4.6 Review

Advances in the treatment of Hodgkin lymphoma: Current and future approaches

Journal

FRONTIERS IN ONCOLOGY
Volume 13, Issue -, Pages -

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fonc.2023.1067289

Keywords

Classical Hodgkin lymphoma (cHL); relapsed and refractory Hodgkin's lymphoma; chemoimmunotherapy; hematopoietic stem cell transplant; chimeric antigen receptor (CAR) T-cell therapy

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Hodgkin lymphoma (HL) is a rare type of lymphoma, with two subtypes: classical Hodgkin's lymphoma (cHL) and nodular lymphocyte predominant Hodgkin lymphoma (NLPHL). cHL is highly curable with first-line chemotherapy, but some patients may relapse or fail to respond. High dose chemotherapy followed by autologous hematopoietic stem cell transplant (AHSCT) is the standard treatment modality for chemo sensitive cHL. Targeted immunotherapy, novel agents, and CAR T-cell therapy are being explored as potential treatment options.
Hodgkin lymphoma (HL) is a rare type of lymphoma with unique histologic, immunophenotypic, and clinical features. It represents approximately one-tenth of lymphomas diagnosed in the United States and consists of two subtypes: classical Hodgkin's lymphoma (cHL), which accounts for majority of HL cases, and nodular lymphocyte predominant Hodgkin lymphoma represent approximately 5% of Hodgkin lymphoma cases. From this point, we will be focusing on cHL in this review. In general, it is considered a highly curable disease with first-line chemotherapy with or without the addition of radiotherapy. However, there are patients with disease that relapses or fails to respond to frontline regimens and the standard treatment modality for chemo sensitive cHL is high dose chemotherapy followed by autologous hematopoietic stem cell transplant (AHSCT). In recent years, targeted immunotherapy has revolutionized the treatment of cHL while many novel agents are being explored in addition to chimeric antigen receptor (CAR) T-cell therapy which is also being investigated in clinical trials as a potential treatment option.

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