Current treatment modalities can cure up to 70–80 % of patients with classical Hodgkin lymphoma. Approximately, 20–30 % of patients require further treatment options. Brentuximab vedotin has been approved for the treatment of relapsed and refractory Hodgkin lymphoma. In the present study, we report the experience with brentuximab vedotin as single agent in 58 patients with relapsed or refractory Hodgkin lymphoma. The objective response rate was 63.5 % with 13 complete responders (26.5 %) among 49 patients evaluated at the early phase of treatment (2–5 cycles). Upon treatment prolongation (≥6 cycles), 37 patients achieved a final objective response rate of 32.4 % with 21.6 % of complete and 10.8 % of partial response. Overall survival at 12 months was 70.6 %, and progression-free survival at 12 months was 32.8 %. Median overall survival could not be reached and median progression-free survival was 7 months. While the median duration of response was 9 months in the whole cohort, it was 11.5 months in the complete responders. Complete response rates in patients treated with >3 chemotherapy regimens before brentuximab vedotin were significantly lower (p = 0.016). Fourteen patients were subsequently transplanted. In conclusion, brentuximab vedotin provided a bridge to transplantation in approximately one quarter of the patients. The declining response rates during the course of treatment suggest that transplantation should be implemented early during brentuximab vedotin treatment.
In this study, the effects of Ag, ZnO, and CuO nanoparticles (NPs) on the mechanical, thermal, and biodegradability properties of the compatibilized polyethylene (PE)/thermoplastic starch (TPS) blends were investigated. Polyethylene‐grafted maleic anhydride (PE‐g‐MA) was used as the compatibilizer. The compatibilized PE/TPS blends with different NPs were prepared by melt mixing method in a laboratory scale extruder and then pressurized in the press machine. The use of ZnO NP together with the compatibilizer in PE/TPS‐based films significantly increased the tensile stress values. The use of different type NPs did not cause any significant change in the thermal stability of PE/TPS‐based films. However, the effects of NPs were observed on the TPS degradation steps. The prepared films with different NPs showed an antibacterial activity between 60% and 70%. The highest crystallinity value was obtained in Ag NP containing films, among others. According to scanning electron microscopy analysis, better distribution was observed for ZnO and Ag NPs than CuO NP. In general, it can be said that the addition of NPs to PE/TPS‐based blends significantly reduces the partial biodegradability of the resulting films.
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