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

Ann Hematol. 2024 Nov;103(11):4805-4809. doi: 10.1007/s00277-024-06000-7. Epub 2024 Sep 17.

Abstract

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.

Keywords: Alectinib; Anaplastic large cell lymphoma; Maintenance therapy; Pediatric.

Publication types

  • Case Reports

MeSH terms

  • Allografts
  • Carbazoles* / administration & dosage
  • Carbazoles* / therapeutic use
  • Central Nervous System Neoplasms / drug therapy
  • Central Nervous System Neoplasms / therapy
  • Child
  • Cord Blood Stem Cell Transplantation*
  • Female
  • Humans
  • Lymphoma, Large-Cell, Anaplastic* / drug therapy
  • Lymphoma, Large-Cell, Anaplastic* / therapy
  • Maintenance Chemotherapy
  • Male
  • Piperidines* / therapeutic use
  • Recurrence

Substances

  • Piperidines
  • alectinib
  • Carbazoles