Consolidation PET-based and Donor-based After Salvage Therapy in Patients With Hodgkin Lymphoma in Relapse or Refractory
Inclusion Criteria:
- Patients confirmed Hodgkin's lymphoma at refractory at first line therapy, relapse
early or late;
- Age > 18 years;
- Life expectancy > 3 months;
- Cardiac, pulmonary, renal and liver functions with normal range;
- Written informed consent.
Exclusion Criteria:
- Any psychological, familiar or geographical conditions that could potentially hinder
the compliance to the protocol;
- renal failure as creatinine> 1.2 mg/dl or creatinine clearance <60 ml/min;
- AST/ALT or bilirubin> 2.5 times the norm;
- HCV positivity with signs of ongoing viral replication (HCV PCR + AST>1.5-2x normal);
- Heart disease clinically significant: eg. severe hypertension not controlled,
multifocal uncontrolled cardiac arrhythmias, symptomatic ischemic heart disease or
congestive heart failure class NYHA class III-IV (Annex 2), previous acute myocardial
infarction;
- Ventricular ejection fraction <45%;
- decompensated diabetes mellitus not controlled by insulin therapy; Disease with
significant pulmonary function defined as FEV1 <65% of predicted or DLCO <50% of
predicted value;
- HIV positive patients;
- Patients with uncontrolled infection;
- Neoplasia in the last 3 years except carcinoma in situ uterus, neck and basal skin
cancer or prostate cancer in early stage localized exeresi treated with surgery or
brachytherapy with curative intent, a good prognosis DCIS breast treated with surgery
alone;
- Drug addiction or alcoholism.