Cardio-oncology & other

Patterns and organ treatment response of Erdheim-Chester disease with cardiac involvement

HeartPublished Retrospective cohort study

Authors' conclusion

We pioneered the evaluation of heart response of ECD considering both pericardial effusion and cardiac metabolic response within our cohort, revealing a correlation between these two indicators.

Study context

Population
Patients with Erdheim-Chester disease (ECD) with cardiac involvement, diagnosed January 2010–August 202321 evaluable
Participants
40 patients
Outcome
Heart response (integrating pericardial effusion and metabolic responses)
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Heart response

Heart response (21 evaluable)

18

86%

Complete response

5

24%

Partial response

13

62%

Observational data: associations, not effects.

Further findings

Pericardial effusion response

Complete response (CR) rate
33%
Partial response (PR) rate
56%

Cardiac mass response

PR
33%

Cardiac metabolic response

Complete metabolic response
32%
Partial metabolic response
53%

Correlation of pericardial effusion response and cardiac metabolic response

R (95% CI 0.12 to 0.83), p<0.001
0.73

Survival · median follow-up 50.2 months (range: 1.0-102.8 months)

Estimated 5-year overall survival
78.9%
Median progression-free survival
59.4 months (95% CI 26.2 to 92.7 months)

Heart response with BRAF inhibitors

Better heart response with BRAF inhibitors regardless of treatment lines
P = 0.037

Original publication

Patterns and organ treatment response of Erdheim-Chester disease with cardiac involvement. Heart. Published 15 May 2024. doi:10.1136/heartjnl-2024-323867

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