Table 2.

Treatments and outcomes of the different clinical groups of ALK-positive histiocytosis and the overall cohort

Group 1A (n = 6)Group 1B (n = 10)Group 2 (n = 23)Overall (n = 39)
Number of casesObjective responseProgression or relapseNumber of casesObjective responseProgression or relapseNumber of casesObjective responseProgression or relapseNumber of casesObjective responseProgression or relapse
First-line             
 Conventional systemic therapy 3 (50%) 1/3 (33%) 3/3 (100%) 6 (60%) 3/6 (50%) 2/6 (33%) 4 (17%) 3/4 (75%) 1/4 (25%) 13 (33%) 7/13 (54%) 6/13 (46%) 
 Surgical resection       13 (57%) 11/13 (85%) 2/13 (15%) 13 (33%) 11/13 (85%) 2/13 (15%) 
 ALK inhibition    4 (40%)* 4/4 (100%) 0/4 (0%) 1 (4%) 1/1 (100%) 0/1 (0%) 5 (13%) 5/5 (100%) 0/5 (0%) 
 Observation & supportive care 2 (33%) 2/2 (100%) 0/2 (0%)    1 (4%) 1/1 (100%) 0/1 (0%) 3 (8%) 3/3 (100%) 0/3 (0%) 
 Radiotherapy       1 (4%) 1/1 (100%) 0/1 (0%) 1 (3%) 1/1 (100%) 0/1 (0%) 
 Unknown or not treated yet 1 (17%)      3 (13%)   4 (10%)   
Second- and further-line             
 ALK inhibition    3 (30%) 3/3 (100%) 0/3 (0%) 3 (13%) 3/3 (100%) 0/3 (0%) 6 (15%) 6/6 (100%) 0/6 (0%) 
 Conventional systemic therapy 3 (50%) 2/3 (67%) 1/3 (33%)    2 (9%) 0/2 (0%) 2/2 (100%) 5 (13%) 2/5 (40%) 3/5 (60%) 
Group 1A (n = 6)Group 1B (n = 10)Group 2 (n = 23)Overall (n = 39)
Number of casesObjective responseProgression or relapseNumber of casesObjective responseProgression or relapseNumber of casesObjective responseProgression or relapseNumber of casesObjective responseProgression or relapse
First-line             
 Conventional systemic therapy 3 (50%) 1/3 (33%) 3/3 (100%) 6 (60%) 3/6 (50%) 2/6 (33%) 4 (17%) 3/4 (75%) 1/4 (25%) 13 (33%) 7/13 (54%) 6/13 (46%) 
 Surgical resection       13 (57%) 11/13 (85%) 2/13 (15%) 13 (33%) 11/13 (85%) 2/13 (15%) 
 ALK inhibition    4 (40%)* 4/4 (100%) 0/4 (0%) 1 (4%) 1/1 (100%) 0/1 (0%) 5 (13%) 5/5 (100%) 0/5 (0%) 
 Observation & supportive care 2 (33%) 2/2 (100%) 0/2 (0%)    1 (4%) 1/1 (100%) 0/1 (0%) 3 (8%) 3/3 (100%) 0/3 (0%) 
 Radiotherapy       1 (4%) 1/1 (100%) 0/1 (0%) 1 (3%) 1/1 (100%) 0/1 (0%) 
 Unknown or not treated yet 1 (17%)      3 (13%)   4 (10%)   
Second- and further-line             
 ALK inhibition    3 (30%) 3/3 (100%) 0/3 (0%) 3 (13%) 3/3 (100%) 0/3 (0%) 6 (15%) 6/6 (100%) 0/6 (0%) 
 Conventional systemic therapy 3 (50%) 2/3 (67%) 1/3 (33%)    2 (9%) 0/2 (0%) 2/2 (100%) 5 (13%) 2/5 (40%) 3/5 (60%) 
*

Including 2 patients treated with a combination of ALK inhibition and chemotherapy.

Including 2 patients treated with chemotherapy following surgical resection.

Including 2 patients who received systemic corticosteroids before surgical resection.

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