2024 events that may change the clinical practice for aggressive B-cell lymphomas in the future
- Authors: Mangasarova Y.K.1, Zvonkov E.E.1
-
Affiliations:
- National Medical Research Center for Hematology
- Issue: Vol 27, No 1 (2025)
- Pages: 4-7
- Section: Articles
- URL: https://journals.rcsi.science/1815-1434/article/view/291140
- DOI: https://doi.org/10.26442/18151434.2025.1.203183
- ID: 291140
Cite item
Full Text
Abstract
The data presented at the 2024 international conferences on the diagnosis and treatment of aggressive B-cell lymphomas were reviewed; 13 striking and important events that could change clinical practice in the future were identified. The presented studies evaluated the efficacy of new therapies for diffuse large B-cell lymphoma in both first-line therapy and relapse settings. The absolute top pick is bispecific antibodies; their efficacy and safety are evaluated in various combinations to develop an optimal strategy for their use at different stages of therapy. There are also two most striking studies on CAR T-cell therapy.
Full Text
##article.viewOnOriginalSite##About the authors
Yana K. Mangasarova
National Medical Research Center for Hematology
Author for correspondence.
Email: v.k.jana@mail.ru
ORCID iD: 0000-0003-1936-5934
Cand. Sci. (Med.)
Russian Federation, MoscowEugene E. Zvonkov
National Medical Research Center for Hematology
Email: v.k.jana@mail.ru
ORCID iD: 0000-0002-2639-7419
D. Sci. (Med.)
Russian Federation, MoscowReferences
- Alizadeh AA, Eisen MB, Davis RE, et al. Distinct types of diffuse large B-cell lymphoma identified by gene expression profiling. Nature. 2000;403(6769):503-11. doi: 10.1038/35000501
- Руководство NCCN. Режим доступа: https://www.nccn.org/professionals/physician_gls/pdf/b-cell.pdf. Ссылка активна на 10.02.2025 [Rukovodstvo NCCN. Availble at: https://www.nccn.org/professionals/physician_gls/pdf/b-cell.pdf. Assessed: 10.02.2025 (in Russian)].
- Amzallag A, Basavanhally T, Westin J, et al. Golcadomide (GOLCA) Plus R-CHOP Has High Minimal Residual Disease (MRD) Negativity across High-Risk, Untreated Aggressive B-Cell Lymphoma (a-BCL). Blood. 2024;144(Suppl. 1):579. doi: 10.1182/blood-2024-203135
- First data from subcutaneous epcoritamab+polatuzumab vedotin, rituximab, cyclophosphamide, doxorubicin, and prednisone (Pola-R-CHP) for first-line diffuse large B-cell lymphoma (DLBCL): Epcope NHL-5). Abstract: S239 EHA 2024.
- Adrian M, Verner E, Giri P, et al. A Randomized Phase 2, Investigator-Led Trial of Glofitamab-R-CHOP or Glofitamab-Polatuzumab Vedotin-R-CHP (COALITION) in Younger Patients with High Burden, High-Risk Large B-Cell Lymphoma Demonstrates Safety, Uncompromised Chemotherapy Intensity, a High Rate of Durable Remissions, and Unique FDG-PET Response Characteristics. Blood. 2024;144 (Suppl. 1):582. doi: 10.1182/blood-2024-204930
- Abramson J, Geyer S, Pederson L, et al. Randomized phase II/III study of R-CHOP +/- venetoclax in previously untreated MYC/BCL2 double expressor diffuse large B cell lymphoma (DLBCL): Alliance A051701. J Clin Oncol. 2024;42(Suppl. 16). doi: 10.1200/JCO.2024.42.16_suppl.70
- Zhao W, Zhu J, Song Y, et al. Tucidinostat plus R-CHOP in previously untreated diffuse large B-cell lymphoma with double expression of MYC and BCL2: An interim analysis from the phase III DEB study. J Clin Oncol. 2024;42(Suppl. 17):LBA7003. doi: 10.1200/JCO.2024.42.17_suppl.LBA7003
- Abramson J, Ku M, Hertzberg M, et al. Glofitamab plus gemcitabine and oxaliplatin (GemOx) versus rituximab-GemOx for relapsed or refractory diffuse large B-cell lymphoma (STARGLO): a global phase 3, randomised, open-label trial. Lancet. 2024;404(10466):1940-54. doi: 10.1016/S0140-6736(24)01774-4
- Diefenbach C, Caimi PF, Saba NS, et al. Glofitamab in Combination with Rituximab Plus Ifosfamide, Carboplatin, and Etoposide Shows Favorable Efficacy and Manageable Safety in Patients with Relapsed or Refractory Diffuse Large B-Cell Lymphoma, Eligible for Stem Cell Transplant or Chimeric Antigen Receptor T-Cell Therapy: Results from a Phase Ib Study. Blood. 2024;144 (Suppl. 1):987. doi: 10.1182/blood-2024-198452
- Hutchings M, Balari A, Bosch F, et al. Glofitamab in Combination with Polatuzumab Vedotin Maintains Durable Responses and a Manageable Safety Profile in Patients with Heavily Pre-Treated Relapsed/Refractory (R/R) Large B-Cell Lymphoma (LBCL) Including High-Grade B-Cell Lymphoma (HGBCL): Extended Follow-up of a Phase Ib/II Study. Blood. 2024;144(Suppl. 1):988. doi: 10.1182/blood-2024-194328
- Zhang M, Tian S, Fu D, et al. Genetic subtype-guided immunochemotherapy in diffuse large B cell lymphoma: The randomized GUIDANCE-01 trial. Cancer Cell. 2023;41(10):1705-16.e5.
- Liang J, Shen H, Yin H, et al. Novel Targeted Agents in Combination with R-MINE (RMINE+X) Based on Different Molecular Subtypes in Relapsed/Refractory Diffuse Large B-Cell Lymphoma: a Phase 2 Multicenter Study. ASH Abst.1725
- Riedell A, Kwon M, Flinn I, et al. Rapcabtagene Autoleucel (YTB323) in Patients (Pts) with Relapsed/Refractory Diffuse Large B-Cell Lymphoma (R/R DLBCL): Phase II Trial Clinical Update. ASH, Abs 67
- Shah N, Maziarz R, Jacobson C, et al. Interim Results from a Phase 2 Pivotal Study (DALY II USA) of Tandem CD20-CD19-Directed Non-Cryopreserved CAR-T Cells – Zamtocabtagene Autoleucel (Zamto-Cel) in Patients with Relapsed/Refractory Diffuse Large B Cell Lymphoma. ASH24 Abs 68
Supplementary files
