Nour Faqeer, Haya Kasabi, Jude Aqarbeh, Farah Ghananim, Mohammad Makoseh
{"title":"Predictors of acute kidney injury following the first cycle of high-dose methotrexate in patients with hematological malignancies.","authors":"Nour Faqeer, Haya Kasabi, Jude Aqarbeh, Farah Ghananim, Mohammad Makoseh","doi":"10.1080/10428194.2026.2666843","DOIUrl":"https://doi.org/10.1080/10428194.2026.2666843","url":null,"abstract":"<p><p>Consensus regarding predictors of acute kidney injury (AKI) following high-dose methotrexate (HDMTX) across diverse patient populations remains inconsistent. We conducted a retrospective study to identify predictors of AKI in adult patients with hematological malignancies receiving the first cycle of HDMTX between January 2020 and December 2024. The medical records were reviewed, and cases of AKI were defined, according to Kidney Disease Improving Global Outcomes (KDIGO) criteria. A total of 281 patients were included (Median age 44 years (range 18-82)), of whom 76 (27.0%) developed AKI, with 84.2% having stage I, and 90.8% achieved resolution. The multivariate logistic regression analysis identified hypoalbuminemia (odds ratio (OR) 1.90, <i>p</i> = 0.034), methotrexate concentration ≥ 10 µmol/L at 24 h (OR 2.24, <i>p</i> = 0.013), and lower phosphorus level (OR 1.44, <i>p</i> = 0.043) as independent predictors of AKI. This study helps to identify patients at higher risk of AKI to provide tailored preventive measures.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-9"},"PeriodicalIF":2.2,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andry Van de Louw, Megan Kang, Daniel Guck, Myles Nickolich
{"title":"Impact of time-to-antibiotics on hospital mortality in patients with hematological malignancies and febrile neutropenia: a single center propensity score matching analysis.","authors":"Andry Van de Louw, Megan Kang, Daniel Guck, Myles Nickolich","doi":"10.1080/10428194.2026.2666849","DOIUrl":"https://doi.org/10.1080/10428194.2026.2666849","url":null,"abstract":"<p><p>We performed a retrospective study in patients with febrile neutropenia between 2005 and 2020 to assess the impact of time-to-antibiotics (TTA) on mortality. We included 1089 patients (58% males) aged 58 [46-67] years with hematological malignancies (62% acute leukemias, 20% lymphomas). TTA was 132 [68-271] minutes and hospital mortality was 9.1%. Hourly TTA was not associated with mortality in multivariate logistic regression. Hospital mortality was lower in patients with TTA ≤4 h (8.0% versus 11.9%, <i>p</i> = 0.04) and after propensity score matching based on comorbidities, vital signs and biological parameters at the time of fever, TTA ≤4 h remained associated with decreased mortality (odds ratio 0.55, 95% CI 0.31-0.96, <i>p</i> = 0.038). These findings were not confirmed in subgroups of patients with sepsis or bacteremia. Our study confirmed that TTA >4 h was associated with increased mortality but does not support recommendations of TTA ≤1 h in febrile neutropenia.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-7"},"PeriodicalIF":2.2,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rory Bennett, Tom Sapsford, Manjula Deo, Anna Elinder-Camburn, Merit Hanna, Sophie Leitch, Debbie Moore, Priya Nandani, Denis O'Keeffe, Rebecca Powell, Natalie Stockx, Eileen Merriman
{"title":"Ten-day venetoclax plus fluconazole with azacitidine or low-dose cytarabine for elderly/unfit AML patients in resource-limited settings.","authors":"Rory Bennett, Tom Sapsford, Manjula Deo, Anna Elinder-Camburn, Merit Hanna, Sophie Leitch, Debbie Moore, Priya Nandani, Denis O'Keeffe, Rebecca Powell, Natalie Stockx, Eileen Merriman","doi":"10.1080/10428194.2026.2665794","DOIUrl":"https://doi.org/10.1080/10428194.2026.2665794","url":null,"abstract":"","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-4"},"PeriodicalIF":2.2,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"CD47: a promising target for immunotherapy in relapsed/refractory malignant lymphoma.","authors":"Shuzhen Xiong, Ningning Yue, Shuni Zhang, Yu Xu, Jiajia Cao, Xinyang Liu, Chongyang Wu","doi":"10.1080/10428194.2026.2661769","DOIUrl":"https://doi.org/10.1080/10428194.2026.2661769","url":null,"abstract":"<p><p>CD47 is an immune checkpoint molecule widely expressed on various cell types and has emerged as a key target in cancer immunotherapy due to its role in mediating tumor immune escape <i>via</i> the 'don't eat