PMID- 34595405 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20211002 IS - 2590-0048 (Electronic) IS - 2590-0048 (Linking) VI - 1 IP - 1 DP - 2019 Mar TI - Therapeutic Approaches for Blastic Plasmacytoid Dendritic Cell Neoplasm: Allogeneic Hematopoietic Cell Transplantation and Novel Therapies. PG - 2-9 LID - 10.2991/chi.d.190218.001 [doi] AB - Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is a clinically aggressive hematologic malignancy derived from precursors of plasmacytoid dendritic cells. There is no established standard therapy for BPDCN and the efficacy of conventional chemotherapy is limited, with an anticipated median overall survival ranging from 8 to 14 months. No randomized controlled trials have ever been performed to evaluate the benefit of frontline consolidation with an allogeneic hematopoietic cell transplant (allo-HCT) in BPDCN. Yet, offering an allograft has become the de facto option in BPDCN, and remains the only known long-term curative option for these patients, even in the modern era of targeted therapies. In our opinion, allo-HCT is recommended as part of frontline consolidation, especially in patients achieving first complete remission and who are deemed capable of tolerating the procedure, as published data show 3- to 4-year progression-free survival ranging from 69% to 74% in this population. Prompt referral to a transplant center, at the time of a diagnosis of BPDCN, is important to confirm allo-HCT candidacy and to initiate the process of identifying a suitable human leukocyte antigen (HLA)-compatible donor. Because disease relapse remains a major concern, additional strategies, such as post-allograft consolidation/maintenance therapy, are certainly needed to help further improve outcomes. Finally, patients deemed ineligible to receive an allo-HCT, due to lack of response and/or poor performance status, should be considered for enrollment in clinical trials. CI - (c) 2019 International Academy for Clinical Hematology. Publishing services by Atlantis Press International B.V. FAU - Kharfan-Dabaja, Mohamed A AU - Kharfan-Dabaja MA AD - Blood and Marrow Transplantation Program, Division of Hematology-Oncology, Mayo Clinic, Jacksonville, FL, USA. FAU - Pemmaraju, Naveen AU - Pemmaraju N AD - Department of Leukemia, MD Anderson Cancer Center, Houston, TX, USA. FAU - Mohty, Mohamad AU - Mohty M AD - Hopital Saint-Antoine, Universite Pierre & Marie Curie, INSERM UMRs U938, Paris, France. LA - eng PT - Journal Article PT - Review DEP - 20190318 PL - England TA - Clin Hematol Int JT - Clinical hematology international JID - 101759455 PMC - PMC8432376 OTO - NOTNLM OT - Allogeneic hematopoietic cell transplant OT - Blastic plasmacytoid dendritic cell neoplasm OT - Overall survival OT - Targeted therapies COIS- Mohamed A. Kharfan-Dabaja: Member of the speaker's bureau for Alexion Pharmaceuticals, Seattle Genetics and Incyte; Naveen Pemmaraju: Research funding/consulting: Stemline, Cellectis, Affymetrix, abbvie, Plexxikon. Mohamad Mohty: Consultancy for Servier EDAT- 2019/03/18 00:00 MHDA- 2019/03/18 00:01 PMCR- 2019/03/18 CRDT- 2021/10/01 07:39 PHST- 2019/01/02 00:00 [received] PHST- 2019/02/18 00:00 [accepted] PHST- 2021/10/01 07:39 [entrez] PHST- 2019/03/18 00:00 [pubmed] PHST- 2019/03/18 00:01 [medline] PHST- 2019/03/18 00:00 [pmc-release] AID - CHI-1-1-2 [pii] AID - 10.2991/chi.d.190218.001 [doi] PST - epublish SO - Clin Hematol Int. 2019 Mar 18;1(1):2-9. doi: 10.2991/chi.d.190218.001. eCollection 2019 Mar.