Outcomes of polatuzumab vedotin-containing regimens in real-world setting of relapsed and or refractory diffuse large B-cell lymphoma patients: a matched-control analysis from the Thai Lymphoma Study Group (TLSG)

Relapsed/refractory diffuse large B-cell lymphoma (R/R DLBCL) is a challenging condition to treat, and there is an unmet clinical need for effective therapies. Recently, polatuzumab vedotin (Pola), an anti-CD79b antibody-drug-conjugate (ADC), combined with bendamustine-rituximab (BR), has been appro...

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Veröffentlicht in:Annals of hematology 2023-07, Vol.102 (7), p.1887-1895
Hauptverfasser: Rattanathammethee, Thanawat, Norasetthada, Lalita, Bunworasate, Udomsak, Wudhikarn, Kitsada, Julamanee, Jakrawadee, Noiperm, Panarat, Lanamtieng, Theerin, Phiphitaporn, Pisa, Navinpipat, Manassamon, Kanya, Piyapong, Jit-ueakul, Dusit, Wongkhantee, Somchai, Suwannathen, Thanongsak, Chaloemwong, Juthatip, Wong, Peerapon, Makruasi, Nisa, Khuhapinant, Archrob, Prayongratana, Kannadit, Niparuck, Pimjai, Kanitsap, Nonglak, Suwanban, Tawatchai, Intragumtornchai, Tanin
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container_end_page 1895
container_issue 7
container_start_page 1887
container_title Annals of hematology
container_volume 102
creator Rattanathammethee, Thanawat
Norasetthada, Lalita
Bunworasate, Udomsak
Wudhikarn, Kitsada
Julamanee, Jakrawadee
Noiperm, Panarat
Lanamtieng, Theerin
Phiphitaporn, Pisa
Navinpipat, Manassamon
Kanya, Piyapong
Jit-ueakul, Dusit
Wongkhantee, Somchai
Suwannathen, Thanongsak
Chaloemwong, Juthatip
Wong, Peerapon
Makruasi, Nisa
Khuhapinant, Archrob
Prayongratana, Kannadit
Niparuck, Pimjai
Kanitsap, Nonglak
Suwanban, Tawatchai
Intragumtornchai, Tanin
description Relapsed/refractory diffuse large B-cell lymphoma (R/R DLBCL) is a challenging condition to treat, and there is an unmet clinical need for effective therapies. Recently, polatuzumab vedotin (Pola), an anti-CD79b antibody-drug-conjugate (ADC), combined with bendamustine-rituximab (BR), has been approved for R/R DLBCL patients. However, real-world data on Pola-based regimens in R/R DLBCL patients, especially in Thailand, are limited. This study aimed to evaluate the efficacy and safety of Pola-based salvage treatment in R/R DLBCL patients in Thailand. Thirty-five patients who received Pola-based treatment were included in the study, and their data were compared to 180 matched patients who received non-Pola-based therapy. The overall response rate (ORR) in the Pola group was 62.8%, with complete remission and partial remission rates of 17.1% and 45.7%, respectively. The median progression-free survival (PFS) and overall survival (OS) were 10.6 months and 12.8 months, respectively. The study found a significantly higher ORR in Pola-based salvage treatments compared to non-Pola-based therapy (62.8% vs. 33.3%). The survival outcomes were also significantly superior in the Pola group, with longer median PFS and OS than the control group. Grades 3–4 adverse events (AEs) were mainly hematological, and they were tolerable. In conclusion, this study provides real-world evidence of the efficacy and safety of Pola-based salvage treatment in R/R DLBCL patients in Thailand. The results of this study are promising and suggest that Pola-based salvage treatment could be a viable option for R/R DLBCL patients who have limited treatment options.
doi_str_mv 10.1007/s00277-023-05273-8
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The survival outcomes were also significantly superior in the Pola group, with longer median PFS and OS than the control group. Grades 3–4 adverse events (AEs) were mainly hematological, and they were tolerable. In conclusion, this study provides real-world evidence of the efficacy and safety of Pola-based salvage treatment in R/R DLBCL patients in Thailand. 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source SpringerNature Journals
subjects Hematology
Lymphoma
Medicine
Medicine & Public Health
Oncology
Original Article
title Outcomes of polatuzumab vedotin-containing regimens in real-world setting of relapsed and or refractory diffuse large B-cell lymphoma patients: a matched-control analysis from the Thai Lymphoma Study Group (TLSG)
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