VODICKA, Prokop, Katerina BENESOVA, Andrea JANÍKOVÁ, Vit PROCHAZKA, David BELADA, Heidi MOCIKOVA, Katerina STEINEROVA, Juraj DURAS, Josef KARBAN, Veronika HANACKOVA, Alice SYKOROVA, Ales OBR and Marek TRNENY. Polatuzumab vedotin plus bendamustine and rituximab in patients with relapsed/refractory diffuse large B-cell lymphoma in the real world. European Journal of Haematology. Hoboken: Wiley-Blackwell, 2022, vol. 109, No 2, p. 162-165. ISSN 0902-4441. Available from: https://dx.doi.org/10.1111/ejh.13784.
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Basic information
Original name Polatuzumab vedotin plus bendamustine and rituximab in patients with relapsed/refractory diffuse large B-cell lymphoma in the real world
Authors VODICKA, Prokop (203 Czech Republic), Katerina BENESOVA (203 Czech Republic), Andrea JANÍKOVÁ (203 Czech Republic, belonging to the institution), Vit PROCHAZKA (203 Czech Republic), David BELADA (203 Czech Republic), Heidi MOCIKOVA (203 Czech Republic), Katerina STEINEROVA (203 Czech Republic), Juraj DURAS (203 Czech Republic), Josef KARBAN (203 Czech Republic), Veronika HANACKOVA (203 Czech Republic), Alice SYKOROVA (203 Czech Republic), Ales OBR (203 Czech Republic) and Marek TRNENY (203 Czech Republic, guarantor).
Edition European Journal of Haematology, Hoboken, Wiley-Blackwell, 2022, 0902-4441.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30205 Hematology
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 3.100
RIV identification code RIV/00216224:14110/22:00128259
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1111/ejh.13784
UT WoS 000793085400001
Keywords in English DLBCL; polatuzumab vedotin; real world
Tags 14110212, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 25/1/2023 09:54.
Abstract
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.
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