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Alectinib maintenance therapy following cord blood transplantation for relapsed pediatric anaplastic large cell lymphoma with central nervous system involvement

  • Kosuke Tamefusa,
  • Hisashi Ishida,
  • Daisuke Miyahara,
  • Takahiro Shiwaku,
  • Motoharu Ochi,
  • Kiichiro Kanamitsu,
  • Kaori Fujiwara,
  • Yasuhisa Tatebe,
  • Kana Washio,
  • Tomoyuki Akiyama,
  • Hirokazu Tsukahara

摘要

Pediatric ALK-positive anaplastic large cell lymphoma is a rare subtype of non-Hodgkin lymphoma, and approximately 30% of patients relapse following treatment with conventional chemotherapy. Alectinib monotherapy has demonstrated excellent activity in relapsed and refractory ALCL, but its role as a maintenance therapy after hematopoietic cell transplantation is unclear. We experienced a relapse case of pediatric ALK-positive ALCL with central nervous system involvement treated with alectinib maintenance therapy following cord blood transplantation. The patient has maintained complete remission for more than 3 years after transplantation. There were no remarkable adverse effects that led to discontinuation of alectinib.