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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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