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⭐Lymphoma Hub spotlight | Tafasitamab for the treatment of patients with relapsed/refractory diffuse large B-cell lymphoma⭐

By Abhilasha Verma

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May 14, 2025

Learning objective: After reading this article you will be able to recall the mechanism of action of tafasitamab, the rationale for combining tafasitamab with lenalidomide, key clinical data, and regulatory approval status of the combination in R/R DLBCL.


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What is the rationale for combining tafasitamab and lenalidomide for the treatment of R/R DLBCL?

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Tafasitamab, an anti-CD19 monoclonal antibody, targets the CD19 protein on B cells, which is prevalent in B-cell malignancies such as diffuse large B-cell lymphoma (DLBCL). By binding to CD19, tafasitamab induces programmed cell death in malignant B cells and improves immune responses through mechanisms such as antibody-dependent cellular cytotoxicity and antibody-dependent cellular phagocytosis. Combining tafasitamab with lenalidomide, an immunomodulatory agent, leverages their complementary actions. Lenalidomide stimulates T cells and natural killer cells, disrupting tumor-promoting pathways and boosting the immune response. In the L-MIND (NCT02399085) trial, tafasitamab demonstrated a 60% overall response rate, with a median duration of response of 21.7 months, supporting its approval as second-line therapy for relapsed/refractory DLBCL in the US and EU for patients ineligible for autologous stem cell transplantation. The ongoing firmMIND (NCT05429268) trial continues to assess the efficacy and safety of tafasitamab plus lenalidomide in relapsed/refractory DLBCL.

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