Pulmonary Embolism Response Teams: Structuring a Dedicated Provider Response to Improve Outcomes for Patients and Institutions
Author(s) -
Roy E. Smith,
Rachel Rosovsky
Publication year - 2019
Publication title -
the hematologist
Language(s) - English
Resource type - Journals
ISSN - 1551-8779
DOI - 10.1182/hem.v16.2.9417
Subject(s) - pulmonary embolism , structuring , rapid response team , medicine , business , medical emergency , intensive care medicine , cardiology , finance
Brentuximab vedotin (BV) is an antibody drug conjugate targeting the CD30 antigen. It employs a cleavable protease linking to a monomethyl auristatin E (MMAE) cytotoxic payload. It was 2011 when the first U.S. Food and Drug Administration (FDA) approvals occurred in relapsed/refractory Hodgkin lymphoma (HL) and relapsed/refractory CD30+ anaplastic large-cell lymphoma (ALCL). Single-agent response rates exceeded 75 percent in both settings. The next approval arrived in 2015 to be used as a single-agent maintenance strategy in high-risk HL post–autologous stem cell transplantation. In 2017 it was approved for use in relapsed cutaneous T-cell lymphoma and CD30+ mycosis fungoides. Then, in 2018, it was approved for use in frontline HL as part of the AAVD (adcetris, adriamycin, vinblastine, dacarbazine) regimen based on a modest progression-free survival (PFS) benefit when compared to ABVD (adriamycin, bleomycin, vinblastine, dacarbazine). The HL trial leading to approval was called ESCHELON-1.
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