2022
Polatuzumab vedotin plus bendamustine and rituximab in patients with relapsed/refractory diffuse large B-cell lymphoma in the real world
VODICKA, Prokop; Katerina BENESOVA; Andrea JANÍKOVÁ; Vit PROCHAZKA; David BELADA et al.Základní údaje
Originální název
Polatuzumab vedotin plus bendamustine and rituximab in patients with relapsed/refractory diffuse large B-cell lymphoma in the real world
Autoři
VODICKA, Prokop; Katerina BENESOVA; Andrea JANÍKOVÁ; Vit PROCHAZKA; David BELADA; Heidi MOCIKOVA; Katerina STEINEROVA; Juraj DURAS; Josef KARBAN; Veronika HANACKOVA; Alice SYKOROVA; Ales OBR a Marek TRNENY
Vydání
European Journal of Haematology, Hoboken, Wiley-Blackwell, 2022, 0902-4441
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30205 Hematology
Stát vydavatele
Spojené státy
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 3.100
Označené pro přenos do RIV
Ano
Kód RIV
RIV/00216224:14110/22:00128259
Organizační jednotka
Lékařská fakulta
UT WoS
EID Scopus
Klíčová slova anglicky
DLBCL; polatuzumab vedotin; real world
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 25. 1. 2023 09:54, Mgr. Tereza Miškechová
Anotace
V originále
Objectives Polatuzumab vedotin with bendamustine and rituximab (Pola-BR) was approved for treatment of transplant-ineligible patients with relapsed/refractory DLBCL (R/R DLBCL). However, the number of patients treated in the GO29365 trial including the extension cohort was limited, and more data evaluating the efficacy of this treatment regimen is needed. Methods We analyzed 21 patients with R/R DLBCL to determine real-life efficacy and safety of Pola-BR regimen. Data of all patients entered the database of the NiHiL project (NCT03199066). Results Median overall survival was 8.7 months, and progression-free survival 3.8 months. The overall response rate was 33%. Grade 3-4 neutropenia was detected in 29%, thrombocytopenia in 38%, anemia in 19%, infections in 24% cases, and peripheral neuropathy in 5%. Discontinuation of treatment was caused by progression in 50%, adverse events in 31%, and intended bridging to CAR-T therapy in 19%. Conclusion Although the outcome of patients is worse than in GO29365 trial, the use of Pola-BR regimen in the real world demonstrates tolerable toxicity profile and efficacy in transplant-ineligible patients with R/R DLBCL. Moreover, this regimen might represent a perspective option as a bridge to CAR-T therapy.