me' signal. In lymphoma, CD47 expression shows heterogeneity across subtypes, with elevated levels closely linked to poor prognosis. Mechanistically, CD47 blockade exerts dual effects: on one hand, it relieves the inhibition of macrophage phagocytosis <i>via</i> the CD47/SIRPα pathway, thereby enhancing tumor clearance; on the other hand, it may also disrupt CD47-mediated signaling pathways involving thrombospondin-1 (TSP-1) and integrins, thus exerting multifaceted anti-tumor effects. Although CD47-targeting approaches face clinical challenges like off-target toxicity and transient responses, emerging strategies combining CD47 inhibition with other therapies or utilizing gene editing show promise for overcoming resistance. By integrating evidence on CD47 expression and mechanisms, this review assesses its therapeutic potential in lymphoma to guide future clinical applications.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-21"},"PeriodicalIF":2.2,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147775542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kelly Meza-Capcha, Mitchell Boshkos, Humberto Nieves Jimenez, Carla Romagnoli, Leily Santos, Alexandra Lyubimova, Jacqueline Barrientos, Martha Mims
{"title":"Clinicopathologic features of lymphoma-associated hemophagocytic lymphohistiocytosis in a multicenter adult cohort.","authors":"Kelly Meza-Capcha, Mitchell Boshkos, Humberto Nieves Jimenez, Carla Romagnoli, Leily Santos, Alexandra Lyubimova, Jacqueline Barrientos, Martha Mims","doi":"10.1080/10428194.2026.2663069","DOIUrl":"https://doi.org/10.1080/10428194.2026.2663069","url":null,"abstract":"<p><p>Hemophagocytic lymphohistiocytosis (HLH) is a life-threatening hyperinflammatory syndrome that, in adults, is most commonly secondary to malignancy. Lymphoma-associated HLH (LA-HLH) is typically driven by aggressive non-Hodgkin lymphomas, while Hodgkin lymphoma is reported infrequently. We conducted a retrospective, multicenter analysis of adults diagnosed with LA-HLH between 2000 and 2024 at two tertiary academic centers. HLH diagnoses were confirmed using HLH-2004 criteria, and clinicopathologic features, laboratory findings, and outcomes were analyzed descriptively, with stratification by HIV status. Among 20 patients with LA-HLH, Hodgkin lymphoma accounted for 60% of cases. HIV-positive patients more commonly developed aggressive non-Hodgkin lymphomas with severe systemic inflammation, whereas HIV-negative patients more frequently had Hodgkin lymphoma. Soluble interleukin-2 receptor levels were uniformly elevated among evaluable patients. Overall mortality remained high. These findings are descriptive and hypothesis-generating and highlight the clinical heterogeneity of LA-HLH.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-7"},"PeriodicalIF":2.2,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147775474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C Thieblemont, D Caillot, Morgane Pierre, S Branchoux, H Lemasson, A Caron, C Nevoret, E Torreton, A Petel, F Despas
{"title":"Unraveling the care pathway for CAR T-cell therapy in large B-cell lymphoma: insights from a nationwide study in France (2018-2023).","authors":"C Thieblemont, D Caillot, Morgane Pierre, S Branchoux, H Lemasson, A Caron, C Nevoret, E Torreton, A Petel, F Despas","doi":"10.1080/10428194.2026.2652533","DOIUrl":"https://doi.org/10.1080/10428194.2026.2652533","url":null,"abstract":"<p><p>This study describes the inpatient care pathway for 1914 Large B-cell Lymphoma (LBCL) patients treated with CAR T-cell therapy in France between 2018 and 2023 and identifies factors influencing their management. Based on a retrospective analysis of the French national hospital database, we found the average CAR T-cell infusion stay was shorter for patients in the second line of treatment <i>versus</i> later lines (20.4 <i>vs.</i> 23.8 days). The specific product used was also influential; for example, lisocabtagene maraleucel was associated with shorter stays and fewer ICU admissions than axicabtagene ciloleucel. A multivariate analysis confirmed that while patient characteristics and the CAR T-cell product influenced outcomes, higher center experience was a primary determinant. More experienced centers had shorter hospital stays and a higher probability of patients being discharged home, demonstrating that the management of CAR T-cell patients is largely dependent on institutional experience.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-12"},"PeriodicalIF":2.2,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147775512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elizabeth Alfaro, Magdalena Schelotto, Hernán Zamaro, Cristian Sánchez La Rosa, Myriam Guitter, Carolina Romero, Laura Galluzzo, Natalia Pinto, Luisina Peruzzo, Carolina Pages, Florencia Nuñez, Carla Pennella, Emma Concha, Elizabeth Tedesco, Agustín Dabezies, Luis Castillo, María Sara Felice, Pedro Zubizarreta
