Publications by authors named "Nicolas Stocker"

Individuals with chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL) have a high risk of developing other malignancies (OMs). The development of OMs may be associated with the advanced age of CLL/SLL patients, presence of a tumor-promoting microenvironment, immune alterations inherent to CLL/SLL, or chemotherapy. Importantly, the occurrence of OMs following frontline fludarabine, cyclophosphamide and rituximab (FCR) treatment is associated with a reduction in the overall survival (OS).

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The covalent Bruton tyrosine kinase inhibitors (iBTKs) have profoundly transformed the management of B-cell lymphoid malignancies, particularly chronic lymphocytic leukemia (CLL). These targeted therapies, with ibrutinib as the pioneer, have paved the way for significant improvement in the prognosis of many patients. With second-generation iBTKs such as acalabrutinib and zanubrutinib, the therapeutic landscape has expanded, offering potential new options for patients with CLL.

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Purpose: Onco-nephrology is an emerging subspecialty aiming to better understand and prevent renal events in cancer patients. We assessed patients' knowledge about (1) oncological/hematological treatments induced renal toxicity and (2) kidney protective measures.

Methods: Adult patients receiving systemic anti-tumor treatments in multiple day hospital units in France answered a self-administered questionnaire about their knowledge and expectations related to treatment-associated renal toxicity.

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Article Synopsis
  • - Immune effector cell-associated hematotoxicity (ICAHT) is a significant and common side effect following CAR-T-cell therapy, particularly impacting patient recovery and health.
  • - The article discusses three cases where patients experienced severe ICAHT after receiving axicabtagene-ciloleucel (axi-cel) for diffuse large B-cell lymphoma, characterized by an increase in a specific type of lymphocyte in the bone marrow.
  • - Treatment with low-dose steroids successfully resolved the cytopenias (low blood cell counts) without harming the effectiveness of the cancer treatment.
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  • Sexually transmitted infections (STIs) pose significant health risks for immunocompromised patients, particularly those undergoing treatment for haematological malignancies, due to weakened immune systems from chemotherapy and stem-cell transplants.
  • The paper focuses on specific STIs such as Chlamydia, gonorrhea, syphilis, HIV, herpes, HPV, and hepatitis B, highlighting their increased incidence and severity in patients with blood cancers.
  • The authors call for more comprehensive research to better understand and address the impact of STIs on these patients, while also discussing necessary protective measures and the importance of vaccines.
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  • Angioimmunoblastic T-cell lymphoma (AITL) is a type of cancer with a poor response to traditional chemotherapy, featuring a low median survival rate and common relapses.
  • A study tested a combination of the drug 5-azacytidine and nivolumab (an anti-PD-1 therapy) in nine patients with AITL, finding it to be well-tolerated and effective, with a 78% overall response rate.
  • These promising results suggest that this treatment combination may be a safer and more effective option, warranting further research to establish its efficacy in larger trials.
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We evaluated the impact of early recovery of mucosal-associated invariant T cells (MAIT) and gamma-delta (γδ) T cells, especially Vδ2 T cells, on the clinical outcomes of 76 patients who underwent allogeneic hematopoietic cell transplantation (allo-HCT). MAIT cells were identified at day 20-30 post-transplant using flow cytometry and defined as CD3 TCRVα7.2CD161.

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Article Synopsis
  • * A low absolute lymphocyte count (ALC) on day +30 post-transplant was associated with a higher risk of reactivation (68%), while adding antithymocyte globulin (ATG) to GvHD prophylaxis did not significantly affect HHV6 reactivation rates.
  • * Patients with HHV6 reactivation experienced delayed platelet recovery and an increased risk of acute GvHD, but their overall
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  • Ibrutinib, a first-generation BTK inhibitor, increases the risk of invasive fungal infections, while the second-generation BTK inhibitor, acalabrutinib, has unknown effects on neutrophil antifungal activity despite only a few reported cases of aspergillosis during its use.
  • Three new cases of invasive aspergillosis were identified in patients with chronic lymphocytic leukemia shortly after starting acalabrutinib therapy, raising concern about its impact on immune response.
  • After one month of acalabrutinib treatment, neutrophils exhibited a reduced ability to fight against Aspergillus fumigatus, highlighting the need for close monitoring of patients on this medication for potential fungal infections.
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Bispecific antibodies (BsAbs) are a new group of targeted therapies that are revolutionizing the treatment landscape of B-cell non-Hodgkin's lymphoma (B-NHL). In the relapsed/refractory setting, salvage chemotherapy and autologous stem cell transplantation are capable of curing 50% of patients, whereas the other half will have a dismal outcome with a median overall survival of less than 12 months. This unmet need reinforced the importance of innovative therapies like the BsAbs and CAR-T cell therapies.

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Immunotherapy (IT) is a major therapeutic strategy for lymphoma, significantly improving patient prognosis. IT remains ineffective for a significant number of patients, however, and exposes them to specific toxicities. The identification predictive factors around efficacy and toxicity would allow better targeting of patients with a higher ratio of benefit to risk.

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Coexisting malignancies is not only an uncommon event but, it can also represent a medical challenge. Its complexity relies on the difficulty of management and the need for personalized and prioritized therapeutic approaches, on the one hand, and in the potential misdiagnosis of recurrence or even a de novo disease, on the other. Here, we present a case of a 69-year-old patient, who was initially diagnosed with a chronic myelomonocytic leukemia (CMML), followed by monoclonal gammopathy of uncertain significance (MGUS).

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Patients with high-risk lymphoma have a poor prognosis when treated with standard chemoimmunotherapy. This retrospective study included 23 high-risk lymphoma patients with a median age at diagnosis of 59 (range, 35-68) years. They received 2 cycles of R-COPADM and 2 cycles of CYVE, completed by ASCT for fit patients.

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For acute lymphoblastic leukemia (ALL) patients, total body irradiation (TBI)- based conditioning regimens are the first choice specially in young population. However, several studies have shown an equivalence in clinical outcomes with thiotepa-based conditioning regimen. We performed a retrospective study to evaluate the outcome of adult ALL patients who received allogeneic hematopoietic stem cell transplantation (allo-HCT) with a thiotepa-busulfan-fludarabine (TBF) myeloablative conditioning regimen with reduced toxicity.

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Purpose: This single-center retrospective study aims to assess the feasibility, safety, and tolerability of CareMin650, a new photobiomodulation device, for both preventing oral mucositis (OM) and reducing its severity in the setting of hematopoietic stem cell transplantation (HCT).

Methods: Patients who underwent autologous HCT for hematological malignancies between November 2020 and October 2021 could be included. Prophylactic photobiomodulation (PBM) was used daily from day 1 of conditioning until the day of neutrophil recovery at a dose of 3 J/cm.

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This study evaluated the safety and immunogenicity of BNT162b2 vaccine in patients with hematological malignancies. Antibodies blocking spike binding to immobilized ACE-2 (NAb) correlated with anti-Spike (S) IgG d42 titers (Spearman r = 0.865, p < 0.

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