of the roughness motifs) is selected as the most important and physically meaningful parameter. It has been found that for all tested materials, fluid spreading shows increasing tendency when mean slope of the roughness motifs (K(r) ) increases.