{"title":"Radiotherapy may be omitted in children and adolescents with classical Hodgkin lymphoma in complete remission after frontline risk and response-adapted chemotherapy: a multicenter clinical trial (LH-GALOP 2017).","authors":"Elizabeth Alfaro, Magdalena Schelotto, Hernán Zamaro, Cristian Sánchez La Rosa, Myriam Guitter, Carolina Romero, Laura Galluzzo, Natalia Pinto, Luisina Peruzzo, Carolina Pages, Florencia Nuñez, Carla Pennella, Emma Concha, Elizabeth Tedesco, Agustín Dabezies, Luis Castillo, María Sara Felice, Pedro Zubizarreta","doi":"10.1080/10428194.2026.2662496","DOIUrl":"https://doi.org/10.1080/10428194.2026.2662496","url":null,"abstract":"<p><p>A multicentre, prospective, risk and response adapted treatment for newly diagnosed paediatric classical Hodgkin Lymphoma was carried out to avoid radiotherapy (RT) when complete remission (CR) was achieved after chemotherapy. Three risk groups were initially defined. Chemotherapy combined ABVD and ESHAP regimes. CR was defined by Deauville Score <1-2 or >80% CT volume reduction. Patients in CR after completing chemotherapy did not receive RT, those in partial remission received involved site RT (30 Gy). Refractory disease was considered a trial failure. From October 2017 to November 2024, 109 assessable patients were recruited, M/F = 1.8, median age 11.9 (<i>r</i> = 3-16.8) years. Low risk = 18%, Intermediate risk = 30%, High risk = 51%. CR after chemotherapy was obtained in 94 patients (86.2%). Radiotherapy was delivered in 19.3% of patients, including cases in partial remission, relapse, and refractory disease. With a median follow up of 58 months, at 5 years, EFSp was 88.5% (SE = 3%) and OS, 100%.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-8"},"PeriodicalIF":2.2,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147775454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alain Mina, Katherine R Calvo, Katherine McKinnon, Ayush T Raman, Weixin Wang, Lea Cunningham, Yi Liu, Rebecca Alexander, Daniel R Larson, Steven Pavletic, Kathy L McGraw
{"title":"Targeting the IL-8 axis in high-risk myelodysplastic syndromes: a clinical experience with antibody blockade combined with decitabine/cedazuridine.","authors":"Alain Mina, Katherine R Calvo, Katherine McKinnon, Ayush T Raman, Weixin Wang, Lea Cunningham, Yi Liu, Rebecca Alexander, Daniel R Larson, Steven Pavletic, Kathy L McGraw","doi":"10.1080/10428194.2026.2661078","DOIUrl":"https://doi.org/10.1080/10428194.2026.2661078","url":null,"abstract":"<p><p>Clinical and laboratory findings are presented from a 64-year-old female with myelodysplastic syndrome and increased blasts-2 (MDS-IB2) from Phase I/II trial evaluating the anti-IL8 antibody, BMS-986253, in combination with oral decitabine/cedazuridine (NCT05148234). Each 28-day cycle included BMS-986253 1200 mg IV on Day 1 and 15, and oral decitabine/cedazuridine (35 mg/100 mg) on Days 2-7. The patient received 2.5 cycles. Treatment was discontinued on Cycle 3 Day 8 after development of jaw osteonecrosis, deemed unlikely to be treatment related. Despite presenting with high-risk disease, the patient achieved stable disease. Serial bone marrow assessments revealed decreased granulocytes, increased lymphocytes, and reduced CD45 + CD33 + HLA-DR- and CD117 + HLA-DR- cells. Bone marrow plasma multiplex cytokine analysis demonstrated increased inflammatory and immune surveillance proteins. Optical genome mapping identified ETS-related gene, <i>ERG</i>, somatic duplication with post-treatment decreased variant allele frequency. Post-treatment molecular changes with clinical disease stability, suggest IL-8 pathway inhibition biological activity after even short duration.</p>","PeriodicalId":18047,"journal":{"name":"Leukemia & Lymphoma","volume":" ","pages":"1-9"},"PeriodicalIF":2.2,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147775472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}